Evidence map›Paper›PMID 38700246›Full record

ArticleEuropean journal of heart failure2024

Identification and outcomes of KDIGO-defined chronic kidney disease in 1.4 million U.S. Veterans with heart failure.

Samir S Patel, Venkatesh K Raman, Sijian Zhang, Prakash Deedwania, Qing Zeng-Treitler, Wen-Chih Wu, Phillip H Lam, George Bakris, Hans Moore, Paul A Heidenreich and 9 more

Abstract read
In one paragraph

Article in European journal of heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

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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

19 authors.

Samir S Patel *Department of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Venkatesh K Raman *Department of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Sijian Zhang *Department of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Prakash DeedwaniaDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Qing Zeng-TreitlerDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Wen-Chih WuDepartment of Medicine, Veterans Affairs Medical Center, Providence, RI, USA.
Phillip H LamDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
George BakrisDepartment of Medicine, University of Chicago, Chicago, IL, USA.
Hans MooreDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Paul A HeidenreichDepartment of Medicine, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Janani RangaswamiDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Charity J MorganDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Yan ChengDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Helen M SheriffDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Charles FaselisDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Ravindra L MehtaDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Stefan D AnkerDepartment of Cardiology (CVK) of German Heart Center Charité; German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin, Berlin, Germany.
Gregg C FonarowDepartment of Medicine, University of California, Los Angeles, CA, USA.
Ali AhmedDepartment of Medicine, Veterans Affairs Medical Center, Washington, DC, USA.

Funding

Improving Outcomes in Veterans with Heart Failure and Chronic Kidney DiseaseI01HX002422 · VA · U.S. DEPT/VETS AFFAIRS MEDICAL CENTER · PI AHMED, ALI, WU, WEN-CHIH · 2019 to 2025
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HSRD VA I01 HX002422HSRD VA SDR 02-237U.S. Department of Veterans Affairs I01HX002422
6 · The paper itself

Abstract

aimsAccording to the Kidney Disease: Improving Global Outcomes (KDIGO) guideline, the definition of chronic kidney disease (CKD) requires the presence of abnormal kidney structure or function for >3 months with implications for health. CKD in patients with heart failure (HF) has not been defined using this definition, and less is known about the true health implications of CKD in these patients. The objective of the current study was to identify patients with HF who met KDIGO criteria for CKD and examine their outcomes. METHODS AND

resultsOf the 1 419 729 Veterans with HF not receiving kidney replacement therapy, 828 744 had data on ≥2 ambulatory serum creatinine >90 days apart. CKD was defined as estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m

conclusionData needed to define CKD using KDIGO criteria were available in six out of ten patients, and CKD could be defined in seven out of ten patients with data. HF patients with KDIGO-defined CKD had higher risks for poor outcomes, most of which was not explained by abnormal kidney structure or function. Future studies need to examine whether CKD defined using a single eGFR is characteristically and prognostically different from CKD defined using KDIGO criteria.

Indexed as

Glomerular Filtration RateHeart FailureRenal Insufficiency, ChronicVeteransAgedCreatinineFemaleHumansMaleMiddle AgedRetrospective StudiesUnited StatesCreatinineChronic kidney diseaseHeart failureKDIGOOutcomes

Identifiers

PMID38700246
PMCPMC12844134

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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.