Evidence map›Paper›PMID 21415156›Full record

Trial reportJournal of the American Society of Nephrology : JASN2011

Use of aspirin associates with longer primary patency of hemodialysis grafts.

Bradley S Dixon, Gerald J Beck, Laura M Dember, Miguel A Vazquez, Arthur Greenberg, James A Delmez, Michael Allon, Jonathan Himmelfarb, Bo Hu, Tom Greene and 9 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Nephrology : JASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
9.1field-weighted citation impact, top 2% 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, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Antiplatelet agents for chronic kidney disease.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
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  9. Article
  10. Article
  11. Article
  12. Article
  13. Vascular access choice in incident hemodialysis patients: a decision analysis.Journal of the American Society of Nephrology : JASN · 2015
    Article
  14. Article
  15. Thrombophilia and arteriovenous fistula survival in ESRD.Clinical journal of the American Society of Nephrology : CJASN · 2013
    Observational
  16. Vascular access today.World journal of nephrology · 2012
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 12 institutions in 1 country.

Bradley S DixonDivision of Nephrology, University of Iowa College of Medicine, E-300D GH, 200 Hawkins Drive, Iowa City, IA 52242-1081, USA. bradley-dixon@uiowa.edu
Gerald J Beck
Laura M Dember
Miguel A Vazquez
Arthur Greenberg
James A Delmez
Michael Allon
Jonathan Himmelfarb
Bo Hu
Tom Greene
Milena K Radeva
Ingemar J Davidson
T Alp Ikizler
Gregory L Braden
Jeffrey H Lawson
James R Cotton
John W Kusek
Harold I Feldman
Dialysis Access Consortium (DAC) Study Group
Cleveland Clinic · USThe University of Texas Southwestern Medical Center · USCalifornia University of Pennsylvania · USDuke University · USNational Institutes of Health · USTufts University · USUniversity of Alabama at Birmingham · USUniversity of Iowa · USUniversity of Utah · USUniversity of Washington · USVanderbilt University · USWashington University in St. Louis · US

Funding

VASCULAR ACCESS CLINICAL TRIALS DATA COORDINATING CENTERU01DK058982 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI BECK, GERALD J · 2000 to 2007
$5.4M
Medical Maintenance of Hemodialysis Vascular Access (DAC)U01DK058973 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI VAZQUEZ, MIGUEL A · 2000 to 2006
$2.3M
HEMODIALYSIS VASCULAR ACCESS CLINICAL TRIALS CONSORTIUMU01DK058985 · NIDDK · DUKE UNIVERSITY · PI GREENBERG, ARTHUR · 2000 to 2006
$2.2M
EFFECT OF CLOPIDOGREL ON EARLY PATENCY OF AV FISTULAEU01DK058986 · NIDDK · BOSTON MEDICAL CENTER · PI DEMBER, LAURA M · 2000 to 2006
$2.0M
COLLABORATIVE CLINICAL TRIALS IN VASCULAR ACCESSU01DK058981 · NIDDK · UNIVERSITY OF IOWA · PI DIXON, BRADLEY S · 2000 to 2006
$1.8M
DIPYRIDAMOLE IN VASCULAR ACCESS FOR HEMODIALYSISU01DK058966 · NIDDK · MAINE MEDICAL CENTER · PI HIMMELFARB, JONATHAN · 2000 to 2007
$1.7M
HEMODIALYSIS VASCULAR ACCESS CLINICAL TRIALS CONSORTIUMU01DK058978 · NIDDK · WASHINGTON UNIVERSITY · PI DELMEZ, JAMES A · 2002 to 2007
$1.6M
HEMODIALYSIS VASCULAR ACCESS CLINICAL TRIALS CONSORTIUMU01DK058968 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ALLON, MICHAEL · 2002 to 2007
$1.4M
NIDDK NIH HHS U01 DK058966NIDDK NIH HHS U01DK058966NIDDK NIH HHS U01 DK058968NIDDK NIH HHS U01DK058968NIDDK NIH HHS U01 DK058973NIDDK NIH HHS U01DK058973NIDDK NIH HHS U01 DK058978NIDDK NIH HHS U01DK058978NIDDK NIH HHS U01 DK058981NIDDK NIH HHS U01DK058981NIDDK NIH HHS U01 DK058982NIDDK NIH HHS U01DK058982NIDDK NIH HHS U01 DK058985NIDDK NIH HHS U01DK058985NIDDK NIH HHS U01 DK058986NIDDK NIH HHS U01DK058986
6 · The paper itself

Abstract

Extended-release dipyridamole plus low-dose aspirin (ERDP/ASA) prolongs primary unassisted graft patency of newly created hemodialysis arteriovenous grafts, but the individual contributions of each component are unknown. Here, we analyzed whether use of aspirin at baseline associated with primary unassisted graft patency among participants in a randomized trial that compared ERDP/ASA and placebo in newly created grafts. We used Cox proportional hazards regression, adjusting for prespecified baseline comorbidities and covariates. Of all participants, 43% reported use of aspirin at baseline; of these, 82% remained on nonstudy aspirin (i.e., excluding ERDP/ASA) at 1 year. After 1 year of follow-up, the incidence of primary unassisted patency among participants using aspirin at baseline was 30% (95% CI: 24 to 35%) and among those not using aspirin was 23% (95% CI: 18 to 27%). Use of aspirin at baseline associated with a dose-dependent prolongation of primary unassisted graft patency that approached statistical significance (adjusted HR, 0.83; 95% CI: 0.68 to 1.01; P=0.06). Use of aspirin at baseline did not associate with prolongation of cumulative graft patency or participant survival. In conclusion, use of aspirin associates with a trend toward longer primary unassisted patency of newly placed hemodialysis grafts similar to that observed for ERDP/ASA.

Indexed as

Arteriovenous Shunt, SurgicalVascular PatencyAdultAgedAspirinAspirin, Dipyridamole Drug CombinationChronic DiseaseDipyridamoleDrug CombinationsDrug Therapy, CombinationFemaleFollow-Up StudiesHumansKidney DiseasesMaleMiddle AgedAspirinAspirin, Dipyridamole Drug CombinationDipyridamoleDrug CombinationsPlatelet Aggregation Inhibitors

Identifiers

PMID21415156
PMCPMC3065232
OpenAlexW2134480319

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.