Evidence mapPaperPMID 37182597Full record

Observational studyAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2023

Long-term Visit-to-Visit Variability in Hemoglobin A

Yang Xu, Shujie Dong, Edouard L Fu, Arvid Sjölander, Morgan E Grams, Elizabeth Selvin, Juan Jesus Carrero

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
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  13. Review
  14. Article
  15. The Association of HbADiabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  16. Rodent models of AKI and AKI-CKD transition: an update in 2024.American journal of physiology. Renal physiology · 2024
    Review
  17. Article
  18. HbA1c as an Independent Predictor of Peripheral Artery Disease: Nonlinear Threshold and Causal Evidence from NHANES and Mendelian Randomization.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Yang XuPeking University Clinical Research Institute, Peking University First Hospital, Beijing, People's Republic of China; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden. Electronic address: xuyang_pucri@bjmu.edu.cn.
Shujie DongDepartment of Pharmacy, Peking University Third Hospital, Beijing, People's Republic of China.
Edouard L FuDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.
Arvid SjölanderDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Morgan E GramsDepartment of Medicine, New York University Grossman School of Medicine, New York, New York.
Elizabeth SelvinDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Juan Jesus CarreroDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Division of Nephrology, Department of Clinical Sciences, Danderyd Hospital, Stockholm, Sweden.
Karolinska Institutet · SEJohns Hopkins University · USNew York University · USPeking University · CN

Funding

Chronic Kidney Disease Prognosis Consortium (CKD-PC)R01DK100446 · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2025 to 2025
$855k
Maximizing The Benefit of Therapy in CKDR01DK115534 · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2025 to 2025
$692k
Prevention and Treatment of Cardiovascular Disease in Patients with Chronic Kidney Disease: Patient-Oriented Research and MentoringK24HL155861 · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2025 to 2025
$118k
NHLBI NIH HHS K24 HL155861NIDDK NIH HHS R01 DK100446NIDDK NIH HHS R01 DK115534
6 · The paper itself

Abstract

RATIONALE &

objectiveTo characterize associations between long-term visit-to-visit variability of hemoglobin A STUDY

designObservational study. SETTING &

participants93,598 adults with diabetes undergoing routine care in Stockholm, Sweden. EXPOSURES AND PREDICTORS: Categories of baseline and time-varying HbA OUTCOME: Chronic kidney disease (CKD) progression (composite of>50% estimated glomerular filtration rate [eGFR] decline and kidney failure), acute kidney disease (AKI by clinical diagnosis or transient creatinine elevations according to KDIGO criteria), and worsening of albuminuria. ANALYTICAL APPROACH: Multivariable Cox proportional hazards regression.

resultsCompared with persons showing low HbA LIMITATIONS: Observational study, limitations of claims data, lack of information on diet, body mass index, medication changes, and diabetes duration.

conclusionsHigher long-term visit-to-visit HbA PLAIN-LANGUAGE SUMMARY: The evidence for current guideline recommendations derives from clinical trials that focus on a single HbA

Indexed as

Acute Kidney InjuryDiabetes MellitusRenal Insufficiency, ChronicAdultAlbuminuriaDisease ProgressionGlomerular Filtration RateGlycated HemoglobinHemoglobin, SickleHumansKidneyGlycated Hemoglobinhemoglobin ASHemoglobin, SickleAKICKD progressiondiabetesHbA(1c) variabilityworsening of albuminuria

Identifiers

PMID37182597
PMCPMC10524363
OpenAlexW4376272670

What Socratic holds

Textmetadata
LicenceTDM
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.