Evidence map›Paper›PMID 37230954›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2023

Association between CKD-MBD and mortality in older patients with advanced CKD-results from the EQUAL study.

Lorenza Magagnoli, Mario Cozzolino, Fergus J Caskey, Marie Evans, Claudia Torino, Gaetana Porto, Maciej Szymczak, Magdalena Krajewska, Christiane Drechsler, Peter Stenvinkel and 7 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07654231 (Reducing Inflammation to Improve Vascular and Bone Outcomes With Low-dose Colchicine in CKD), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07654231 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Reducing Inflammation to Improve Vascular and Bone Outcomes With Low-dose Colchicine in CKD: A Pilot Randomized Open-Label Trial (RESOLVE-CKD Trial)

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2026 to 2027Enrolled60ConditionsChronic Kidney Disease Mineral and Bone Disorder, Hypertension, Diabetes, DyslipidemiaArmsLow-dose Colchicine at 0.5mg daily, Usual Care
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Lactobacillus johnsonii Generates Cyclo(pro-trp) and Promotes Intestinal CaAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Multidisciplinary team approach for CKD-associated osteoporosis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 6 countries.

Lorenza MagagnoliUniversity of Milan, Department of Health Sciences, Milan, Italy.ORCID 0000-0003-2853-1332
Mario CozzolinoUniversity of Milan, Department of Health Sciences, Milan, Italy.ORCID 0000-0002-8494-6252
Fergus J CaskeyUniversity of Bristol, Population Health Sciences, Bristol, UK.
Marie EvansKarolinska Institutet, Department of Clinical Intervention and Technology (CLINTEC), Stockholm, Sweden.ORCID 0000-0001-8650-5795
Claudia TorinoIstituto di Fisiologia Clinica Consiglio Nazionale delle Ricerche (IFC-CNR), Clinical Epidemiology and Pathophysiology of Renal Diseases and Hypertension, Reggio Calabria, Italy (IT).
Gaetana PortoG.O.M., Azienda Ospedaliera Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Maciej SzymczakWroclaw Medical University, Department of Nephrology and Transplantation Medicine, Wroclaw, Poland.
Magdalena KrajewskaWroclaw Medical University, Department of Nephrology and Transplantation Medicine, Wroclaw, Poland.
Christiane DrechslerUniversity Hospital Würzburg, Division of Nephrology, Würzburg, Germany.
Peter StenvinkelKarolinska Institutet, Department of Clinical Intervention and Technology (CLINTEC), Stockholm, Sweden.
Maria PippiasUniversity of Bristol, Population Health Sciences, Bristol, UK.
Friedo W DekkerLeiden University Medical Center, Department of Clinical Epidemiology, Leiden, The Netherlands.
Esther N M de RooijLeiden University Medical Center, Department of Clinical Epidemiology, Leiden, The Netherlands.
Christoph WannerUniversity Hospital Würzburg, Division of Nephrology, Würzburg, Germany.ORCID 0000-0001-9507-5301
Nicholas C ChesnayeAmsterdam UMC location AMC, Medical Informatics, ERA Registry, Amsterdam, The Netherlands.
Kitty J JagerAmsterdam UMC location AMC, Medical Informatics, ERA Registry, Amsterdam, The Netherlands.
EQUAL study investigators
Amsterdam University Medical Centers · NLKarolinska Institutet · SELeiden University Medical Center · NLNorth Bristol NHS Trust · GBUniversitätsklinikum Würzburg · DEUniversity of Milan · ITWroclaw Medical University · PLAzienda ospedaliera "Bianchi-Melacrino-Morelli" · ITIstituto di Fisiologia Clinica · IT

Funding

Dutch Kidney Foundation SB 142National Institute for Health ResearchStockholms Läns LandstingSwedish Medical Association
6 · The paper itself

Abstract

backgroundChronic kidney disease-mineral and bone disorder (CKD-MBD) is a common complication of CKD; it is associated with higher mortality in dialysis patients, while its impact in non-dialysis patients remains mostly unknown. We investigated the associations between parathyroid hormone (PTH), phosphate and calcium (and their interactions), and all-cause, cardiovascular (CV) and non-CV mortality in older non-dialysis patients with advanced CKD.

methodsWe used data from the European Quality study, which includes patients aged ≥65 years with estimated glomerular filtration rate ≤20 mL/min/1.73 m2 from six European countries. Sequentially adjusted Cox models were used to assess the association between baseline and time-dependent CKD-MBD biomarkers and all-cause, CV and non-CV mortality. Effect modification between biomarkers was also assessed.

resultsIn 1294 patients, the prevalence of CKD-MBD at baseline was 94%. Both PTH [adjusted hazard ratio (aHR) 1.12, 95% confidence interval (CI) 1.03-1.23, P = .01] and phosphate (aHR 1.35, 95% CI 1.00-1.84, P = .05), but not calcium (aHR 1.11, 95% CI 0.57-2.17, P = .76), were associated with all-cause mortality. Calcium was not independently associated with mortality, but modified the effect of phosphate, with the highest mortality risk found in patients with both hypercalcemia and hyperphosphatemia. PTH level was associated with CV mortality, but not with non-CV mortality, whereas phosphate was associated with both CV and non-CV mortality in most models.

conclusionsCKD-MBD is very common in older non-dialysis patients with advanced CKD. PTH and phosphate are independently associated with all-cause mortality in this population. While PTH level is only associated with CV mortality, phosphate seems to be associated with both CV and non-CV mortality.

Indexed as

Chronic Kidney Disease-Mineral and Bone DisorderRenal Insufficiency, ChronicAgedBiomarkersCalciumCalcium, DietaryHumansParathyroid HormonePhosphatesRenal DialysisBiomarkersCalciumCalcium, DietaryParathyroid HormonePhosphatescardiovascularCKD-MBDmineralmortalityPTH

Identifiers

PMID37230954
PMCPMC10615632
OpenAlexW4378348442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.