Evidence map›Paper›PMID 40485438›Full record

SynthesisSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association2025

Relationship between gastroesophageal reflux and chronic kidney disease: A meta-analysis of 4 million patients.

Andres Chaponan-Lavalle, Ambar Godoy, Jose M Estrada-Grossmann, Eduardo S Acosta, Yolanda Chaponan-Lavalle, Luis G Azañedo-Garcia, Karina Ordaya-Gonzales, Manuel Gonzales-Palomo, Fortunato S Príncipe-Meneses, Arjunmohan Mohan and 2 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Andres Chaponan-LavalleDepartamento de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Ambar GodoyDepartment of Medicine, Indiana University School of Medicine, Indianapolis, USA.
Jose M Estrada-GrossmannDepartamento de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Eduardo S AcostaDepartamento de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Yolanda Chaponan-LavalleDepartamento de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Luis G Azañedo-GarciaDepartamento de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Karina Ordaya-GonzalesDepartamento de Medicina, Universidad Científica del Sur, Lima, Perú.
Manuel Gonzales-PalomoDepartamento de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Fortunato S Príncipe-MenesesDepartamento de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Arjunmohan MohanDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester.
Renato BeasDivision of Gastroenterology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Jose Arriola-MontenegroDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) has been associated with higher risk of gastrointestinal disorders, particularly Gastroesophageal reflux disease (GERD). However, the magnitude of this association and the underlying mechanisms remains unclear.

methodsA systematic search was conducted across major databases from inception to November 2024. We included cross-sectional and case-control studies evaluating the relationship between CKD and GERD. Data were extracted and analyzed using a random-effects model to calculate pooled odds ratios (ORs) and prevalence rates. Study quality was assessed using the Newcastle-Ottawa Scale, and heterogeneity was evaluated using the Cochran's Q test and I² statistic.

resultsNine studies involving 4,650,709 participants were included. The pooled prevalence of GERD among CKD patients was 18% (95% CI: 0.10-0.26, I² =93.64%). The pooled crude OR for the association between CKD and GERD was 2.53 (95% CI: 1.30-4.92) and adjusted OR was 1.48 (95% CI: 1.05-2.08).

conclusionThis meta-analysis reveals a marginally significant association between CKD and GERD, highlighting higher prevalence of GERD among individuals with CKD. Furthers studies are needed to elucidate the underlying pathophysiological mechanisms and potential clinical implications.

Indexed as

Gastroesophageal RefluxRenal Insufficiency, ChronicCase-Control StudiesCross-Sectional StudiesFemaleHumansMalePrevalenceRisk FactorsChronic kidney diseaseesophageal refluxgastroesophageal reflux diseaseuremia

Identifiers

PMID40485438
PMCPMC12352809

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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.