Evidence map›Paper›PMID 40764557›Full record

ArticleBMC nephrology2025

Investigating the patterns of renal function variability in early-stage chronic kidney disease by cluster analysis.

Arisa Kobayashi, Tsuyoshi Ohnishi, Tadahisa Okuda, Keita Hirano, Tatsuyoshi Ikenoue, Takashi Yokoo, Shingo Fukuma

Abstract read
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Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Arisa KobayashiHuman Health Sciences, Kyoto University Graduate School of Medicine, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-shi, Kyoto, 606-8057, Japan.
Tsuyoshi OhnishiHuman Health Sciences, Kyoto University Graduate School of Medicine, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-shi, Kyoto, 606-8057, Japan.
Tadahisa OkudaHuman Health Sciences, Kyoto University Graduate School of Medicine, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-shi, Kyoto, 606-8057, Japan.
Keita HiranoHuman Health Sciences, Kyoto University Graduate School of Medicine, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-shi, Kyoto, 606-8057, Japan.
Tatsuyoshi IkenoueHuman Health Sciences, Kyoto University Graduate School of Medicine, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-shi, Kyoto, 606-8057, Japan.
Takashi YokooDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Shingo FukumaHuman Health Sciences, Kyoto University Graduate School of Medicine, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-shi, Kyoto, 606-8057, Japan. fukuma.shingo.3m@kyoto-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is a significant global health concern, with increasing focus on predicting renal prognosis. While renal prognosis is often studied in advanced CKD, variability in renal function and its implications for long-term outcomes in early-stage CKD remain insufficiently examined. This study aimed to investigate renal prognosis in early-stage CKD within the general population, focusing on patterns of renal function variability and factors associated with high variability.

methodsThis retrospective nationwide cohort study included participants from various geographical regions across Japan. A total of 1,765 adults with early-stage CKD (eGFR 45-59 mL/min/1.73 m

resultsWe identified three distinct clusters based on eGFR variability using cluster analysis. Among these clusters, one exhibited significantly high variability with a high residual (median of mean residuals of 10.9 mL/min/1.73 m

conclusionsThis study highlights the presence of distinct eGFR variability patterns in early-stage CKD and identifies a subgroup at high risk for rapid renal decline. Monitoring eGFR variability provides critical insights into long-term prognosis and may inform targeted interventions. Considering these findings, early detection and management of patients with early CKD may improve disease progression and reduce the risk of adverse outcomes.

trial registrationThis study is an observational study using a database and does not involve a health care intervention on human participants. Therefore, trial registration is not applicable.

Indexed as

Glomerular Filtration RateRenal Insufficiency, ChronicAdultAgedCluster AnalysisFemaleHumansJapanMaleMiddle AgedPrognosisRetrospective StudiesChronic renal diseaseCluster analysisEarly-Stage chronic kidney diseaseHealth screeningRenal prognosis

Identifiers

PMID40764557
PMCPMC12323197

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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.