Evidence map›Paper›PMID 32998144›Full record

Trial reportKidney & blood pressure research2020

Predictive Power of Bone Turnover Biomarkers to Estimate Bone Mineral Density after Kidney Transplantation with or without Denosumab: A post hoc Analysis of the POSTOP Study.

Nadine Heimgartner, Nicole Graf, Diana Frey, Lanja Saleh, Rudolf P Wüthrich, Marco Bonani

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Kidney & blood pressure research, 2020. 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
0.7field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Natural History of Bone Disease following Kidney Transplantation.Journal of the American Society of Nephrology : JASN · 2022
    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 1 institution in 1 country.

Nadine HeimgartnerDivision of Nephrology, University Hospital Zürich, Zürich, Switzerland.
Nicole Grafgraf Biostatistics, Winterthur, Switzerland.
Diana FreyDivision of Rheumatology, University Hospital Zürich, Zürich, Switzerland.
Lanja SalehInstitute of Clinical Chemistry, University Hospital Zürich and University of Zürich, Zürich, Switzerland.
Rudolf P WüthrichDivision of Nephrology, University Hospital Zürich, Zürich, Switzerland.
Marco BonaniDivision of Nephrology, University Hospital Zürich, Zürich, Switzerland, marco.bonani@usz.ch.
University Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow bone mineral density (BMD) represents a major risk factor for bone fractures in patients with chronic kidney disease (CKD) as well as after kidney transplantation. However, modalities to solidly predict patients at fracture risk are yet to be defined. Better understanding of bone turnover biomarkers (BTMs) may close this diagnostic gap. This study strives to correlate BTMs to BMD in kidney transplant recipients.

methodsChanges in BTMs - procollagen type I N-terminal propeptide (P1NP), bone-specific alkaline phosphatase (BSAP), β-isomer of the C-terminal telopeptide of type I collagen, and urine deoxypyridinoline/Cr - at the time of transplant and 3 months were correlated to changes in BMD measured by dual-energy X-ray absorptiometry at the time of transplant, 6, and 12 months, respectively. Half of the collective was treated with denosumab twice yearly in addition to the standard treatment with calcium and vitamin D.

resultsChanges in bone formation markers BSAP and P1NP within 3 months showed a significant negative correlation to changes in BMD at the hip within 6 months in denosumab-naïve patients. This correlation was abrogated by denosumab treatment.

conclusionsChanges in BSAP and P1NP showed promise in short-term prediction of BMD. We suggest further trials expanding on the knowledge of these BTMs with assessment of fracture risk, sequential measurements of BTMs within the first 6 months, and the additional use of computed tomography to assess BMD.

Indexed as

Kidney TransplantationAdultAlkaline PhosphataseBiomarkersBone DensityBone Density Conservation AgentsBone RemodelingCollagen Type IDenosumabFemaleHumansMaleMiddle AgedPeptide FragmentsProcollagenAlkaline PhosphataseALPL protein, humanBiomarkersBone Density Conservation AgentsCollagen Type IDenosumabPeptide FragmentsProcollagenprocollagen Type I N-terminal peptideBiomarkers of bone turnoverBone mineral metabolismDenosumabKidney transplantation

Identifiers

PMID32998144
PMCPMC7592605
OpenAlexW3089423361

What Socratic holds

Textmetadata
Read underepoch 390

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.