N Engl J Med December 2012 PMID 23121374

Effect of cinacalcet on cardiovascular disease in patients undergoing dialysis.

Mentions

68
Peak: 13 in Oct 2025
across 5 sources since Apr 2017

Extended reach

85,641
potential audience

Total likes

16

Video views

0

Mentions per month

Apr 2017 – Jan 2026

Where it's discussed

  • LinkedIn50 posts
  • News8 articles
  • X / Twitter7 posts
  • YouTube2 videos
  • Bluesky1 posts

AI synopsis

What people are saying

The group shows high interest in the EVOLVE trial's results, with comments referencing the controversy over adjusted analyses and the significance of unadjusted results, such as

AgreementModerate agreement

Many discussions reflect skepticism or cautious support, especially regarding the interpretation of EVOLVE trial results and the controversy over adjusted versus unadjusted analyses.

InterestHigh interest

Posts demonstrate high engagement with the implications of the trial and the controversy, indicating strong interest in the findings and methodological debates.

EngagementModerate engagement

Participants reference specific aspects like statistical adjustments, past studies, and clinical management, showing thoughtful engagement rather than dismissiveness.

ImpactNeutral impact

While the discussion is active, it mainly revolves around methodological and interpretative concerns; the posts suggest some influence but not definitive change in practice yet.

Abstract in brief

  • This clinical trial studied the effect of cinacalcet, a medication used to treat secondary hyperparathyroidism, on cardiovascular outcomes in dialysis patients and found that it did not significantly reduce the risk of death or major cardiovascular events despite some increased side effects.
  • Patients receiving cinacalcet experienced more cases of hypocalcemia and gastrointestinal issues compared to placebo, but the overall rate of primary adverse events was similar between the two groups.
  • The study suggests that, although cinacalcet is effective for managing mineral metabolism, its impact on reducing cardiovascular risk in dialysis patients remains uncertain based on the outcomes of this trial.

Top posts

Most liked on X and Bluesky
Graham Abra, MD
@GrahamAbra · X

@kidney_boy EVOLVE *ducks and runs away while argument ensues* https://t.co/1MKYrvkucD

Nov 30, 2025 · 6 likes · 2,676 followers View post →
Swapnil Hiremath @hswapnil.medsky.social
@hswapnil · X

@ADAlthousePhD @statsepi @jd_wilko Yes (my opinion has changed on twitter thanks to you guys in the last few years) The feeling of cheating is strong Example from my field: https://t.co/1DyfvAEGQB Abstract specifically presents unadjusted results and that’s what all of us accepted https://t.co/AMeQ2ZwJaI

Aug 4, 2020 · 4 likes · 21,688 followers View post →
Swapnil Hiremath @hswapnil.medsky.social
@hswapnil · X

@DominicMagirr @hvanspall @tmorris_mrc @load_dependent @ADAlthousePhD @joyfeed @statsepi Another older example 2012, EVOLVE The nephrology community did not accept the adjusted-for-baseline result and stuck to the unadjusted results here https://t.co/1DyfvAEGQB (Wrongly as we know now, though not prespecified) 1/2 https://t.co/uwnL6bD6od

Jul 24, 2021 · 2 likes · 21,688 followers View post →
Swapnil Hiremath @hswapnil.medsky.social
@hswapnil · X

@ericau @boback @ADAlthousePhD @statsepi @jd_wilko see here https://t.co/EXgY5uZcPR I am not sure - in main paper they say this "We conducted prespecified multivariable analyses in which we adjusted for baseline characteristics." @eric_weinhandl might have more to add... https://t.co/5RfrBZKUt9

Aug 4, 2020 · 2 likes · 21,688 followers View post →
Tejas Desai, MD, MBA
@nephondemand · X

@GenNextMD EVOLVE https://t.co/C5pnJKnnSR Negative neph trial

Aug 22, 2019 · 1 like · 11,976 followers View post →
Travis Smith, D.O. FAAEM
@RosenelliEM · X

Mineral bone disease, phosphorus, and PTH are usually managed by protocol by the patient’s dialysis physician. There is no compelling evidence for calcium vs. non-calcium based phosphorus binders, & no clear clinical benefit for clinical lowering PTH. https://t.co/9J3co8HtHM

Feb 10, 2020 · 1 like · 5,082 followers View post →

All mentions

Graham Abra, MD
@GrahamAbra · X

@kidney_boy EVOLVE *ducks and runs away while argument ensues* https://t.co/1MKYrvkucD

Nov 30, 2025 · 6 likes · 2,676 followers View post →
Swapnil Hiremath @hswapnil.medsky.social
@hswapnil · X

@DominicMagirr @hvanspall @tmorris_mrc @load_dependent @ADAlthousePhD @joyfeed @statsepi Another older example 2012, EVOLVE The nephrology community did not accept the adjusted-for-baseline result and stuck to the unadjusted results here https://t.co/1DyfvAEGQB (Wrongly as we know now, though not prespecified) 1/2 https://t.co/uwnL6bD6od

Jul 24, 2021 · 2 likes · 21,688 followers View post →
Swapnil Hiremath @hswapnil.medsky.social
@hswapnil · X

@ericau @boback @ADAlthousePhD @statsepi @jd_wilko see here https://t.co/EXgY5uZcPR I am not sure - in main paper they say this "We conducted prespecified multivariable analyses in which we adjusted for baseline characteristics." @eric_weinhandl might have more to add... https://t.co/5RfrBZKUt9

Aug 4, 2020 · 2 likes · 21,688 followers View post →
Swapnil Hiremath @hswapnil.medsky.social
@hswapnil · X

@ADAlthousePhD @statsepi @jd_wilko Yes (my opinion has changed on twitter thanks to you guys in the last few years) The feeling of cheating is strong Example from my field: https://t.co/1DyfvAEGQB Abstract specifically presents unadjusted results and that’s what all of us accepted https://t.co/AMeQ2ZwJaI

Aug 4, 2020 · 4 likes · 21,688 followers View post →
Travis Smith, D.O. FAAEM
@RosenelliEM · X

Mineral bone disease, phosphorus, and PTH are usually managed by protocol by the patient’s dialysis physician. There is no compelling evidence for calcium vs. non-calcium based phosphorus binders, & no clear clinical benefit for clinical lowering PTH. https://t.co/9J3co8HtHM

Feb 10, 2020 · 1 like · 5,082 followers View post →
Tejas Desai, MD, MBA
@nephondemand · X

@GenNextMD EVOLVE https://t.co/C5pnJKnnSR Negative neph trial

Aug 22, 2019 · 1 like · 11,976 followers View post →
Hams
@Hams00na · X

RT @NEJM: Cinacalcet doesn’t lower death or major CV event risks in patients undergoing dialysis. http://t.co/ZOTX9OFY #kidneywk12

Jan 12, 2019 · 32 shares · 195 followers View post →
Joel Topf
@kidneyboy.bsky.social · Bluesky

Russian shenanigans in TOPCAT makes me wonder about near misses with Russian recruitment. EVOLVE? http://www.nejm.org/doi/full/10.1056/NEJMoa1205624#t=article

Apr 28, 2017 · 2 shares View post →
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