Evidence map›Paper›PMID 40335982›Full record

ArticleBMC public health2025

Association of chronic kidney disease and cardiovascular disease risk with all-cause mortality: an interaction, joint and mediation analysis in Chinese adults.

Yang Li, Yiqin Shi, Bowen Zhu, Yafei Chen, Bo Shen, Shuan Zhao, Nana Song, Yi Fang, Xiaoqiang Ding

Abstract read
In one paragraph

Article in BMC public health, 2025. 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. Review
  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

9 authors.

Yang Li *Department of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China.
Yiqin Shi *Department of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China.
Bowen ZhuDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China.
Yafei ChenDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China.
Bo ShenDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China.
Shuan ZhaoDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China.
Nana SongDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China.
Yi FangDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China. fang.yi@zs-hospital.sh.cn.
Xiaoqiang DingDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China. ding.xiaoqiang@zs-hospital.sh.cn.

Funding

National Outstanding Youth Science Fund Project of National Natural Science Foundation of China 82103911Shanghai Key Laboratory of Kidney and Blood Purification 20DZ2271600Shanghai Municipal Health Commission Youth Project 20224Y0284Shanghai Municipal Key Clinical Specialty shslczdzk02501Shanghai Three-year Action Plan to Strengthen the Public Health System GWVI-11.2-YQ10Shanghai Yangtze River Delta Scientific and Technological Innovation Community Project 21002411500
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is a global public health problem. This study aimed to evaluate the complex relationship of CKD and cardiovascular disease (CVD) risk with mortality in different age groups and the mediation effect of CVD risk among Chinese adults.

methodsA total of 7533 participants from the 2009 wave of China Health and Nutrition Survey (CHNS) cohort were included in this study and followed up to 2015. CKD was defined as the estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73m

resultsCHNS cohort recorded 266 deaths over a mean follow-up time of 5.04 years. The all-mortality rates among adults with CKD and high CVD risk were significantly higher than healthy controls (22.48 and 21.30 per 1000 person-years). After adjusting for covariates of age, gender, BMI, hypertension, diabetes, hyperuricemia, smoking status, and alcohol consumption, the adjusted hazard ratios (aHR) of CKD and high CVD risk were 1.70 (95% CI 1.27-2.28) and 1.62 (95%CI 1.26-2.09), respectively. Joint effect analysis revealed that mortality hazard was highest in CKD patients with high CVD risk (aHR = 3.15, 95% CI 1.92-5.16). Mediation analysis showed that significant partial mediation by SBP and fasting glucose, accounting for 19.2% (p < 0.001) and 3.52% (p = 0.012) of the total effect of CKD on mortality.

conclusionsComprehensive strategies including lifestyle modifications, diet restrictions, and cardio-nephrology multidisciplinary treatment for mitigating CVD risk in CKD patients should focus on middle-aged people and early disease detection.

Indexed as

Cardiovascular DiseasesRenal Insufficiency, ChronicAdultAgedCause of DeathChinaCohort StudiesEast Asian PeopleFemaleHumansMaleMediation AnalysisMiddle AgedNutrition SurveysRisk FactorsCardiovascular diseaseChina health and nutrition surveyChronic kidney diseaseMediation analysisMortality

Identifiers

PMID40335982
PMCPMC12057200

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.