Evidence map›Paper›PMID 37612109›Full record

Trial reportBMJ open2023

Comparison of the performance of currently used estimated glomerular filtration rate equations with 24-hour urine creatinine clearance: sample analysis of randomised controlled trial participants.

Jin Ho Hwang, Sohee Oh, Ho Jun Chin, Sejoong Kim, Dong Ki Kim, Suhnggwon Kim, Jung Hwan Park, Sung Joon Shin, Sang-Ho Lee, Bum Soon Choi and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01552954 (Effects of Low Sodium Intake on the Anti-proteinuric Efficacy of Olmesartan in Hypertensive Patients With Albuminuria Through Open-label Randomized Trial), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% 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.

NCT01552954 phase4completednot on this map

Effects of Low Sodium Intake on the Anti-proteinuric Efficacy of Olmesartan in Hypertensive Patients With Albuminuria Through Open-label Randomized Trial

TypeinterventionalSponsorSeoul National University Bundang HospitalRan2012 to 2013Enrolled269ConditionsHypertension, Chronic Kidney Disease, MicroalbuminuriaArmsIntensive education of low salt diet
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Article
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

11 authors at 6 institutions in 1 country.

Jin Ho HwangDepartment of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea (the Republic of).ORCID 0000-0003-0829-0922
Sohee OhDepartment of Biostatistics, Seoul National University Seoul Metropolitan Government Boramae Medical Center, Seoul, Korea (the Republic of).
Ho Jun ChinDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
Sejoong KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
Dong Ki KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).ORCID 0000-0002-5195-7852
Suhnggwon KimSeoul K Clinic, Seoul, Korea (the Republic of).
Jung Hwan ParkDepartment of Internal Medicine, Konkuk University Hospital Seoul, Gwangjin-gu, Korea (the Republic of).
Sung Joon ShinDepartment of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea (the Republic of).
Sang-Ho LeeDepartment of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea (the Republic of).
Bum Soon ChoiDepartment of Internal Medicine, Seoul Saint Mary's Hospital, Seoul, Korea (the Republic of).
Chun Soo LimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of) cslimjy@snu.ac.kr.ORCID 0000-0001-9123-6542
Seoul National University · KRChung-Ang University Hospital · KRDongguk University · KRKonkuk University · KRKyung Hee University · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere are several equations for estimating the glomerular filtration rate (GFR), and each method has its limitations. We compared various estimated GFR (eGFR) equations with 24 hours urine creatinine clearance (24u-CCr).

designSample analysis of randomised controlled trial participants. SETTING AND

participantsWe compared the mean 24u-CCr values measured 2-3 times for 211 patients with eGFR values calculated using the following equations: isotope dilution mass spectrometry-Modification of Diet in Renal Disease (IDMS-MDRD) equation, Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) equation, equations for Koreans (KOR-IDMS-MDRD and KOR-CKD-EPI) and full age spectrum equation. OUTCOME MEASURES: Performance of various creatinine-based eGFR equations, including those with Korean coefficients, compared with the results of the 24u-CCr.

resultsIDMS-MDRD showed the best overall correlation with the 24u-CCr (R=0.949, p<0.001), and KOR-CKD-EPI showed the best agreement in terms of the intraclass correlation coefficient (ICC, 0.969, 95% CI 0.959 to 0.976, p<0.001). In subgroup analysis, IDMS-MDRD-GFR showed the highest ICCs in CKD stages 1 and 3 (ICC 0.872 in stage 1 and 0.927 in CKD stage 3, all p<0.001). KOR-CKD-EPI showed the highest ICC in CKD stage 2 (ICC 0.854, p<0.001). Overall, the accuracy of CKD-EPI (2021) was the highest at P15 (15%) and P30 (30%) (P15: 65.4 and P30: 97.6). In addition, CKD-EPI (2021) showed the highest P30 accuracy in CKD stage 1 (98.7), whereas KOR-IDMS-MDRD showed the highest P30 accuracy in CKD stages 2 and 3 (98.8 and 98.2, respectively).

conclusionsThe IDMS-MDRD equation showed the best correlation and overall good agreement with the 24u-CCr; however, the accuracy was low. The most accurate measurements were obtained using the CKD-EPI (2021) equation in CKD stage 1 and the KOR-IDMS-MDRD equation in CKD stages 2-3; nevertheless, the CKD-EPI (2021) equation showed the best overall accuracy. TRIAL REGISTRATION NUMBER: NCT01552954.

Indexed as

Body FluidsRenal Insufficiency, ChronicCreatinineGlomerular Filtration RateHumansTetrazolesThiophenesUrinalysisCI 959CreatinineTetrazolesThiophenesadult nephrologychronic renal failurenephrology

Identifiers

PMID37612109
PMCPMC10450128
OpenAlexW4386101833

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.