Evidence map›Paper›PMID 40462022›Full record

ArticleBMC public health2025

Early smoking and its impact on cardio-cerebrovascular diseases in patients with chronic kidney disease: a nationwide population-based study.

Sehyun Jung, Kyungdo Han, Seong Geun Kim, Semin Cho, Hyuk Huh, Jung Hun Koh, Jeongmin Cho, Minsang Kim, Min Woo Kang, Eunjeong Kang and 5 more

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Sehyun JungDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Republic of Korea.
Kyungdo HanDepartment of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea. hkd917@naver.com.
Seong Geun KimDepartment of Internal Medicine, Inje University Sanggye Paik Hospital, Seoul, Republic of Korea.
Semin ChoDepartment of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Republic of Korea.
Hyuk HuhDepartment of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Republic of Korea.
Jung Hun KohDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Jeongmin ChoDepartment of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Republic of Korea.
Minsang KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Min Woo KangDepartment of Internal Medicine, Korea University Guro Hospital, Seoul, Republic of Korea.
Eunjeong KangDepartment of Transplantation Center, Seoul National University Hospital, Seoul, Republic of Korea.
Sehoon ParkDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Yaerim KimDepartment of Internal Medicine, Keimyung University School of Medicine, Daegu, Republic of Korea.
Kwon Wook JooDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Dong Ki KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Soojin LeeDepartment of Internal Medicine, Uijeongbu Eulji University Medical Center, 712, Dongil-ro, Uijeongbu-si, Gyeonggi-do, 11759, Republic of Korea. creektale@hanmail.net.

Funding

Seoul National University College of Medicine Research Foundation 800-20190571Seoul National University Hospital 30-2016-0030
6 · The paper itself

Abstract

objectiveSmoking is a leading preventable cause of disease and death worldwide, with severe implications for individuals with chronic kidney disease (CKD). Although smoking at a younger age is linked to higher mortality risk, the specific effects of early smoking on all-cause and cardio-cerebrovascular diseases (CCVDs)-specific mortality in CKD patients are not well established. This study aims to examine the association between early smoking, smoking intensity, and mortality in patients with CKD.

methodsThis nationwide, population-based cohort study utilized data from the National Health Insurance Database (NHID) of South Korea, provided by the National Health Insurance Service (NHIS). The study included 549,739 adults with CKD who underwent national health examinations in 2009. The primary exposures were the age at smoking initiation and smoking intensity, measured in pack-years. Cox proportional hazards models were used to analyze the association between these exposures and mortality outcomes.

resultsEarlier smoking initiation and higher smoking intensity were significantly associated with increased risks of all-cause and CCVDs-specific mortality among patients with CKD. Specifically, individuals who began smoking at a younger age and those with higher pack-years had a notably higher risk of mortality.

conclusionsThe findings suggest that early smoking and smoking intensity are associated with higher mortality risks in CKD patients. Preventive measures targeting early smoking initiation may help improve the long-term outcomes in high-risk population.

Indexed as

Cardiovascular DiseasesCerebrovascular DisordersRenal Insufficiency, ChronicSmokingAdultAgedAge FactorsCohort StudiesFemaleHumansMaleMiddle AgedProportional Hazards ModelsRepublic of KoreaRisk FactorsCardio-cerebrovascular diseaseChronic kidney diseaseSmoking

Identifiers

PMID40462022
PMCPMC12131595

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.