Evidence map›Paper›PMID 29466361›Full record

Trial reportPloS one2018

Is there relationship between epicardial fat and cardiovascular parameters in incident kidney transplant patients? A post-hoc analysis.

Daniel Constantino Yazbek, Aluizio Barbosa Carvalho, Cinara Sa Barros, Jose Osmar Medina Pestana, Carlos Eduardo Rochitte, Raul Dias Dos Santos Filho, Maria Eugênia F Canziani

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Epicardial Adipose Tissue and Renal Disease.Journal of clinical medicine · 2019
    Review
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

7 authors.

Daniel Constantino YazbekNephrology Division, Federal University of Sao Paulo, São Paulo, Brazil.
Aluizio Barbosa CarvalhoNephrology Division, Federal University of Sao Paulo, São Paulo, Brazil.
Cinara Sa BarrosNephrology Division, Federal University of Sao Paulo, São Paulo, Brazil.
Jose Osmar Medina PestanaNephrology Division, Federal University of Sao Paulo, São Paulo, Brazil.
Carlos Eduardo RochitteCardiovascular Magnetic Resonance and Computed Tomography Sector, Heart Institute (InCor), University of São Paulo, Medical School, São Paulo, Brazil.
Raul Dias Dos Santos FilhoLipid Clinic Heart Institute (InCor) University of Sao Paulo Medical School, São Paulo, Brazil.
Maria Eugênia F CanzianiNephrology Division, Federal University of Sao Paulo, São Paulo, Brazil.ORCID 0000-0002-5102-8543

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpicardial fat (EF) has been related to increased cardiovascular risk in chronic kidney disease patients. Kidney transplantation is associated with weight gain, especially within the first 12 months. Recently an association between EF and left ventricular mass (LVM) has been suggested in kidney transplant (KTX) recipients.

objectiveEvaluate the EF in KTX recipients and its association with cardiovascular parameters in a 12-month follow-up study.

methodsEF volume was determined using thoracic computed tomography. The EF progressor group (EF gain) was defined by any increment in EF after 12 months. LVM and LVM index were calculated by echocardiography.

resultsNinety-eight incident KTX patients [57% men, 41.2 ± 10.1 years, mean dialysis time prior to transplant of 24 (11-60) months] were analyzed. At baseline and after 12 months, EF was 318.6 (275.2-392.6) ml and 329.5 (271.7-384.8) ml, respectively (p = 0.03). When compared to patients who EF decreased (n = 33), those with EF gain (n = 65) had a greater increase of body mass index, abdominal circumference and blood glucose. These patients also had a lower reduction of LVM index. However in the multivariate analysis, there was no difference in LVM index change between groups (interaction p = 0.565), even after adjustment for hypertension, glucose and coronary calcium score (interaction p = 0.538).

conclusionThe impact of EF gain on ventricular mass after KTX could not be definitely confirmed. Further prospective studies in a large sample of KTX patients should be considered to address a possible causal relationship between EF gain and cardiac hypertrophy in this population.

Indexed as

Adipose TissueAdultCardiovascular DiseasesFemaleFollow-Up StudiesHumansHypertrophy, Left VentricularKidney TransplantationMaleMiddle AgedPericardiumProspective StudiesRenal Insufficiency, ChronicRisk FactorsWeight Gain

Identifiers

PMID29466361
PMCPMC5821310

What Socratic holds

Textmetadata
LicenceCC BY
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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.