Evidence mapPaperPMID 26610595Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2016

Increased risk of glomerular hyperfiltration in subjects with impaired glucose tolerance and newly diagnosed diabetes.

Zih-Jie Sun, Yi-Ching Yang, Jin-Shang Wu, Ming-Cheng Wang, Chih-Jen Chang, Feng-Hwa Lu

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04131582 (Effect of a Quadruple Therapy on Pancreatic Islet Function, Insulin Resistance and Cardiovascular Function in Patients With Mixed Prediabetes and Obesity), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 17% 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.

NCT04131582 phase3unknown statusstarted 2019, after this paper: background citation

Effect of a Quadruple Therapy on Pancreatic Islet Function, Insulin Resistance and Cardiovascular Function in Patients With Mixed Prediabetes and Obesity: Randomized Clinical Trial

Ran2019Enrolled34Registered outcomes4Posted comparisons0ConditionsInsulin Resistance, Prediabetic StateArmsLinagliptin + metformin and Empagliflozin + metformin, Metformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Observational
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

6 authors at 2 institutions in 1 country.

Zih-Jie SunDepartment of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China Department of Family Medicine, National Cheng Kung University Hospital Dou-Liou Branch, Yunlin, Taiwan, Republic of China Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China.
Yi-Ching YangDepartment of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China.
Jin-Shang WuDepartment of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China.
Ming-Cheng WangDivision of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China.
Chih-Jen ChangDepartment of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China.
Feng-Hwa LuDepartment of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China Department of Family Medicine, National Cheng Kung University Hospital Dou-Liou Branch, Yunlin, Taiwan, Republic of China Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China.
National Cheng Kung University Hospital · TWNational Cheng Kung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlomerular hyperfiltration is closely related to diabetes and may lead to subsequent nephropathy, but the association between glomerular hyperfiltration and prediabetic state is unclear. We examined the relationship of different glycemic statuses, including normal glucose tolerance (NGT), isolated impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and newly diagnosed diabetes (NDD), with glomerular hyperfiltration.

methodsThis study included 12 833 subjects ≥20 years of age without a history of renal disease, cancer, moderate/severe anemia or diabetes and taking medications for hypertension, diabetes, hyperlipidemia or cardiovascular disease from National Cheng Kung University Hospital between January 2000 and August 2009. Hyperfiltration was defined as an estimated GFR (eGFR) above the age- and gender-specific 95th percentile for apparently healthy subjects, while hypofiltration was defined as an eGFR below the 5th percentile. eGFR was assessed using the Chronic Kidney Disease Epidemiology Collaboration equation.

resultsAfter further excluding hypofiltration and adjusting for available confounders, fasting plasma glucose (FPG), 2-hour postload glucose (2hPG), 2hPG-FPG (fluctuating blood glucose), HbA1c (average blood glucose), NDD and IGT but not isolated IFG were significantly associated with increased eGFR and a higher risk of hyperfiltration {NDD: odds ratio [OR] 1.97 [95% confidence interval (CI), 1.48-2.64], P < 0.001; IGT: OR 1.34 (95% CI 1.07-1.66), P = 0.009}.

conclusionsHigh glucose states increase hyperfiltration risk. In addition to newly diagnosed diabetes, excessively high GFR also deserves attention in subjects with IGT.

Indexed as

Blood GlucoseDiabetes MellitusFemaleGlomerular Filtration RateGlucose IntoleranceGlucose Tolerance TestHumansKidney GlomerulusMaleMiddle AgedBlood Glucosechronic kidney diseaseglomerular hyperfiltrationimpaired fasting glucoseimpaired glucose toleranceprediabetes

Identifiers

PMID26610595
OpenAlexW2177228421

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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.