Evidence map›Paper›PMID 23250799›Full record

ArticleDiabetes care2013

Serum fructosamine and glycated albumin and risk of mortality and clinical outcomes in hemodialysis patients.

Tariq Shafi, Stephen M Sozio, Laura C Plantinga, Bernard G Jaar, Edward T Kim, Rulan S Parekh, Michael W Steffes, Neil R Powe, Josef Coresh, Elizabeth Selvin

Open access · hybridAbstract read
In one paragraph

Article in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% of its field
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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Diabetes and Glucose Management in People on Hemodialysis.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  13. Glycated Albumin and Adverse Clinical Outcomes in Patients With CKD: A Prospective Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Hemoglobin ADiabetes care · 2021
    Review
  19. Risk Factors Associated with All-Cause Death Among Dialysis Patients with Diabetes.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Observational
  20. An Update on Measures of Preoperative Glycemic Control.Plastic and reconstructive surgery. Global open · 2019
    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 at 7 institutions in 2 countries.

Tariq ShafiDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. tshafi@jhmi.edu
Stephen M Sozio
Laura C Plantinga
Bernard G Jaar
Edward T Kim
Rulan S Parekh
Michael W Steffes
Neil R Powe
Josef Coresh
Elizabeth Selvin
Johns Hopkins Medicine · USJohns Hopkins University · USDiablo Clinical Research · USEmory University · USHospital for Sick Children · CAUniversity of California, San Francisco · USUniversity of Minnesota · US

Funding

JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI WONDISFORD, FREDRIC E. · 2013 to 2017
$9.7M
Diabetes and Prediabetes in Older Adults in ARICR01DK089174 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SELVIN, ELIZABETH · 2011 to 2020
$6.4M
Longitudinal Study of DialysisR01DK072367 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI PAREKH, RULAN S · 2007 to 2011
$3.7M
Retained Organic Solutes and Clinical Outcomes in HemodialysisR01DK080123 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POWE, NEIL R. · 2008 to 2012
$3.2M
PROCESS, OUTCOME AND QUALITY OF CARE IN ESRDR01DK059616 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI POWE, NEIL R. · 2000 to 2004
$3.1M
RISK FACTORS FOR CV DISEASE IN A DIALYSIS COHORTR01HL062985 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CORESH, JOSEF · 2000 to 2003
$2.4M
PATIENT ORIENTED RESEARCH IN KIDNEY DISEASEK24DK002643 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POWE, NEIL R. · 1999 to 2009
$1.4M
Residual Kidney Function in ESRD: Measurements, Serum Markers and OutcomesK23DK083514 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SHAFI, TARIQ · 2010 to 2014
$904k
DIALYSIS CARE: CHOICES, OUTCOMES, COSTS AND TRADEOFFSR01HS008365 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI POWE, NEIL R. · 1994 to 1998
–
AHRQ HHS 01-HS-008365AHRQ HHS R01 HS008365NHLBI NIH HHS R01 HL062985NHLBI NIH HHS R01-HL-62985NIDDK NIH HHS K23 DK083514NIDDK NIH HHS K23-DK-083514NIDDK NIH HHS K24 DK002643NIDDK NIH HHS K24-DK-02643NIDDK NIH HHS P30 DK079637NIDDK NIH HHS R01 DK059616NIDDK NIH HHS R01-DK-059616NIDDK NIH HHS R01 DK072367NIDDK NIH HHS R01-DK-072367NIDDK NIH HHS R01 DK080123NIDDK NIH HHS R01-DK-080123NIDDK NIH HHS R01 DK089174NIDDK NIH HHS R01-DK-089174
6 · The paper itself

Abstract

objectiveAssays for serum total glycated proteins (fructosamine) and the more specific glycated albumin may be useful indicators of hyperglycemia in dialysis patients, either as substitutes or adjuncts to standard markers such as hemoglobin A1c, as they are not affected by erythrocyte turnover. However, their relationship with long-term outcomes in dialysis patients is not well described. RESEARCH DESIGN AND

methodsWe measured fructosamine and glycated albumin in baseline samples from 503 incident hemodialysis participants of a national prospective cohort study, with enrollment from 1995-1998 and median follow-up of 3.5 years. Outcomes were all-cause and cardiovascular disease (CVD) mortality and morbidity (first CVD event and first sepsis hospitalization) analyzed using Cox regression adjusted for demographic and clinical characteristics, and comorbidities.

resultsMean age was 58 years, 64% were white, 54% were male, and 57% had diabetes. There were 354 deaths (159 from CVD), 302 CVD events, and 118 sepsis hospitalizations over follow-up. Both fructosamine and glycated albumin were associated with all-cause mortality; adjusted HR per doubling of the biomarker was 1.96 (95% CI 1.38-2.79) for fructosamine and 1.40 (1.09-1.80) for glycated albumin. Both markers were also associated with CVD mortality [fructosamine 2.13 (1.28-3.54); glycated albumin 1.55 (1.09-2.21)]. Higher values of both markers were associated with trends toward a higher risk of hospitalization with sepsis [fructosamine 1.75 (1.01-3.02); glycated albumin 1.39 (0.94-2.06)].

conclusionsSerum fructosamine and glycated albumin are risk factors for mortality and morbidity in hemodialysis patients.

Indexed as

AdultAgedCardiovascular DiseasesFemaleFructosamineGlycated HemoglobinGlycated Serum AlbuminGlycation End Products, AdvancedHumansMaleMiddle AgedProspective StudiesRenal DialysisSerum AlbuminFructosamineGlycated HemoglobinGlycated Serum AlbuminGlycation End Products, AdvancedSerum Albumin

Identifiers

PMID23250799
PMCPMC3661814
OpenAlexW2058125883

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.