Evidence map›Paper›PMID 41414949›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2026

Incident Pulmonary Hypertension and Its Risk Factors in CKD.

Marcelle Tuttle, Hocine Tighiouart, Tatsufumi Oka, Wendy McCallum, Nicholas S Hill, Sankar Navaneethan, Steven M Kawut, Mark J Sarnak

Abstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

8 authors.

Marcelle TuttleTufts Medical Center, Boston, Massachusetts.ORCID 0009-0005-1246-8879
Hocine TighiouartTufts Medical Center, Boston, Massachusetts.ORCID 0000-0003-1448-327
Tatsufumi OkaOsaka University Graduate School of Medicine, Osaka, Japan.ORCID 0000-0002-9507-3506
Wendy McCallumTufts Medical Center, Boston, Massachusetts.
Nicholas S HillTufts Medical Center, Boston, Massachusetts.ORCID 0000-0002-8242-8339
Sankar NavaneethanBaylor College of Medicine, Houston, Texas.
Steven M KawutDepartments of Medicine and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Mark J SarnakTufts Medical Center, Boston, Massachusetts.ORCID 0000-0003-1860-6302

Funding

American Kidney Fund Clinical Scientist in Nephrology Fellowship
6 · The paper itself

Abstract

key pointsLower eGFR and higher B-type natriuretic peptide are associated with increased odds of developing pulmonary hypertension. Albuminuria was not associated with the development of incident pulmonary hypertension.

backgroundPulmonary hypertension (PH) is a common comorbid condition in patients with CKD and is associated with high mortality. We sought to identify the incidence of PH and the relation of kidney function and volume status to its development in a large cohort of patients with CKD.

methodsThe study sample included 1076 participants from the Chronic Renal Insufficiency Cohort Study with two or more measurements of tricuspid regurgitation velocity by transthoracic echocardiography. Incident PH was defined as a tricuspid regurgitation velocity of ≥2.8 m/s (reflecting a right ventricular systolic pressure gradient ≥31 mm Hg). Multivariable logistic regression adjusting for demographics, comorbid conditions, and medications was used to evaluate the relation of kidney function (eGFR and albuminuria) as well as B-type natriuretic peptide (BNP) to incident PH.

resultsOver a median of 3.0 years, 120 patients developed incident PH (incidence rate 2.70 cases per 100 person-years). Each 10 ml/min per 1.73 m 2 lower eGFR was associated with 29% (odds ratio, 1.29; 95% confidence interval, 1.10 to 1.52) higher odds of the development of PH after adjustment for confounders, while each doubling of BNP was associated with a 32% (odds ratio, 1.32; 95% confidence interval, 1.15 to 1.51) higher odds. There was no significant relation between urine albumin excretion and incident PH.

conclusionseGFR and BNP were independently associated with the development of incident PH. Closer attention to these potentially modifiable risk factors is warranted to slow the progression of this common comorbidity of patients with CKD.

Indexed as

Hypertension, PulmonaryRenal Insufficiency, ChronicAgedAlbuminuriaFemaleGlomerular Filtration RateHumansIncidenceMaleMiddle AgedNatriuretic Peptide, BrainRisk FactorsNatriuretic Peptide, Braincardiovascular disease

Identifiers

PMID41414949
PMCPMC13065206

What Socratic holds

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Registered trials

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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.