Evidence map›Paper›PMID 19965529›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2010

Outcomes associated with in-center nocturnal hemodialysis from a large multicenter program.

Eduardo Lacson, Weiling Wang, Keith Lester, Norma Ofsthun, J Michael Lazarus, Raymond M Hakim

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02887391 (Comparing Nutritional Status of In-centre Nocturnal Hemodialysis Patients to Conventional Hemodialysis Patients), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02887391 unknown statusnot on this mapstarted 2016, after this paper: background citation

Comparing Nutritional Status of In-centre Nocturnal Hemodialysis Patients to Conventional Hemodialysis Patients: A Prospective Cohort Study

TypeobservationalSponsorUniversity of CalgaryRan2016 to 2017Enrolled20ConditionsEnd Stage Renal Failure on DialysisArmsNo intervention - observational study
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Survival of patients treated with extended-hours haemodialysis in Europe: an analysis of the ERA-EDTA Registry.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020
    Article
  9. Observational
  10. Extended Duration Nocturnal Hemodialysis and Changes in Plasma Metabolite Profiles.Clinical journal of the American Society of Nephrology : CJASN · 2018
    Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Predictors of treatment with dialysis modalities in observational studies for comparative effectiveness research.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2015
    Observational
  16. Article
  17. Hemodiafiltration in a pediatric nocturnal dialysis program.Pediatric nephrology (Berlin, Germany) · 2014
    Article
  18. Cost analysis of in-centre nocturnal compared with conventional hemodialysis.Canadian journal of kidney health and disease · 2014
    Article
  19. Nocturnal hemodialysis.Indian journal of nephrology · 2012
    Article
  20. Selectively increasing the clearance of protein-bound uremic solutes.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Eduardo LacsonClinical Science, Epidemiology, and Research, Fresenius Medical Care, North America, Waltham, Massachusetts 02451-1457, USA. elacsonj@fmc-na.com
Weiling Wang
Keith Lester
Norma Ofsthun
J Michael Lazarus
Raymond M Hakim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe objective of this study was to evaluate epidemiology and outcomes of a large in-center nocturnal hemodialysis (INHD) program. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This case-control study compared patients who were on thrice-weekly INHD from 56 Fresenius Medical Care, North America facilities with conventional hemodialysis patients from 244 facilities within the surrounding geographic area. All INHD cases and conventional hemodialysis control subjects who were active as of January 1, 2007, were followed until December 31, 2007, for evaluation of mortality and hospitalization.

resultsAs of January 1, 2007, 655 patients had been on INHD for 51 +/- 73 d. Patients were younger, there were more male and black patients, and vintage was longer, but they had less diabetes compared with 15,334 control subjects. Unadjusted hazard ratio was 0.59 for mortality and 0.76 for hospitalization. After adjustment for case mix and access type, only hospitalization remained significant. Fewer INHD patients were hospitalized (48 versus 59%) with a normalized rate of 9.6 versus 13.5 hospital days per patient-year. INHD patients had greater interdialytic weight gains but lower BP. At baseline, hemoglobin values were similar, whereas albumin and phosphorus values favored INHD. Mean equilibrated Kt/V was higher in INHD patients related to longer treatment time, despite lower blood and dialysate flow rates.

conclusionsPatients who were on INHD exhibited excellent quality indicators, with better survival and lower hospitalization rates. The relative contributions of patient selection versus effect of therapy on outcomes remain to be elucidated in prospective clinical trials.

Indexed as

Outcome and Process Assessment, Health CareQuality Indicators, Health CareAdultAgedCase-Control StudiesChi-Square DistributionCross-Sectional StudiesFemaleHospitalizationHumansKaplan-Meier EstimateKidney DiseasesLogistic ModelsMaleMiddle AgedNorth America

Identifiers

PMID19965529
PMCPMC2827598

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Registered trials

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.