Evidence mapPaperPMID 41184807Full record

ArticleBMC nephrology2025

Cf-PWV but not cr-PWV or cd-PWV is associated with cardiovascular mortality in patients with chronic kidney disease.

Yan Wang, Hui-Xin Liu, Jie-Ran Xiong, Zhun Sui, Mi Wang, Li Zuo, Mei Wang

Abstract read
In one paragraph

Article in BMC nephrology, 2025. 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

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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.

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4 · The record

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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.

Yan Wang *Department of Nephrology, Peking University People's Hospital, No. 11, Xizhimen South Street, Beijing, 100044, China.
Hui-Xin Liu *Department of Clinical Epidemiology and Biostatistics, Peking University People's Hospital, Beijing, China.
Jie-Ran XiongDepartment of Nephrology, Peking University People's Hospital, No. 11, Xizhimen South Street, Beijing, 100044, China.
Zhun SuiDepartment of Nephrology, Peking University People's Hospital, No. 11, Xizhimen South Street, Beijing, 100044, China. suizhun@bjmu.edu.cn.
Mi WangDepartment of Nephrology, Peking University People's Hospital, No. 11, Xizhimen South Street, Beijing, 100044, China. miqueen@163.com.
Li ZuoDepartment of Nephrology, Peking University People's Hospital, No. 11, Xizhimen South Street, Beijing, 100044, China.
Mei WangDepartment of Nephrology, Peking University People's Hospital, No. 11, Xizhimen South Street, Beijing, 100044, China.

Funding

Capital's Funds for Health Improvement and Research 2011-4022-04National Natural Science Foundation of China 81602939Special Fund for Clinical Medical Research of the Chinese Medical Association 09010050160
6 · The paper itself

Abstract

backgroundIn patients with chronic kidney disease (CKD), it is revealed that carotid-femoral pulse wave velocity (cf-PWV) is related to cardiovascular (CV) mortality, but few studies have investigated carotid-radial PWV (cr-PWV) and carotid-dorsalis pedis PWV (cd-PWV). This study aims at examining the relationship between cf-PWV, cr-PWV, and cd-PWV and CV mortality in CKD patients.

methodsWe enrolled non-dialysis CKD patients with an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m². Baseline arterial stiffness was assessed through office-based measurements of cf-PWV, cr-PWV, and cd-PWV using standardized protocols. Participants were then prospectively followed for all-cause mortality and CV mortality. Cox proportional hazards model and Fine-Gray competing risk model was used to examine the association of cf-PWV, cr-PWV, and cd-PWV with all-cause and CV mortality. Time-dependent receiver operating characteristic (ROC) curve was used to evaluate the predicting performance of cf-PWV on CV mortality.

resultsA total of 233 patients were enrolled. Their average cf-PWV, cr-PWV, and cd-PWV were 12.8 ± 3.6 m/s, 9.9 ± 2.0 m/s, and 9.4 ± 3.7 m/s, respectively. During 9.0(4.0, 12.6) years of follow-up, 144 (61.8%) patients died, of which 76 (52.8%) were due to CV death. After adjustment using multivariate Cox regression analysis, only cf-PWV was an independent risk factor for CV mortality [HR 1.198,95% CI (1.097, 1.308)]. The areas under the curve of cf-PWV for 1-, 3-, 5-, and 10-year of CV death were 0.78, 0.76, 0.70, and 0.75, respectively.

conclusionsIn CKD patients, cf-PWV is associated with CV mortality, and its predictive value remains significant even after 10 years. Cr-PWV and cd-PWV are not associated with either all-cause or CV mortality.

Indexed as

Cardiovascular DiseasesCarotid-Femoral Pulse Wave VelocityPulse Wave AnalysisRenal Insufficiency, ChronicVascular StiffnessAgedFemaleHumansMaleMiddle AgedProspective StudiesAll-cause mortalityArterial stiffnessCardiovascular mortalityChronic kidney diseasePulse wave velocity

Identifiers

PMID41184807
PMCPMC12581336

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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.