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Mild-to-moderate ki...
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Gaziano, LiamUniversity of Cambridge,Boston Veteran's Administration (VA) Healthcare
(author)
Mild-to-moderate kidney dysfunction and cardiovascular disease : Observational and mendelian randomization analyses
- Article/chapterEnglish2022
Publisher, publication year, extent ...
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Wolters Kluwer,2022
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:umu-202685
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-202685URI
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https://doi.org/10.1161/CIRCULATIONAHA.122.060700DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-43152URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-491433URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:151504883URI
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https://lup.lub.lu.se/record/5fe19d8e-bc8b-4d5a-9289-bad257428518URI
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https://gup.ub.gu.se/publication/319719URI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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BACKGROUND: End-stage renal disease is associated with a high risk of cardiovascular events. It is unknown, however, whether mild-to-moderate kidney dysfunction is causally related to coronary heart disease (CHD) and stroke.METHODS: Observational analyses were conducted using individual-level data from 4 population data sources (Emerging Risk Factors Collaboration, EPIC-CVD [European Prospective Investigation into Cancer and Nutrition-Cardiovascular Disease Study], Million Veteran Program, and UK Biobank), comprising 648 135 participants with no history of cardiovascular disease or diabetes at baseline, yielding 42 858 and 15 693 incident CHD and stroke events, respectively, during 6.8 million person-years of follow-up. Using a genetic risk score of 218 variants for estimated glomerular filtration rate (eGFR), we conducted Mendelian randomization analyses involving 413 718 participants (25 917 CHD and 8622 strokes) in EPIC-CVD, Million Veteran Program, and UK Biobank.RESULTS: There were U-shaped observational associations of creatinine-based eGFR with CHD and stroke, with higher risk in participants with eGFR values <60 or >105 mL·min-1·1.73 m-2, compared with those with eGFR between 60 and 105 mL·min-1·1.73 m-2. Mendelian randomization analyses for CHD showed an association among participants with eGFR <60 mL·min-1·1.73 m-2, with a 14% (95% CI, 3%-27%) higher CHD risk per 5 mL·min-1·1.73 m-2 lower genetically predicted eGFR, but not for those with eGFR >105 mL·min-1·1.73 m-2. Results were not materially different after adjustment for factors associated with the eGFR genetic risk score, such as lipoprotein(a), triglycerides, hemoglobin A1c, and blood pressure. Mendelian randomization results for stroke were nonsignificant but broadly similar to those for CHD.CONCLUSIONS: In people without manifest cardiovascular disease or diabetes, mild-to-moderate kidney dysfunction is causally related to risk of CHD, highlighting the potential value of preventive approaches that preserve and modulate kidney function.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Sun, Luanluan
(author)
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Arnold, Matthew
(author)
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Bell, Steven
(author)
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Cho, Kelly
(author)
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Kaptoge, Stephen K.
(author)
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Song, Rebecca J.
(author)
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Burgess, Stephen
(author)
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Posner, Daniel C.
(author)
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Mosconi, Katja
(author)
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Robinson-Cohen, Cassianne
(author)
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Mason, Amy M.
(author)
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Bolton, Thomas R.
(author)
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Tao, Ran
(author)
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Allara, Elias
(author)
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Schubert, Petra
(author)
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Chen, Lingyan
(author)
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Staley, James R.
(author)
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Staplin, Natalie
(author)
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Altay, Servet
(author)
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Amiano, Pilar
(author)
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Arndt, Volker
(author)
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Ärnlöv, Johan,1970-Karolinska Institutet,Högskolan Dalarna,Medicinsk vetenskap(Swepub:du)jan
(author)
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Barr, Elizabeth L. M.
(author)
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Björkelund, Cecilia
(author)
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Boer, Jolanda M. A.
(author)
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Brenner, Hermann
(author)
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Casiglia, Edoardo
(author)
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Chiodini, Paolo
(author)
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Cooper, Jackie A.
(author)
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Coresh, Josef
(author)
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Cushman, Mary
(author)
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Dankner, Rachel
(author)
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Davidson, Karina W.
(author)
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de Jongh, Renate T.
(author)
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Donfrancesco, Chiara
(author)
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Engström, G.Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups(Swepub:lu)smi-gen
(author)
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Freisling, Heinz
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de la Cámara, Agustín Gómez
(author)
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Gudnason, Vilmundur
(author)
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Hankey, Graeme J.
(author)
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Hansson, Per-Olof,1958Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xhanpm
(author)
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Heath, Alicia K.
(author)
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Hoorn, Ewout J.
(author)
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Imano, Hironori
(author)
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Jassal, Simerjot K.
(author)
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Kaaks, Rudolf
(author)
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Katzke, Verena
(author)
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Kauhanen, Jussi
(author)
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Kiechl, Stefan
(author)
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Koenig, Wolfgang
(author)
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Kronmal, Richard A.
(author)
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Kyrø, Cecilie
(author)
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Lawlor, Deborah A.
(author)
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Ljungberg, Börje,Professor,1949-Umeå universitet,Urologi och andrologi(Swepub:umu)bolj0001
(author)
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MacDonald, Conor
(author)
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Masala, Giovanna
(author)
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Meisinger, Christa
(author)
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Melander, O.Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups(Swepub:lu)endo-ome
(author)
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Moreno Iribas, Conchi
(author)
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Ninomiya, Toshiharu
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Nitsch, Dorothea
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Nordestgaard, Børge G.
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Onland-Moret, Charlotte
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Palmieri, Luigi
(author)
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Petrova, Dafina
(author)
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Garcia, Jose Ramón Quirós
(author)
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Rosengren, Annika,1951Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xrosan
(author)
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Sacerdote, Carlotta
(author)
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Sakurai, Masaru
(author)
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Santiuste, Carmen
(author)
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Schulze, Matthias B.
(author)
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Sieri, Sabina
(author)
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Sundström, Johan,Professor,1971-Uppsala universitet,Klinisk epidemiologi(Swepub:uu)johasund
(author)
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Tikhonoff, Valérie
(author)
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Tjønneland, Anne
(author)
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Tong, Tammy
(author)
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Tumino, Rosario
(author)
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Tzoulaki, Ioanna
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van der Schouw, Yvonne T.
(author)
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Monique Verschuren, W. M.
(author)
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Völzke, Henry
(author)
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Wallace, Robert B.
(author)
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Wannamethee, S. Goya
(author)
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Weiderpass, Elisabete
(author)
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Willeit, Peter
(author)
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Woodward, Mark
(author)
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Yamagishi, Kazumasa
(author)
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Zamora-Ros, Raul
(author)
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Akwo, Elvis A.
(author)
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Pyarajan, Saiju
(author)
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Gagnon, David R.
(author)
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Tsao, Philip S.
(author)
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Muralidhar, Sumitra
(author)
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Edwards, Todd L.
(author)
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Damrauer, Scott M.
(author)
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Joseph, Jacob
(author)
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Pennells, Lisa
(author)
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Wilson, Peter W. F.
(author)
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Harrison, Seamus
(author)
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Gaziano, Thomas A.
(author)
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Inouye, Michael
(author)
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Baigent, Colin
(author)
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Casas, Juan P.
(author)
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Langenberg, Claudia
(author)
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Wareham, Nick
(author)
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Riboli, Elio
(author)
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Gaziano, J. Michael
(author)
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Danesh, John
(author)
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Hung, Adriana M.
(author)
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Butterworth, Adam S.
(author)
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Wood, Angela M.
(author)
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Di Angelantonio, EmanueleHuman Technopole,University of Cambridge
(author)
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OnlandMoret, C
(author)
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ZamoraRos, R
(author)
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University of CambridgeBoston Veteran's Administration (VA) Healthcare
(creator_code:org_t)
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Emerging Risk Factors Collaboration
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The Million Veteran Program
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et al.
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In:Circulation: Wolters Kluwer146:20, s. 1507-15170009-73221524-4539
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Högskolan Dalarna
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