Mortality Rates Across 25-Hydroxyvitamin D (25[OH]D) Levels among Adults with and without Estimated Glomerular Filtration Rate 2: The Third National Health and Nutrition Examination Survey
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{"title"=>"Mortality Rates Across 25-Hydroxyvitamin D (25[OH]D) Levels among Adults with and without Estimated Glomerular Filtration Rate <60 ml/min/1.73 m2: The Third National Health and Nutrition Examination Survey", "type"=>"journal", "authors"=>[{"first_name"=>"Holly", "last_name"=>"Kramer", "scopus_author_id"=>"56234111300"}, {"first_name"=>"Chris", "last_name"=>"Sempos", "scopus_author_id"=>"7004940554"}, {"first_name"=>"Guichan", "last_name"=>"Cao", "scopus_author_id"=>"7401709810"}, {"first_name"=>"Amy", "last_name"=>"Luke", "scopus_author_id"=>"7004429379"}, {"first_name"=>"David", "last_name"=>"Shoham", "scopus_author_id"=>"7004741739"}, {"first_name"=>"Richard", "last_name"=>"Cooper", "scopus_author_id"=>"56662407500"}, {"first_name"=>"Ramon", "last_name"=>"Durazo-Arvizu", "scopus_author_id"=>"35446982200"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84868156526", "pmid"=>"23112816", "doi"=>"10.1371/journal.pone.0047458", "pui"=>"365952087", "sgr"=>"84868156526"}, "id"=>"45f6674d-9838-3a38-8795-ee6db034e478", "abstract"=>"BACKGROUND: Previous studies exploring the association between 25[OH]D levels and mortality in adults with and without kidney disease utilized 25[OH]D thresholds that have recently been scrutinized by the Institute of Medicine Committee to Review Dietary References Intakes for Vitamin D and Calcium.\\n\\nOBJECTIVE: We explored all-cause mortality rates across the spectrum of 25[OH]D levels over an eighteen-year follow-up among adults with and without an estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m(2).\\n\\nDESIGN: The study included 1,097 U.S. adults with eGFR <60 ml/min/1.73 m(2) and 14, 002 adults with eGFR ≥60 ml/min/1.73 m(2). Mortality rates and rate ratios (RR) across 25[OH]D groups were calculated with Poisson regression and restricted cubic splines while adjusting for covariates.\\n\\nRESULTS: Prevalence of 25[OH]D levels <30 and <20 ng/ml among adults with eGFR <60 ml/min/1.73 m(2) was 76.5% (population estimate 6.2 million) and 35.4% (population estimate 2.9 million), respectively. Among adults with eGFR ≥ 60 ml/min/1.73 m(2), 70.5% had 25[OH]D levels <30 ng/ml (population estimate 132.2 million) while 30.3% had 25[OH]D levels <20 ng/ml (population estimate 56.8 million). Significantly higher mortality rates were noted among individuals with 25[OH]D levels <12 ng/ml compared to referent group (24 to <30 ng/ml): RR1.41 (95% CI 1.17, 1.71) among individuals with eGFR <60 ml/min/1.73 m(2) and RR 1.32 (95% CI 1.13, 1.56) among individuals with eGFR ≥ 60 ml/min/1.73 m(2) after adjustment for covariates including co-morbid conditions. Mortality rates were fairly similar across all 25[OH]D groups with levels >20 ng/ml after adjustment for all covariates.\\n\\nCONCLUSIONS: Regardless of presence of eGFR <60 ml/min/1.73 m(2), mortality rates across groups with 25[OH]D levels 20-40 ng/ml are similar.", "link"=>"http://www.mendeley.com/research/mortality-rates-across-25hydroxyvitamin-d-25ohd-levels-among-adults-without-estimated-glomerular-fil-2", "reader_count"=>11, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>1, "Student > Doctoral Student"=>1, "Student > Master"=>3, "Other"=>4}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>1, "Student > Doctoral Student"=>1, "Student > Master"=>3, "Other"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>7, "Agricultural and Biological Sciences"=>1, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>1}}, "reader_count_by_country"=>{"United States"=>2}, "group_count"=>0}

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  • {"files"=>["https://ndownloader.figshare.com/files/553966"], "description"=>"<p>Flowchart of individuals included in the analysis of the association between 25[OH]D and all-cause mortality.</p>", "links"=>[], "tags"=>["individuals", "included", "all-cause"], "article_id"=>224454, "categories"=>["Medicine", "Marine Biology", "Biotechnology"], "users"=>["Holly Kramer", "Chris Sempos", "Guichan Cao", "Amy Luke", "David Shoham", "Richard Cooper", "Ramon Durazo-Arvizu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0047458.g001", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flowchart_of_individuals_included_in_the_analysis_of_the_association_between_25_OH_D_and_all_cause_mortality_/224454", "title"=>"Flowchart of individuals included in the analysis of the association between 25[OH]D and all-cause mortality.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 21:17:39"}
  • {"files"=>["https://ndownloader.figshare.com/files/554732"], "description"=>"*<p>All-cause mortality rate per 1000 person-years.</p><p>Model adjusts for age, sex, race/ethnicity, season of 25[OH]D measurement, co-morbidities, BMI, SBP, eGFR, smoking, medication use and educational level.</p>", "links"=>[], "tags"=>["1000", "person-years", "ratios", "groups"], "article_id"=>225219, "categories"=>["Medicine", "Marine Biology", "Biotechnology"], "users"=>["Holly Kramer", "Chris Sempos", "Guichan Cao", "Amy Luke", "David Shoham", "Richard Cooper", "Ramon Durazo-Arvizu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0047458.t004", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_All_cause_mortality_rate_per_1000_Person_Years_95_CI_and_mortality_rate_ratios_by_25_OH_D_groups_among_participants_with_eGFR_2_/225219", "title"=>"All-cause mortality rate per 1000 Person-Years (95% CI) and mortality rate ratios by 25[OH]D groups among participants with eGFR<60 ml/min/1.73 m<sup>2</sup>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 21:21:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/554772"], "description"=>"*<p>All-cause mortality rate per 1000 person-years.</p><p>Model adjusts for age, sex, race/ethnicity, season of 25[OH]D measurement, co-morbidities (cancer, MI, CHF, stroke, diabetes), BMI, SBP, eGFR, smoking, medication use and educational level.</p>", "links"=>[], "tags"=>["1000", "person-years", "ratios", "groups"], "article_id"=>225262, "categories"=>["Medicine", "Marine Biology", "Biotechnology"], "users"=>["Holly Kramer", "Chris Sempos", "Guichan Cao", "Amy Luke", "David Shoham", "Richard Cooper", "Ramon Durazo-Arvizu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0047458.t005", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_All_cause_mortality_rate_per_1000_person_years_95_CI_and_mortality_rate_ratios_by_25_OH_D_groups_among_participants_with_e_GFR_60_ml_min_1_73_m_2_/225262", "title"=>"All-cause mortality rate per 1000 person-years (95% CI) and mortality rate ratios by 25[OH]D groups among participants with e GFR≥60 ml/min/1.73 m<sup>2</sup>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 21:22:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/554409"], "description"=>"<p>Rate ratios were computed using Poisson regression analysis with 25[OH]D modeled via restricted cubic splines, and covariates age, sex, season, race/ethnicity, co-morbidities (history of diabetes, congestive heart failure, stroke, and myocardial infarction), education status, smoking, systolic blood pressure, eGFR, body mass index. The median of the fifth 25[OH]D group (24 ng/mL−29.9 ng/mL) was used as the referent value. Error bars represent 95% confidence intervals.</p>", "links"=>[], "tags"=>["ratios", "groups"], "article_id"=>224906, "categories"=>["Medicine", "Marine Biology", "Biotechnology"], "users"=>["Holly Kramer", "Chris Sempos", "Guichan Cao", "Amy Luke", "David Shoham", "Richard Cooper", "Ramon Durazo-Arvizu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0047458.g004", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Adjusted_mortality_rate_ratios_by_25_OH_D_groups_for_participants_with_eGFR_2_/224906", "title"=>"Adjusted mortality rate ratios by 25[OH]D groups for participants with eGFR<60 ml/min/1.73 m<sup>2</sup>.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 21:20:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/554304"], "description"=>"<p><a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0047458#pone-0047458-g003\" target=\"_blank\">Figure 3</a> includes all participants (without eGFR <60 ml/min/1.73 m<sup>2</sup>) and under 3 exclusion strategies: 1) Exclusion of participants who died within one year of baseline examination; 2) Exclusion of participants who died within two years of baseline examination; 3) Exclusion of participants who died within three years of baseline examination. Rates were computed using Poisson regression analysis after grouping 25[OH] D values into 7 groups.</p>", "links"=>[], "tags"=>["season-", "rates", "person-years", "groups", "adults", "egfr"], "article_id"=>224791, "categories"=>["Medicine", "Marine Biology", "Biotechnology"], "users"=>["Holly Kramer", "Chris Sempos", "Guichan Cao", "Amy Luke", "David Shoham", "Richard Cooper", "Ramon Durazo-Arvizu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0047458.g003", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_sex_season_and_race_ethnicity_adjusted_mortality_rates_per_1_000_person_years_by_25_OH_D_groups_among_adults_without_eGFR_2_/224791", "title"=>"Age-, sex-, season- and race/ethnicity-adjusted mortality rates per 1,000 person-years by 25(OH)D groups among adults without eGFR <60 ml/min/1.73 m<sup>2</sup>.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 21:19:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/554668"], "description"=>"<p>Total number of deaths by eGFR status 25[OH]D groups.</p>", "links"=>[], "tags"=>["deaths", "egfr"], "article_id"=>225157, "categories"=>["Medicine", "Marine Biology", "Biotechnology"], "users"=>["Holly Kramer", "Chris Sempos", "Guichan Cao", "Amy Luke", "David Shoham", "Richard Cooper", "Ramon Durazo-Arvizu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0047458.t003", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Total_number_of_deaths_by_eGFR_status_25_OH_D_groups_/225157", "title"=>"Total number of deaths by eGFR status 25[OH]D groups.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 21:21:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/554502"], "description"=>"<p>Rate ratios were computed using Poisson regression analysis with 25[OH]D modeled via restricted cubic splines, and covariates age, sex, season, race/ethnicity, co-morbidities (history of diabetes, congestive heart failure, stroke, and myocardial infarction), education status, smoking, systolic blood pressure, eGFR, body mass index. The median of the fifth 25[OH]D group (24 ng/mL−29.9 ng/mL) was used as the referent value. Error bars represent 95% confidence intervals.</p>", "links"=>[], "tags"=>["ratios", "groups"], "article_id"=>224991, "categories"=>["Medicine", "Marine Biology", "Biotechnology"], "users"=>["Holly Kramer", "Chris Sempos", "Guichan Cao", "Amy Luke", "David Shoham", "Richard Cooper", "Ramon Durazo-Arvizu"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0047458.g005", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Adjusted_mortality_rate_ratios_by_25_OH_D_groups_for_participants_with_eGFR_ml_min_1_73_m_2_/224991", "title"=>"Adjusted mortality rate ratios by 25[OH]D groups for participants with eGFR≥ ml/min/1.73 m<sup>2</sup>.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 21:20:37"}

PMC Usage Stats | Further Information

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Relative Metric

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