Evidence map›Paper›PMID 39433982›Full record

ArticleBMC nephrology2024

Carotid intima-media thickness, fibroblast growth factor 23, and mineral bone disorder in children with chronic kidney disease.

Retno Palupi-Baroto, Kristia Hermawan, Indah Kartika Murni, Tiara Nurlita, Yuli Prihastuti, Ira Puspitawati, Chika Carnation Tandri, Cahyani Gita Ambarsari

Abstract read
In one paragraph

Article in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

8 authors.

Retno Palupi-BarotoDivision of Nephrology, Department of Child Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada - Dr Sardjito Hospital, Jl. Farmako Sekip Utara, Yogyakarta, 55281, Indonesia. retno.palupibaroto@ugm.ac.id.ORCID 0000-0001-8447-8682
Kristia HermawanDivision of Nephrology, Department of Child Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada - Dr Sardjito Hospital, Jl. Farmako Sekip Utara, Yogyakarta, 55281, Indonesia.ORCID 0000-0002-5069-3867
Indah Kartika MurniDivision of Cardiology, Department of Child Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada - Dr Sardjito Hospital, Yogyakarta, Indonesia.ORCID 0000-0001-9174-8425
Tiara NurlitaDepartment of Child Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.ORCID 0000-0002-7111-8124
Yuli PrihastutiDepartment of Child Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.ORCID 0000-0002-6628-9500
Ira PuspitawatiClinical Pathology and Laboratorium Medicine, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada - Dr Sardjito Hospital, Yogyakarta, Indonesia.ORCID 0000-0003-1402-7397
Chika Carnation TandriFaculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.ORCID 0009-0008-8688-8106
Cahyani Gita AmbarsariDepartment of Child Health, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.ORCID 0000-0003-0387-1031

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarotid intima-media thickness (cIMT) is a measure of atherosclerotic vascular disease and a surrogate biomarker for cardiovascular risk in patients with chronic kidney disease (CKD). Mineral and bone disorders (MBD) are complications of CKD, contributing to vascular calcification and accelerated atherosclerosis. Increased fibroblast growth factor 23 (FGF23)-the earliest detectable serum abnormality associated with CKD-MBD-has been linked with cardiovascular disease in patients with CKD. This study aimed to identify factors and analyze the relationship associated with high cIMT, high FGF23, and poor MBD control in children with CKD.

methodsA cross-sectional study was conducted in Yogyakarta, Indonesia recruiting children with CKD. The correlations and factors between cIMT, FGF23, and MBD were explored.

resultsWe recruited 42 children aged 2-18 years old with CKD stages 2 to 5D. There were no significant correlations between cIMT and factors including advanced CKD, use of dialysis, body mass index, hypertension, anemia, MBD, FGF23 levels, and left ventricular mass index (LVMI). Patients with advanced CKD had poorly controlled anemia, hypertension, and higher LVMI. In multivariate analysis, CKD stages, hypertension stages, the presence of MBD, and LVMI were associated with FGF23 levels (p < 0.05).

conclusionsFGF23 levels increased with CKD progression, and MBD was more prevalent in advanced kidney disease. Elevated FGF23 is potentially associated with increased MBD prevalence in late-stage CKD. A larger study is needed to confirm the factors affecting cIMT in children with CKD.

Indexed as

Carotid Intima-Media ThicknessFibroblast Growth Factor-23Renal Insufficiency, ChronicAdolescentBone Diseases, MetabolicChildChild, PreschoolChronic Kidney Disease-Mineral and Bone DisorderCross-Sectional StudiesFemaleFibroblast Growth FactorsHumansMaleFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsCalciumDialysisEnd-stage kidney diseaseHypertensionLeft ventricular hypertrophyParathyroid hormonePhosphorus

Identifiers

PMID39433982
PMCPMC11494757

What Socratic holds

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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.