Evidence map›Paper›PMID 17990005›Full record

ArticlePediatric nephrology (Berlin, Germany)2008

Frequent hemodialysis with NxStage system in pediatric patients receiving maintenance hemodialysis.

Stuart L Goldstein, Douglas M Silverstein, Jocelyn C Leung, Daniel I Feig, Beth Soletsky, Cathy Knight, Bradley A Warady

Abstract read
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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 63 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Monitoring dialysis adequacy: history and current practice.Pediatric nephrology (Berlin, Germany) · 2021
    Article
  6. Article
  7. Assessment and management of fluid overload in children on dialysis.Pediatric nephrology (Berlin, Germany) · 2019
    Review
  8. Dalteparin anticoagulation in paediatric home haemodialysis.Pediatric nephrology (Berlin, Germany) · 2018
    Observational
  9. Review
  10. Blood pressure management in children on dialysis.Pediatric nephrology (Berlin, Germany) · 2018
    Review
  11. Review
  12. Article
  13. Article
  14. Home haemodialysis.Pediatric nephrology (Berlin, Germany) · 2013
    Review
  15. Intradialytic hypotension.Pediatric nephrology (Berlin, Germany) · 2011
    Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Stuart L GoldsteinDepartment of Pediatrics, Renal, Baylor College of Medicine, Houston, TX, USA. stuartg@bcm.tmc.edu
Douglas M Silverstein
Jocelyn C Leung
Daniel I Feig
Beth Soletsky
Cathy Knight
Bradley A Warady
Baylor College of Medicine · USChildren's Mercy Hospital · USLouisiana State University Health Sciences Center New Orleans · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent evidence from adult hemodialysis (HD) patient studies reveal improved biochemical control and reported health-related quality of life after transition from conventional thrice weekly to daily home maintenance HD treatment. Published pediatric frequent dialysis experiences demonstrate similar improvement but all used conventional HD machines, which employ a treated municipal water supply, thereby frequently exposing patients to proinflammatory components. We report our pediatric experience with six-times-weekly HD using the NxStage system, which uses sterile dialysis fluid to provide dialysis in the home or center setting. Four patients (weight range 38-61.4 kg) completed the 16-week study. Patients exhibited progressive reductions in casual pretreatment systolic and diastolic blood pressures, discontinuation of antihypertensive medications, and decreased blood pressure load by ambulatory blood pressure monitoring. Mean serum phosphorus improved without change in phosphorus binder medication, and all three patients with a normalized protein catabolic rate <1 g/kg per day at the beginning of the study improved to a normalized protein catabolic rate (nPCR) of >1.1 g/kg per day. Patients reported no adverse effects. Variable changes in proinflammatory cytokine levels were observed. We suggest that frequent HD with the NxStage system be considered for children who would benefit from home-based maintenance dialysis.

Indexed as

Blood PressureChildCytokinesElectrolytesFemaleHumansMaleQuality of LifeRenal DialysisCytokinesElectrolytes

Identifiers

PMID17990005
OpenAlexW2026224575

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.