Evidence map›Paper›PMID 37925061›Full record

ArticleThe American journal of medicine2024

Body Mass Index and Clinical and Health Status Outcomes in Chronic Coronary Disease and Advanced Kidney Disease in the ISCHEMIA-CKD Trial.

Roy O Mathew, Evgeny I Kretov, Zhen Huang, Philip G Jones, Mandeep S Sidhu, Sean M O'Brien, Aleksei A Prokhorikhin, Janani Rangaswami, Jonathan Newman, Gregg W Stone and 6 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  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

16 authors at 10 institutions in 2 countries.

Roy O MathewDepartment of Medicine, Loma Linda VA Health Care System, Loma Linda, Calif. Electronic address: roy.mathew@va.gov.
Evgeny I KretovNational Medical Research Center of Ministry of Health of Russia, Novosibirsk.
Zhen HuangDuke Clinical and Research Institute and Duke University, Durham, NC.
Philip G JonesUniversity of Missouri - Kansas City (UMKC)'s Healthcare Institute for Innovations in Quality and Saint Luke's Mid America Heart Institute.
Mandeep S SidhuAlbany Medical College, NY.
Sean M O'BrienDuke Clinical and Research Institute and Duke University, Durham, NC.
Aleksei A ProkhorikhinV.A. Almazov National Medical Research Centre, Saint Petersburg, Russia.
Janani RangaswamiGeorge Washington University School of Medicine, Washington, DC; Washington DC Veteran Affairs Medical Center.
Jonathan NewmanCardiovascular Clinical Research Center, NYU Grossman School of Medicine, NY.
Gregg W StoneThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Jerome L FlegNational Heart, Lung, and Blood Institute, Bethesda, MD.
John A SpertusUniversity of Missouri - Kansas City (UMKC)'s Healthcare Institute for Innovations in Quality and Saint Luke's Mid America Heart Institute.
David J MaronDepartment of Medicine, Stanford University School of Medicine, Calif.
Judith S HochmanCardiovascular Clinical Research Center, NYU Grossman School of Medicine, NY.
Sripal BangaloreCardiovascular Clinical Research Center, NYU Grossman School of Medicine, NY.
ISCHEMIA-CKD Research Group
Duke University · USSaint Luke's Health System · USAlbany Medical Center Hospital · USCardiovascular Institute of the South · USFederal Almazov North-West Medical Research Centre · RUGeorge Washington University · USNational Heart Lung and Blood Institute · USNovosibirsk State Medical University · RUStanford University · USVA Loma Linda Healthcare System · US

Funding

The ISCHEMIA-CKD Trial-CCC-Lead ApplicationU01HL117905 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BANGALORE, SRIPAL · 2013 to 2019
$9.8M
ISCHEMIA-CKD SDCCU01HL117904 · NHLBI · DUKE UNIVERSITY · PI O'BRIEN, SEAN M · 2013 to 2019
$1.5M
NHLBI NIH HHS U01 HL117904NHLBI NIH HHS U01 HL117905
6 · The paper itself

Abstract

objectiveThis study aimed to assess whether an obesity paradox (lower event rates with higher body mass index [BMI]) exists in participants with advanced chronic kidney disease (CKD) and chronic coronary disease in the International Study of Comparative Health Effectiveness of Medical and Invasive Approaches (ISCHEMIA)-CKD, and whether BMI modified the effect of initial treatment strategy.

methodsBaseline BMI was analyzed as both a continuous and categorical variable (< 25, ≥ 25 to < 30, ≥ 30 kg/m

resultsBody mass index ≥ 30 kg/m

conclusionsIn the ISCHEMIA-CKD trial, an obesity paradox was not detected. Higher BMI was associated with worse dyspnea, and a trend toward increased D/MI and MI risk. Larger studies to validate these findings are warranted.

Indexed as

Coronary DiseaseMyocardial InfarctionRenal Insufficiency, ChronicBody Mass IndexDyspneaHealth StatusHumansRisk FactorsBody Mass IndexChronic Kidney DiseaseCoronary Artery DiseaseDeathDialysisMyocardial InfarctionObesityObesity Paradox

Identifiers

PMID37925061
PMCPMC10872316
OpenAlexW4388278819

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.