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Table 1 Study characteristics

From: Cardiac valve calcification and risk of cardiovascular or all-cause mortality in dialysis patients: a meta-analysis

Study

Region

Design

Patients (%male)

Age (years)

Detection methods

Prevalence of CVC

Comparison of CVC

Events number HR (95% CI)

Follow-up (years)

Ajustment for covariates

NOS

Takahashi 2013 [5]

Japan

Prospective study

HD 1290 (64.3)

61 ± 13

Echocardiography

57.50%

No. of CVC vs. absence

All-cause death (335): 1.47 (1.05-2.08),

one CVC:1.43 (1.02-2.00),

two CVC: 2.16 (1.51-3.11); Cardiovascular death (156):2.09 (1.17-3.94),

one CVC1.68 (1.01-2.83),

two CVC:2.80 (1.63-4.81)

10

Age, diabetes, BMI, albumin, creatinine, CRP and LVEF

8

Raggi 2011 [11]

USA

Prospective study

HD 144 (49.3)

55.4 ± 14.6

Echocardiography, EBCT

57.60%

No. of CVC vs. absence

All-cause death (59);

one CVC:1.06 (0.54- 2.08),

two CVC:2.12 (1.12 - 4.01)

5.6

Age, race, gender, diabetes mellitus status, history of atherosclerotic coronary vascular disease and pulse pressure

7

Wang 2003 [12]

China

Prospective study

PD 192 (51)

60 ± 10 (CVC); 53 ± 13 (no CVC)

Echocardiography

32.30%

Presence vs. absence

All-cause death (46):2.50 (1.32 to 4.76); Cardiovascular death (23):5.39 (2.16 to 3.48)

1.49

Age, male gender, dialysis vintage, diabetes and atherosclerotic

7

Panuccio 2004 [6]

Italy

Prospective study

HD 202 (55.9)

65.0 ± 10.6 (CVC); 57.1 ± 15.5 (no CVC)

Echocardiography

23.27%

Presence vs. absence

All-cause death (96):1.20 (0.75-1.92); Cardiovascular death (66):1.48 (0.86-2.54)

3.67

Age, sex, diabetes, CRP, ADMA, and background CV complications

7

Varma 2005 [13]

USA

Prospective study

HD 137 (54.7)

63 ± 15

Echocardiography

47.40%

Presence vs. absence

All-cause death (59):2.48 (1.49-4.13)

3.5

Not provided

5

Mohamed 2013 [14]

USA

Prospective study

101 (67.3)

57.7 ± 9.2 (CVC); 46.7 ± 12.9 (no CVC)

Echocardiography, MSCT

35.64%

One CVC vs. absence

All-cause death (11): 1.37 (0.62-3.05)

2.85

Age, gender, and IL-6

7

Li 2016 [15]

China

Prospective study

HD 302

(53.6)

60.9 ± 12.9 (CVC); 55.9 ± 15.8 (no CVC)

Echocardiography

32.78%

Presence vs. absence

All-cause death (63):1.88 (1.11-3.19);

Cardiovascular death (36):

3.47 (1.76-6.84)

2

Age, diabetes, beta- blocker, ACEI or ARB, pre-HD DBP, serum phosphorus, serum albumin, CRP, uric acid, LV systolic dysfunction, and history of CV events and HVC.

8

Zhong 2011 [16]

China

Prospective study

HD 96 (57.3)

61 ± 14 (CVC); 52 ± 8 (no CVC)

Echocardiography

32.29%

Presence vs. absence

Cardiovascular death(12): 3.50 (2.23~ 5.52)

1.46

Age, gender, duration of dialysis, diabetes, atherosclerotic vascular disease, and CRP

6

Wang 2014 [17]

China

Prospective study

PD 112 (61.6)

71.57 ± 9.52 (CVC); 56.15 ± 15.28 (no CVC)

Echocardiography

Not provided

Presence vs. absence

All-cause death (26): 3.139 (1.181-8.345)

4.18

Age, diabetes, calcium, phosphorus, rGFR, CRP, and PA

8

Chen 2016 [18]

China

Prospective study

HD 110 (58.2)

55.2 ± 1.4

Echocardiography

25.50%

Presence vs. absence

All-cause death (25): 1.563 (0.637–3.836);

Cardiovascular death (16): 3.80 (1.15-12.558)

3.5

Age, gender, albumin, AAC, and 25(OH)D

7

  1. CVC cardiac valve calcification, HR hazard ratio, 95% CI 95% confidence intervals, NOS Newcastle–Ottawa Scale, HD hemodialysis, PD peritoneal dialysis, BMI body mass index, CRP C-reactive protein, LVEF left ventricular ejection fraction, CV cardiovascular, ADMA asymmetric dimethyl arginine, IL-6 interleukin-6, ACEI angiotensin converting enzyme inhibitors, ARB angiotensin receptor blocker, DBP diastolic blood pressure, LV left ventricular, rGFR residual glomerular filtration rate, PA prealbumin, AAC aortic arch calcification, EBCT electron beam computerized tomography, MSCT multislice computed tomography