Evidence map›Paper›PMID 18556747›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2008

Icodextrin does not impact infectious and culture-negative peritonitis rates in peritoneal dialysis patients: a 2-year multicentre, comparative, prospective cohort study.

Andreas Vychytil, César Remón, Catherine Michel, Paul Williams, Ana Rodríguez-Carmona, Belén Marrón, Ed Vonesh, Synke van der Heyden, Jose C Divino Filho, Extraneal Peritonitis Study Group

Open access · hybridAbstract readControlled Clinical TrialMulticenter Study
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. An update on peritoneal dialysis solutions.Nature reviews. Nephrology · 2012
    Review
  3. Dialysis-associated peritonitis in children.Pediatric nephrology (Berlin, Germany) · 2010
    Review
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

10 authors at 6 institutions in 5 countries.

Andreas VychytilDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Vienna, Austria. andreas.vychytil@meduniwien.ac.at
César Remón
Catherine Michel
Paul Williams
Ana Rodríguez-Carmona
Belén Marrón
Ed Vonesh
Synke van der Heyden
Jose C Divino Filho
Extraneal Peritonitis Study Group
Baxter (Belgium) · BEHôpital Bichat-Claude-Bernard · FRHospital San Juan de la Cruz · ESHospital Universitario Puerto Real · ESIpswich Hospital · GBMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIcodextrin is a glucose polymer derived by hydrolysis of cornstarch. The different biocompatibility profile of icodextrin-containing peritoneal dialysis (PD) solutions may have a positive influence on peritoneal host defence. Furthermore, cases of sterile peritonitis potentially associated with icodextrin have been reported.

methodsThe primary objective of this multicentre, longitudinal, observational, non-interventional, prospective cohort study, which included 722 PD patients, was to evaluate the incidence of overall peritonitis in patients treated with icodextrin-containing PD solutions (Extraneal) used during one long-dwell exchange/day compared with those treated with non-icodextrin-containing PD solutions. The secondary objective was to determine if culture-negative peritonitis rates differed between patients treated with icodextrin from two independent manufacturers. All peritonitis episodes were assessed by a Steering Committee in a blind manner.

resultsThere was no significant difference between icodextrin-treated and control patients in the adjusted overall, culture-positive or culture-negative peritonitis rates. When stratified by the icodextrin supplier, there was no significant difference in the adjusted rate of culture-negative peritonitis episodes between groups.

conclusionSubjects receiving icodextrin as part of their PD regimen experienced neither a higher rate of culture-negative peritonitis nor a lower rate of infectious peritonitis compared with non-icodextrin users. There was no significant influence of the icodextrin raw material supplier on peritonitis rates.

Indexed as

Peritoneal DialysisAdultAgedChronic DiseaseCohort StudiesDialysis SolutionsEuropeFemaleGlucansGlucoseHumansIcodextrinKidney DiseasesLongitudinal StudiesMaleMiddle AgedDialysis SolutionsGlucansGlucoseIcodextrin

Identifiers

PMID18556747
PMCPMC2568004
OpenAlexW2095907391

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.