Evidence map›Paper›PMID 40985174›Full record

ArticleJournal of internal medicine2025

Albuminuria is associated with increased risk of dementia, independent of eGFR: The SCREAM project.

Li Luo, Ron T Gansevoort, Lyanne M Kieneker, Yuanhang Yang, Alessandro Bosi, Rudolf A de Boer, Casper F M Franssen, Maria Eriksdotter, Juan-Jesus Carrero, Hong Xu

Abstract read
In one paragraph

Article in Journal of internal medicine, 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

10 authors.

Li LuoDepartment of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0001-7855-4669
Ron T GansevoortDepartment of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Lyanne M KienekerDepartment of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Yuanhang YangDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Alessandro BosiInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-2806-0393
Rudolf A de BoerErasmus MC, Thorax Center, Department of Cardiology, Cardiovascular Institute, Rotterdam, The Netherlands.
Casper F M FranssenDepartment of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Maria EriksdotterDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Juan-Jesus CarreroDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-4763-2024
Hong XuDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-7266-3431

Funding

China Scholarship Council #2022-01428StratNeuro grantThe Center for Innovative Medicine FoundationThe European Research CouncilThe Swedish Heart and Lung FoundationThe Swedish Research CouncilThe Swedish research council grantThe US National Institutes of Health (NIH)
6 · The paper itself

Abstract

backgroundThe association between albuminuria and dementia has been insufficiently studied, possibly due to not considering dementia subtypes, the interplay with estimated glomerular filtration rate (eGFR), and the use of varying albuminuria measurement techniques.

objectivesThis study aimed to investigate the eGFR-independent risk of all-cause and type-specific dementia associated with albuminuria, measured by the urine albumin-creatinine ratio (ACR) and dipstick.

methodsThe main analysis included 132,869 subjects aged ≥65 years without a history of dementia and with at least one ACR test from the Stockholm Creatinine Measurements (SCREAM) project between 2006 and 2019. The primary and secondary outcomes were the incidence of all-cause dementia and type-specific dementia, respectively. Cox regression models were used to calculate hazard ratios (HRs, 95% CIs).

resultsDuring a median follow-up of 3.9 (interquartile ranges, 1.8-7.1) years, 9435 (7%) subjects developed incident dementia. After multivariable adjustments, including eGFR, an ACR level of 30-299 and ≥300 mg/g was associated with a 25% (HR, 1.25; 95% CI, 1.19-1.31) and a 37% (HR, 1.37; 95% CI, 1.23-1.51) higher risk of developing all-cause dementia, respectively, compared to an ACR level of <30 mg/g. Higher ACR levels were also associated with an increased risk of mixed, vascular, and unspecified dementia, but not with Alzheimer's disease. These findings were robust in subjects with at least one dipstick proteinuria test.

conclusionIncreased albuminuria is associated with a higher risk of all-cause dementia, particularly mixed, vascular, and unspecified dementia, independent of baseline eGFR and generalizable across different clinical pathways of albuminuria testing.

Indexed as

AlbuminuriaDementiaGlomerular Filtration RateAgedAged, 80 and overCreatinineFemaleHumansIncidenceMaleRisk FactorsSwedenCreatininealbuminuriaAlzheimer's dementiachronic kidney diseasemixed dementiavascular dementia

Identifiers

PMID40985174
PMCPMC12522533

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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.