Evidence map›Paper›PMID 38313686›Full record

ArticleClinical kidney journal2024

Comparison of three creatinine-based equations to predict adverse outcome in a cardiovascular high-risk cohort: an investigation using the SPRINT research materials.

Insa E Emrich, John W Pickering, Felix Götzinger, Rafael Kramann, Michael Kunz, Lucas Lauder, Vasilios Papademetriou, Michael Böhm, Gunnar H Heine, Felix Mahfoud

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 4 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

10 authors at 5 institutions in 4 countries.

Insa E EmrichSaarland University Medical Center, Department of Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Homburg, Germany.ORCID https://orcid.org/0000-0002-5048-3659
John W PickeringDepartment of Medicine, University of Otago Christchurch and Emergency Care Foundation, Christchurch Hospital, Christchurch, New Zealand.
Felix GötzingerSaarland University Medical Center, Department of Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Homburg, Germany.
Rafael KramannDivision of Nephrology and Clinical Immunology, RWTH Aachen University, Aachen, Germany.ORCID https://orcid.org/0000-0003-4048-6351
Michael KunzSaarland University Medical Center, Department of Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Homburg, Germany.ORCID https://orcid.org/0000-0001-9666-2209
Lucas LauderSaarland University Medical Center, Department of Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Homburg, Germany.ORCID https://orcid.org/0000-0003-1434-9556
Vasilios PapademetriouDepartment of Veterans Affairs and Georgetown University Medical Centers, Washington DC, USA.
Michael BöhmSaarland University Medical Center, Department of Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Homburg, Germany.
Gunnar H HeineSaarland University, Faculty of Medicine, Homburg/Saarbrücken, Germany.
Felix MahfoudSaarland University Medical Center, Department of Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Homburg, Germany.ORCID https://orcid.org/0000-0002-4425-549X
Saarland University · DEAgaplesion Markus Hospital · DEChristchurch Hospital · NZErasmus MC · NLGeorgetown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Novel creatinine-based equations have recently been proposed but their predictive performance for cardiovascular outcomes in participants at high cardiovascular risk in comparison to the established CKD-EPI 2009 equation is unknown. Method: In 9361 participants from the United States included in the randomized controlled SPRINT trial, we calculated baseline estimated glomerular filtration rate (eGFR) using the CKD-EPI 2009, CKD-EPI 2021, and EKFC equations and compared their predictive value of cardiovascular events. The statistical metric used is the net reclassification improvement (NRI) presented separately for those with and those without events. Results: During a mean follow-up of 3.1 ± 0.9 years, the primary endpoint occurred in 559 participants (6.0%). When using the CKD-EPI 2009, the CKD-EPI 2021, and the EKFC equations, the prevalence of CKD (eGFR <60 ml/min/1.73 m Conclusion: Substituting the CKD-EPI 2009 with the CKD-EPI 2021 or the EKFC equation for calculation of eGFR in participants with high cardiovascular risk without diabetes changed the prevalence of CKD but was not associated with improved risk prediction of cardiovascular events for both those with and without the event.

Indexed as

cardiovascular risk predictionCKD-EPI 2009 equationCKD-EPI 2021 equationclassificationestimated glomerular filtration rateEuropean Kidney Function Consortium (EKFC) equation

Identifiers

PMID38313686
PMCPMC10836528
OpenAlexW4391244153

What OpenQuestion holds

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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.