Evidence map›Paper›PMID 20576829›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2010

Recruitment and training for home hemodialysis: experience and lessons from the Nocturnal Dialysis Trial.

Mary Pipkin, Paul W Eggers, Brett Larive, Michael V Rocco, John B Stokes, Rita S Suri, Robert S Lockridge, Frequent Hemodialysis Network Trial Group

Abstract read
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. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Interventions for fatigue in people with kidney failure requiring dialysis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Home versus in-centre haemodialysis for end-stage kidney disease.The Cochrane database of systematic reviews · 2014
    Pooled it
  3. Buttonhole versus Stepladder Cannulation for Home Hemodialysis: A Multicenter, Randomized, Pilot Trial.Clinical journal of the American Society of Nephrology : CJASN · 2019
    Trial
  4. Trial
  5. Baseline characteristics of participants in the Frequent Hemodialysis Network (FHN) daily and nocturnal trials.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2011
    Trial
  6. Consequences of frequent hemodialysis: comparison to conventional hemodialysis and transplantation.Transactions of the American Clinical and Climatological Association · 2011
    Trial
  7. Article
  8. Article
  9. Unveiling Challenges Hindering the Growth of Home Dialysis in Finland: Insights From 40 Years of Experience.Hemodialysis international. International Symposium on Home Hemodialysis · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Racial and Ethnic Disparities in Kidney Replacement Therapies Among Adults With Kidney Failure: An Observational Study of Variation by Patient Age.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Observational
  15. Article
  16. Article
  17. Review
  18. Nocturnal hemodialysis: improved quality of life and patient outcomes.International journal of nephrology and renovascular disease · 2019
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Mary PipkinDivision of Nephrology, Department of Internal Medicine, University of Iowa, Iowa City, IA 52242, USA.
Paul W Eggers
Brett Larive
Michael V Rocco
John B Stokes
Rita S Suri
Robert S Lockridge
Frequent Hemodialysis Network Trial Group
University of Iowa · US

Funding

Frequent Hemodialysis Network Data Coordinating CenterU01DK066597 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI BECK, GERALD J · 2003 to 2010
$8.9M
Frequent Hemodialysis Network (FHN) - Nocturnal Clinical Core ConsortiumU01DK066480 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ROCCO, MICHAEL V · 2003 to 2010
$3.7M
NIDDK NIH HHS DK066480NIDDK NIH HHS DK66597NIDDK NIH HHS U01 DK066480NIDDK NIH HHS U01 DK066597
6 · The paper itself

Abstract

BACKGROUND AND

objectivesWe assessed perceived barriers and incentives to home hemodialysis and evaluated potential correlates with the duration of home hemodialysis training. DESIGN, SETTINGS, PARTICIPANTS, & MEASUREMENTS: Surveys were sent to the principal investigator and study coordinator for each clinical center in the Frequent Hemodialysis Network Nocturnal Trial. Baseline data were obtained on medical comorbidities, cognitive and physical functioning, sessions required for home hemodialysis training, and costs of home renovations.

resultsThe most commonly perceived barriers included lack of patient motivation, unwillingness to change from in-center modality, and fear of self-cannulation. The most common incentives were greater scheduling flexibility and reduced travel time. The median costs for home renovations varied between $1191 and $4018. The mean number of home hemodialysis training sessions was 27.7 +/- 10.4 (11-59 days). Average training time was less for patients with experience in either self-care or both self-care and cannulation. The number of training sessions was unrelated to the score on the Modified Mini Mental Status or Trailmaking B tests or patient's education level. Training time also did not correlate with the SF-36 Physical Function subscale but did with the modified Charlson comorbidity score and older patient age.

conclusionsLack of patient or family motivation and fear of the dialysis process are surmountable barriers for accepting home hemodialysis as a modality for renal replacement therapy. Formal education and scores on cognitive function tests are not predictors of training time.

Indexed as

Health Knowledge, Attitudes, PracticePatient Acceptance of Health CarePatient Education as TopicPatient SelectionAgedAge FactorsCanadaCatheterizationChi-Square DistributionCognitionComorbidityEducational StatusFearFemaleHemodialysis, HomeHousing

Identifiers

PMID20576829
PMCPMC2974402
OpenAlexW2115620384

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.