ArticleClinical journal of the American Society of Nephrology : CJASN2010
Meeting KDOQI guideline goals at hemodialysis initiation and survival during the first year.
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. Cited by 14 papers.
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.
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.
Who cites it
14 citing papers in PubMed.
- Review
- Smoothing transition to dialysis to improve early outcomes after dialysis initiation among old and frail adults-a narrative review.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022Review
- Estimating the Fraction of First-Year Hemodialysis Deaths Attributable to Potentially Modifiable Risk Factors: Results from the DOPPS.Clinical epidemiology · 2020Article
- Long-Term Outcomes of Arteriovenous Fistulas with Unassisted versus Assisted Maturation: A Retrospective National Hemodialysis Cohort Study.Journal of the American Society of Nephrology : JASN · 2019Article
- Transplant waitlisting attenuates the association between hemodialysis access type and mortality.Journal of nephrology · 2019Article
- CKD complications in kidney-transplanted patients going back to dialysis: impact on patients outcomes.Journal of nephrology · 2018Observational
- Potential Benefit Associated With Delaying Initiation of Hemodialysis in a Japanese Cohort.Kidney international reports · 2017Article
- Predictors of outpatient kidney function recovery among patients who initiate hemodialysis in the hospital.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2015Article
- Impact of hemodialysis on dyspnea and lung function in end stage kidney disease patients.BioMed research international · 2014Article
- Phosphate control in end-stage renal disease: barriers and opportunities.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2013Review
- Vascular access in haemodialysis: strengthening the Achilles' heel.Nature reviews. Nephrology · 2013Review
- Why multidisciplinary clinics should be the standard for treating chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2012Article
- Improving incident fistula rates: a process of care issue.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2011Article
- Controversies in timing of dialysis initiation and the role of race and demographics.Seminars in dialysisReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
objectivesTo determine, in a national cohort of incident hemodialysis patients, whether meeting a greater number of National Kidney Foundation Kidney Disease Outcomes Quality Initiative (KDOQI) guideline goals at dialysis initiation was independently associated, in a graded manner, with lower first-year mortality rates. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Patients who initiated hemodialysis between June 1, 2005, and May 31, 2007, in the US were included in this retrospective cohort analysis. Guidelines examined were (1) use of arteriovenous fistula or graft at initiation; (2) hemoglobin > or = 11 g/dl; and (3) albumin at goal. The primary predictor variable was number of guideline goals (zero, one, two, or three) met at dialysis initiation. Cox regression analysis was used to compare time to death, adjusting for baseline characteristics.
resultsAt dialysis initiation, 59%, 31%, 9%, and 1.6% of patients met zero, one, two, or three guideline goals, respectively (total n = 192,307). After multivariate adjustment, mortality hazard ratios (95% confidence intervals) were 0.81 (0.80 to 0.83) for patients who met one, 0.53 (0.51 to 0.56) for patients who met two, and 0.34 (0.30 to 0.39) for patients who met three guideline goals, compared with patients who met none. Meeting each individual goal was also associated with lower mortality.
conclusionsThese findings suggest a graded association between meeting a greater number of evidence-based guideline goals at dialysis initiation and lower risk of death during the first year on dialysis.
Indexed as
Identifiers
What OpenQuestion holds
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.