Evidence map›Paper›PMID 39560353›Full record

ArticleJournal of internal medicine2025

Different ways of diagnosing selective glomerular hypofiltration syndromes such as shrunken pore syndrome and the associated increase in mortality.

Anna Åkesson, Linnea Malmgren, Felicia Leion, Ulf Nyman, Anders Christensson, Jonas Björk, Anders Grubb

Abstract read
In one paragraph

Article in Journal of internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
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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

7 authors.

Anna ÅkessonDivision of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
Linnea MalmgrenDepartment of Clinical Sciences Malmö, Clinical and Molecular Osteoporosis Research Unit, Lund University, Malmö, Sweden.
Felicia LeionDepartment of Clinical Chemistry, Skåne University Hospital, Lund University, Lund, Sweden.
Ulf NymanDepartment of Translational Medicine, Division of Medical Radiology, University of Lund, Malmö, Sweden.
Anders ChristenssonDepartment of Nephrology, Skåne University Hospital, Lund University, Malmö, Sweden.ORCID 0000-0002-7328-8418
Jonas BjörkDivision of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
Anders GrubbDepartment of Clinical Chemistry, Skåne University Hospital, Lund University, Lund, Sweden.ORCID 0000-0002-0125-3662

Funding

Medical Faculty of Lund University
6 · The paper itself

Abstract

backgroundIn 2015, a selective decrease in the glomerular filtration of middle-sized molecules such as cystatin C compared to small molecules such as creatinine was first described and tentatively termed "Shrunken pore syndrome." Numerous studies have thereafter found an association between this syndrome (defined by a low eGFR

methodsUsing a cohort of 2781 adults with a median follow-up of 5.6 years, referred for determination of glomerular filtration rate (GFR), estimated GFR (eGFR) was determined using four equations. SGHS was defined using the eGFR

resultsBoth measures were associated with mortality. No significant differences concerning hazard ratios or Harrell's C-index were found between the two measures to estimate mortality, and both identified SGHS and increased mortality in a subpopulation of 567 "healthy" individuals with no prior diagnosis and with no kidney disorder according to the kidney disease improving global outcomes-criteria.

conclusionThe eGFR

Indexed as

CreatinineCystatin CGlomerular Filtration RateAdultAgedFemaleHumansMaleMiddle AgedProportional Hazards ModelsSyndromeCreatinineCystatin Ccreatininecystatin CGFRhypofiltrationkidneymortalityshrunken pore syndrome

Identifiers

PMID39560353
PMCPMC11636450

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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.