Evidence map›Paper›PMID 38646842›Full record

ArticleJournal of cachexia, sarcopenia and muscle2024

Sarcopenia, adiposity and large discordance between cystatin C and creatinine-based estimated glomerular filtration rate in patients with cancer.

Paul E Hanna, Tianqi Ouyang, Ismail Tahir, Nurit Katz-Agranov, Qiyu Wang, Lea Mantz, Ian Strohbehn, Daiana Moreno, Destiny Harden, James E Dinulos and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.5field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Opportunistic Screening on Chest CT, From theAJR. American journal of roentgenology · 2026
    Review
  4. Article
  5. Article
  6. Beyond Creatinine: A New Era of GFR Assessment in Patients with Cancer.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  7. Review
  8. CKD in Indigenous Populations in Kerala, India.Kidney international reports · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Sarcopenia in glioblastoma: the imaging we need and what it tells us.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Article
  13. Article
  14. 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

18 authors at 4 institutions in 2 countries.

Paul E HannaDivision of Nephrology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0003-4976-9104
Tianqi OuyangDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Ismail TahirDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Nurit Katz-AgranovDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Qiyu WangDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Lea MantzDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Ian StrohbehnDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Daiana MorenoDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Destiny HardenDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
James E DinulosDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Duru CosarDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Harish SeethapathyDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Justin F GainorDivision of Hematology and Oncology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Sachin J ShahDivision of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Shruti GuptaDivision of Renal Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
David E LeafDivision of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Florian J FintelmannDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Meghan E SiseDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USBrigham and Women's Hospital · USJohannes Gutenberg University Mainz · DEMedical College of Wisconsin · US

Funding

Mechanisms driving acute and chronic kidney function decline after immune checkpoint inhibitor therapy for cancerR01DK130839 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Meghan E. Sise · 2022 to 2026
$3.6M
Deferoxamine for the Prevention of Acute Kidney InjuryR01DK125786 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI LEAF, DAVID EVAN · 2020 to 2024
$3.5M
Hepcidin-Ferroportin-Iron Axis in Cardiac Surgery-associated Acute Kidney InjuryR01DK126685 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI LEAF, DAVID EVAN · 2022 to 2025
$3.3M
Precision Medicine Approach to Vitamin D3 Administration in Critical IllnessR01HL144566 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LEAF, DAVID EVAN · 2019 to 2022
$1.8M
Individualizing Anticoagulant use in Older Adults with Atrial FibrillationK76AG074919 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHAH, SACHIN J · 2021 to 2025
$1.2M
Novel Pathways and Therapeutic Targets for Cisplatin-Associated Acute Kidney InjuryK23DK125672 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI Shruti Gupta · 2022 to 2026
$998k
NHLBI NIH HHS R01 HL144566NIA NIH HHS K76 AG074919NIDDK NIH HHS K23 DK125672NIDDK NIH HHS R01 DK125786NIDDK NIH HHS R01 DK126685NIDDK NIH HHS R01 DK130839NIH HHS K23DK125672NIH HHS R01DK125786NIH HHS R01DK126685NIH HHS R01DK130839NIH HHS R01HL144566NIH/NIA K76AG074919
6 · The paper itself

Abstract

backgroundCreatinine-based estimated glomerular filtration rate (eGFR

methodsThis study is a cross-sectional study of consecutive adults with cancer with an abdominal CT scan performed within 90 days of simultaneous eGFR

resultsOf the 545 included patients (mean age 63 ± 14 years, 300 [55%] females, 440 [80.7%] non-Hispanic white), 320 (58.7%) met the criteria for CT-defined sarcopenia, and 136 (25%) had high adiposity. A total of 259 patients (48%) had >30% eGFR discordance, and 122 (22.4%) had >50% eGFR discordance. After adjustment for potential confounders, CT-defined sarcopenia and high adiposity were both associated with >30% eGFR discordance (adjusted odds ratio [aOR] 1.90, 95% confidence interval [CI] 1.12-3.24; aOR 2.01, 95% CI 1.15-3.52, respectively) and >50% eGFR discordance (aOR 2.34, 95% CI 1.21-4.51; aOR 2.23, 95% CI 1.19-4.17, respectively). A spline model demonstrated that as skeletal muscle index decreases, the predicted difference between eGFR

conclusionsCT-defined sarcopenia and high adiposity are both independently associated with large eGFR discordance. Incorporating valuable information from body composition analysis derived from CT scans performed as a part of routine cancer care can impact the interpretation of GFR estimates.

Indexed as

AdiposityCreatinineCystatin CGlomerular Filtration RateNeoplasmsSarcopeniaAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedTomography, X-Ray ComputedCreatinineCystatin Ccystatin CeGFR discrepancyglomerular filtration ratesarcopeniaserum creatinine

Identifiers

PMID38646842
PMCPMC11154767
OpenAlexW4395003832

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.