Evidence map›Paper›PMID 39587497›Full record

SynthesisBMC nephrology2024

Sexually dimorphic response to tobacco in the development of chronic kidney disease: a systematic review.

Nicole Wu, Ryan Chow, Natasha Verhoeff, Aditi Venkatraman, Alexander Xiang, Evan Fong, Olivia Heid, Risa Shorr, Sadia Jama, Aaron Cowan and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

11 authors.

Nicole WuFaculty of Medicine, University of Toronto, Toronto, Canada.
Ryan ChowFaculty of Medicine, University of Ottawa, Ottawa, Canada.
Natasha Verhoeff *Faculty of Medicine, University of Toronto, Toronto, Canada.
Aditi Venkatraman *Faculty of Medicine, University of Toronto, Toronto, Canada.
Alexander XiangFaculty of Health Sciences, McMaster University, Hamilton, Canada.
Evan FongFaculty of Science, McMaster University, Hamilton, Canada.
Olivia HeidFaculty of Health Sciences, Queen's University, Kingston, Canada.
Risa ShorrOttawa Hospital Research Institute, Ottawa, Canada.
Sadia JamaOttawa Hospital Research Institute, Ottawa, Canada.
Aaron CowanOttawa Hospital Research Institute, Ottawa, Canada.
Smita PakhaleFaculty of Medicine, University of Ottawa, Ottawa, Canada. spakhale@toh.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic kidney disease (CKD) demonstrates a complex interaction with tobacco exposure and sex differences, where females and males may experience varying risks and outcomes. This study aims to investigate how sex differences mediate the relationship between tobacco exposure and CKD development, with a secondary focus on regional variability and social determinants of health. STUDY SELECTION AND CRITERIA: Comprehensive searches on MEDLINE, EMBASE, clinicaltrials.gov, and MedRxiv until October 6, 2022, were conducted. Eligibility criteria involved any study that reported primary data on the prevalence of CKD, with information pertaining to both sex and tobacco exposure. DATA EXTRACTION: Data retrieved include patient socio-demographic characteristics, general study information, diagnostic methods, social determinants of health, and the cause of CKD (e.g., tobacco-related or non-tobacco-related).

resultsStudies were selected through a comprehensive search using key terms such as "chronic kidney disease," "smoking," and "sex differences," which identified 3,025 articles, of which 28 were selected for full texts after screening titles, abstracts. Among the 28 included studies, smoking was consistently identified as a significant risk factor for CKD, with notable disparities related to sex, socioeconomic status, race, and urban versus rural settings. Significant geographical variability in CKD prevalence was observed, ranging from 2.5% to 68.1%, with the highest prevalence in Asia. However, due to high heterogeneity and methodological limitations, a meta-analysis of CKD prevalence stratified by sex and tobacco exposure was not feasible.

conclusionsThe findings emphasize the need for further research to comprehend the intricate relationship between, tobacco exposure, sex, and CKD management, as well as the consideration of cultural, geographical, socioeconomic, political, and structural factors when understanding the pathophysiology and management of CKD.

Indexed as

Renal Insufficiency, ChronicFemaleHumansMalePrevalenceRisk FactorsSex CharacteristicsSex FactorsSmokingSocial Determinants of HealthHealth InequitiesKidney DiseaseSDHSocioeconomic StatusTobacco Dependency

Identifiers

PMID39587497
PMCPMC11590264

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.