Evidence map›Paper›PMID 40419905›Full record

Observational studyMedicine2025

Association between the aggregate index of systemic inflammation and chronic kidney disease in adults: A cross-sectional study of NHANES 2007-2018.

Shenshen Fang, Jieshan Qiu, Yuezhen Zhang, Bin Zhu

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 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. Article
  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

4 authors.

Shenshen FangGraduate School, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.ORCID 0009-0001-2096-0207
Jieshan QiuDepartment of Nephrology, XianJu People's Hospital, Zhejiang Southeast Campus of Zhejiang Provincial People's Hospital, Affiliated Xianju's Hospital, Hangzhou Medical College, Xianju, Zhejiang, China.
Yuezhen ZhangDepartment of Nephrology, XianJu People's Hospital, Zhejiang Southeast Campus of Zhejiang Provincial People's Hospital, Affiliated Xianju's Hospital, Hangzhou Medical College, Xianju, Zhejiang, China.
Bin ZhuUrology and Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.ORCID 0000-0003-0249-4254

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease (CKD) is closely linked to chronic inflammation, which plays a key role in its progression. The study aimed to investigate the association between the aggregate index of systemic inflammation (AISI) and CKD prevalence. We analyzed data from the National Health and Nutrition Examination Survey, which was conducted between 2007 and 2018. Multivariate logistic regression analyses were used to assess the independent relationship between AISI and CKD. Nonlinear relationships between AISI and CKD were examined through smooth curve fitting and threshold effect analyses. A total of 24,386 adult participants were included. After controlling for possible confounding variables, a significant positive association between AISI and CKD was identified (OR = 1.05, [95% CI: 1.03-1.07], P < .001). Subgroup analyses and interaction tests revealed significant differences in this association across diabetes strata (P < .05). Smoothing curve analysis demonstrated a nonlinear positive correlation between AISI and CKD. Moreover, threshold analysis revealed a saturation effect with an inflection point at 720 (1000 cells/μL). Below this threshold (AISI < 720, 1000 cells/μL), AISI was significantly positively associated with CKD, while no significant association was observed above the threshold (AISI > 720, 1000 cells/μL). These findings reveal a notable positive correlation between AISI and CKD among adults in the United States, with an inflection point at 720 (1000 cells/μL). The AISI shows potential as an indicator associated with CKD, but further comprehensive prospective studies are needed to confirm its role in CKD development and its utility in clinical practice.

Indexed as

InflammationRenal Insufficiency, ChronicAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysPrevalenceRisk FactorsUnited Statesaggregate index of systemic inflammation (AISI)chronic kidney disease (CKD)NHANES

Identifiers

PMID40419905
PMCPMC12113968

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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.