Evidence map›Paper›PMID 37328848›Full record

ArticleCardiovascular diabetology2023

Cardiovascular mortality in patients with advanced chronic kidney disease with and without diabetes: a nationwide cohort study.

Dea Haagensen Kofod, Nicholas Carlson, Ellen Freese Ballegaard, Thomas Peter Almdal, Christian Torp-Pedersen, Gunnar Gislason, Jesper Hastrup Svendsen, Bo Feldt-Rasmussen, Mads Hornum

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.2field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 21 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Dea Haagensen KofodDepartment of Nephrology, Copenhagen University Hospital - Rigshospitalet, Inge Lehmanns vej 7, Copenhagen, 2100, Denmark. dea.haagensen.kofod.01@regionh.dk.
Nicholas CarlsonDepartment of Nephrology, Copenhagen University Hospital - Rigshospitalet, Inge Lehmanns vej 7, Copenhagen, 2100, Denmark.
Ellen Freese BallegaardDepartment of Nephrology, Copenhagen University Hospital - Rigshospitalet, Inge Lehmanns vej 7, Copenhagen, 2100, Denmark.
Thomas Peter AlmdalDepartment of Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Christian Torp-PedersenDepartment of Cardiology, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.
Gunnar GislasonDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Jesper Hastrup SvendsenDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Bo Feldt-RasmussenDepartment of Nephrology, Copenhagen University Hospital - Rigshospitalet, Inge Lehmanns vej 7, Copenhagen, 2100, Denmark.
Mads HornumDepartment of Nephrology, Copenhagen University Hospital - Rigshospitalet, Inge Lehmanns vej 7, Copenhagen, 2100, Denmark.
Copenhagen University Hospital · DKUniversity of Copenhagen · DKGentofte Hospital · DKRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular mortality and the impact of cardiac risk factors in advanced chronic kidney disease (CKD) remain poorly investigated. We examined the risk of cardiovascular mortality in patients with advanced CKD with and without diabetes as well as the impact of albuminuria, plasma hemoglobin, and plasma low-density lipoprotein (LDL) cholesterol levels.

methodsIn a Danish nationwide registry-based cohort study, we identified persons aged ≥ 18 years with an estimated glomerular filtration rate < 30 mL/min/1.73m

resultsWe included 138,583 patients with advanced CKD of whom 32,698 had diabetes. The standardized 1-year risk of cardiovascular mortality was 9.8% (95% CI 9.6-10.0) and 7.4% (95% CI 7.3-7.5) for patients with and without diabetes, respectively, versus 3.1% (95% CI 3.1-3.1) in the matched cohort. 1-year cardiovascular mortality risks were 1.1- to 2.8-fold higher for patients with diabetes compared with those without diabetes across the range of advanced CKD stages and age groups. Albuminuria and anemia were associated with increased cardiovascular mortality risk regardless of diabetes status. LDL-cholesterol was inversely associated with cardiovascular mortality risk in patients without diabetes, while there was no clear association in patients with diabetes.

conclusionsDiabetes, albuminuria, and anemia remained important risk factors of cardiovascular mortality whereas our data suggest a limitation of LDL-cholesterol as a predictor of cardiovascular mortality in advanced CKD.

Indexed as

Cardiovascular DiseasesDiabetes MellitusRenal Insufficiency, ChronicAlbuminuriaCholesterol, LDLCohort StudiesGlomerular Filtration RateHumansRisk FactorsCholesterol, LDLAlbuminuriaCardiovascular mortalityCholesterolChronic kidney diseaseDiabetesHemoglobin

Identifiers

PMID37328848
PMCPMC10276454
OpenAlexW4380991630

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.