Evidence map›Paper›PMID 39080608›Full record

Observational studyBMC nephrology2024

Acute and chronic complication profiles among patients with chronic kidney disease in Alberta, Canada: a retrospective observational study.

David C W Lau, Eileen Shaw, Suzanne McMullen, Tara Cowling, Kelcie Witges, Efrat L Amitay, Dominik Steubl, Louis P Girard

Abstract readObservational Study
In one paragraph

Observational study in BMC nephrology, 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
–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

2 citing papers in PubMed.

  1. Observational
  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

8 authors.

David C W LauDivision of Endocrinology and Metabolism, Department of Medicine, University of Calgary Cumming School of Medicine, Calgary, AB, Canada.
Eileen ShawMedlior Health Outcomes Research Ltd, Suite 300 - 160 Quarry Park Blvd. SE, Calgary, AB, Canada. eileen.shaw@medlior.com.
Suzanne McMullenMedlior Health Outcomes Research Ltd, Suite 300 - 160 Quarry Park Blvd. SE, Calgary, AB, Canada.
Tara CowlingMedlior Health Outcomes Research Ltd, Suite 300 - 160 Quarry Park Blvd. SE, Calgary, AB, Canada.
Kelcie WitgesMedlior Health Outcomes Research Ltd, Suite 300 - 160 Quarry Park Blvd. SE, Calgary, AB, Canada.
Efrat L AmitayBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Dominik SteublBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Louis P GirardDivision of Nephrology, Department of Medicine, University of Calgary Cumming School of Medicine, Calgary, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) poses a substantial burden to individuals, caregivers, and healthcare systems. CKD is associated with higher risk for adverse events, including renal failure, cardiovascular disease, and death. This study aims to describe comorbidities and complications in patients with CKD.

methodsWe conducted a retrospective observational study linking administrative health databases in Alberta, Canada. Adults with CKD were identified (April 1, 2010 and March 31, 2019) and indexed on the first diagnostic code or laboratory test date meeting the CKD algorithm criteria. Cardiovascular, renal, diabetic, and other comorbidities were described in the two years before index; complications were described for events after index date. Complications were stratified by CKD stage, atherosclerotic cardiovascular disease (ASCVD), and type 2 diabetes mellitus (T2DM) status at index.

resultsThe cohort included 588,170 patients. Common chronic comorbidities were hypertension (36.9%) and T2DM (24.1%), while 11.4% and 2.6% had ASCVD and chronic heart failure, respectively. Common acute complications were infection (58.2%) and cardiovascular hospitalization (24.4%), with rates (95% confidence interval [CI]) of 29.4 (29.3-29.5) and 8.37 (8.32-8.42) per 100 person-years, respectively. Common chronic complications were dyslipidemia (17.3%), anemia (14.7%), and hypertension (11.1%), with rates (95% CI) of 11.9 (11.7-12.1), 4.76 (4.69-4.83), and 13.0 (12.8-13.3) per 100 person-years, respectively. Patients with more advanced CKD, ASCVD, and T2DM at index exhibited higher complication rates.

conclusionsOver two-thirds of patients with CKD experienced complications, with higher rates observed in those with cardio-renal-metabolic comorbidities. Strategies to mitigate risk factors and complications can reduce patient burden.

Indexed as

ComorbidityDiabetes Mellitus, Type 2Renal Insufficiency, ChronicAcute DiseaseAdultAgedAged, 80 and overAlbertaAtherosclerosisCardiovascular DiseasesFemaleHospitalizationHumansHypertensionMaleMiddle AgedASCVDCKDComorbiditiesComplicationsType 2 diabetes

Identifiers

PMID39080608
PMCPMC11288078

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.