The relationship between proteinuria and coronary risk: A systematic review and meta-analysis
2008

Proteinuria and Heart Disease Risk

Sample size: 169949 publication 10 minutes Evidence: high

Author Information

Author(s): Vlado Perkovic, Christine Verdon, Toshiharu Ninomiya, Federica Barzi, Alan Cass, Anushka Patel, Meg Jardine, Martin Gallagher, Fiona Turnbull, John Chalmers, Jonathan Craig, Rachel Huxley

Primary Institution: The George Institute for International Health, Sydney, New South Wales, Australia

Hypothesis

Is there a consistent relationship between proteinuria and the risk of coronary heart disease?

Conclusion

The study confirms a strong association between proteinuria and increased risk of coronary heart disease.

Supporting Evidence

  • Proteinuria was associated with a 50% increase in coronary risk after adjusting for known risk factors.
  • Individuals with microalbuminuria had a 50% greater risk of coronary heart disease than those without.
  • Those with macroalbuminuria had more than double the risk of coronary heart disease.

Takeaway

If you have protein in your urine, it might mean your heart is at risk, just like other health problems.

Methodology

A systematic review and meta-analysis of cohort studies was conducted to assess the association between proteinuria and coronary heart disease.

Potential Biases

Potential publication bias may overestimate the strength of the association.

Limitations

The study relied on published data, which may not account for all individual participant variables and could be affected by publication bias.

Participant Demographics

The studies included nearly 170,000 individuals from various populations.

Statistical Information

P-Value

0.006

Confidence Interval

1.23–1.74

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pmed.0050207

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