Evidence map›Paper›PMID 37771543›Full record

ArticleCanadian journal of kidney health and disease2023

Prevalence of Chronic Kidney Disease of Uncertain Etiology Within Selected Farming Communities in Rural Sri Lanka.

E M D V Ekanayake, P Mangala C S De Silva, T D K S C Gunasekara, W A K G Thakshila, S D Gunarathna, R A I Pinipa, Sudheera Jayasinghe, E P S Chandana, E S Wijewickrama, Nishad Jayasundara

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

10 authors at 3 institutions in 2 countries.

E M D V EkanayakeDepartment of Zoology, Faculty of Science, University of Ruhuna, Matara, Sri Lanka.
P Mangala C S De SilvaDepartment of Zoology, Faculty of Science, University of Ruhuna, Matara, Sri Lanka.ORCID https://orcid.org/0000-0002-1927-6512
T D K S C GunasekaraDepartment of Zoology, Faculty of Science, University of Ruhuna, Matara, Sri Lanka.ORCID https://orcid.org/0000-0002-3095-6164
W A K G ThakshilaDepartment of Zoology, Faculty of Science, University of Ruhuna, Matara, Sri Lanka.
S D GunarathnaDepartment of Zoology, Faculty of Science, University of Ruhuna, Matara, Sri Lanka.ORCID https://orcid.org/0000-0002-0376-9742
R A I PinipaDepartment of Zoology, Faculty of Science, University of Ruhuna, Matara, Sri Lanka.
Sudheera JayasingheDepartment of Pharmacology, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka.
E P S ChandanaDepartment of Biosystems Technology, Faculty of Technology, University of Ruhuna, Matara, Sri Lanka.
E S WijewickramaDepartment of Clinical Medicine, Faculty of Medicine, University of Colombo, Sri Lanka.
Nishad JayasundaraNicholas School of the Environment, Duke University, Durham, NC, USA.
University of Ruhuna · LKDuke University · USUniversity of Colombo · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic kidney disease of uncertain etiology (CKDu) is an emergent health concern, particularly in tropical farming communities in several global hotspots, including Sri Lanka. This particular nephropathy is characterized by a progressive decline in kidney function in the absence of conventional chronic kidney disease (CKD) risk factors such as diabetes mellitus, hypertension, and other identifiable kidney disorders. As it is almost asymptomatic at early stages, CKDu is mostly diagnosed at late stages with significant kidney damage. Hence, the identification of disease susceptibility and vulnerable communities at the earliest possible instances is highly important for the management of the disease. Objective: We aimed to compare kidney health across three different farming communities in Sri Lanka to identify CKDu susceptibilities. Methods: A cross-sectional study was performed with three selected farming communities: paddy farmers (PF; N = 581), sugarcane farmers (SF; N = 550), and vegetable farmers (VF; N = 244) in comparison with an age-matched control group of nonfarming (NF; N = 225) individuals. A medical examination was performed to investigate health status and medical history, whereas a urinalysis was performed to determine creatinine and albumin contents. Estimated glomerular filtration rate (eGFR) and urinary albumin-creatinine ratio (ACR) were used for assessment of kidney function. CKDu susceptibility was determined based on eGFR, and urinary ACR adhering to the clinical practice guidelines in Sri Lanka. Results: The median (interquartile range [IQR]) eGFR levels of PF (85 mL/min/1.73 m Conclusions: Compared with the nonfarming group, a significant risk of CKDu was observed in the three farming communities, particularly among paddy and sugarcane farmers. Longitudinal epidemiological studies to identify vulnerable farming communities and associated risk factors are critically needed to develop effective management strategies against CKDu within farming communities.

Indexed as

CKDufarming communitieskidney diseasesSri Lanka

Identifiers

PMID37771543
PMCPMC10524071
OpenAlexW4387067372

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.