Evidence mapPaperPMID 41727441Full record

ArticleFrontiers in immunology2026

Association between the C-reactive protein-albumin-lymphocyte index and cardiovascular incidence and mortality among patients with chronic kidney disease: a prospective study.

Chen Jiang, Qi Zhou, Jian Feng, Shuo Liu, Miaomiao Fan, Hao Bai, Shujuan Lin, Liyong Chen

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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.

Chen Jiang *Department of Nutrition, Qilu Hospital of Shandong University, Jinan, China.
Qi Zhou *Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China.
Jian Feng *Department of Nutrition, Qilu Hospital of Shandong University, Jinan, China.
Shuo Liu *Department of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Miaomiao FanDepartment of Nutrition, Qilu Hospital of Shandong University, Jinan, China.
Hao BaiDepartment of Nutrition, Qilu Hospital of Shandong University, Jinan, China.
Shujuan LinSchool of Basic Medicine Science, Key Laboratory of Translational Tumor Medicine in Fujian Province, Putian University, Putian, China.
Liyong ChenDepartment of Nutrition, Qilu Hospital of Shandong University, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aim: The recently developed C-reactive protein-to-albumin-to-lymphocyte (CALLY) index represents a novel composite biomarker that simultaneously reflects inflammatory status, immune competence, and nutritional adequacy. However, to date, there are limited evidence on whether CALLY index affects the cardiovascular disease (CVD) events in patients with chronic kidney disease (CKD). This prospective cohort study aimed to investigate the associations between the CALLY index and CVD incidence, all-cause and CVD-specific mortality in CKD patients from UK Biobank. Methods: The CALLY index was calculated based on lymphocyte counts, serum albumin concentrations, and C-reactive protein (CRP) levels. The association between CALLY index and diverse CVD events were analyzed using multivariate Cox proportional hazards regression and restricted cubic splines (RCS) analysis. Results: A total of 22,898 CKD patients were included. Compared to participants with lowest quartile of CALLY, those with highest quartile had decreased risk of incident overall CVD (HR: 0.70, 95%CI: 0.65-0.75), IHD (HR: 0.70, 95%CI: 0.63-0.78), MI (HR: 0.69, 95%CI: 0.57-0.83), stroke (HR: 0.74, 95%CI: 0.62-0.88), and all-cause (HR: 0.55, 95%CI: 0.51-0.61) and CVD-specific mortality (HR: 0.54, 95%CI: 0.44-0.66). RCS analysis showed the significant L-shaped dose-response relationships between CALLY index and CVD incidence and mortality outcomes, indicating a saturation effect. Conclusion: The moderate-to-high CALLY index was significantly associated with a reduced risk of CVD events-including IHD, MI, and stroke, as well as lower all-cause and CVD-specific mortality. These findings suggest that the CALLY index, which integrates inflammatory, nutritional, and immunological markers, may serve as a potential biomarker for risk stratification in patients with CKD. Future longitudinal studies incorporating repeated assessments would be valuable to better characterize the temporal trajectory of the CALLY index and its association with cardiovascular events and mortality in patients with CKD, thereby improving causal inference.

Indexed as

Cardiovascular DiseasesC-Reactive ProteinLymphocytesRenal Insufficiency, ChronicSerum AlbuminAgedBiomarkersFemaleHumansIncidenceLymphocyte CountMaleMiddle AgedProspective StudiesRisk FactorsBiomarkersC-Reactive ProteinSerum Albuminall-cause mortalitycardiovascular diseaseC-reactive protein-to-albumin-to-lymphocyte indexnonlinearUK Biobank

Identifiers

PMID41727441
PMCPMC12920216

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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.