Evidence map›Paper›PMID 21489322›Full record

ReviewCritical care (London, England)2011

Clinical review: Optimal dose of continuous renal replacement therapy in acute kidney injury.

John R Prowle, Antoine Schneider, Rinaldo Bellomo

Open access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Renal replacement therapy in intensive care units in KwaZulu-Natal Province, South Africa.The Southern African journal of critical care : the official journal of the Critical Care Society · 2021
    Article
  11. Renal replacement therapy: a practical update.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2019
    Review
  12. Article
  13. Article
  14. Review
  15. Application of continuous renal replacement therapy for acute kidney injury in elderly patients.International journal of clinical and experimental medicine · 2015
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Current therapeutic strategies for acute kidney injury.Clinical and experimental nephrology · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

John R ProwleDepartment of Intensive Care, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia.
Antoine Schneider
Rinaldo Bellomo
Austin Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Continuous renal replacement therapy (CRRT) is the preferred treatment for acute kidney injury in intensive care units (ICUs) throughout much of the world. Despite the widespread use of CRRT, controversy and center-specific practice variation in the clinical application of CRRT continue. In particular, whereas two single-center studies have suggested survival benefit from delivery of higher-intensity CRRT to patients with acute kidney injury in the ICU, other studies have been inconsistent in their results. Now, however, two large multi-center randomized controlled trials - the Veterans Affairs/National Institutes of Health Acute Renal Failure Trial Network (ATN) study and the Randomized Evaluation of Normal versus Augmented Level (RENAL) Replacement Therapy Study - have provided level 1 evidence that effluent flow rates above 25 mL/kg per hour do not improve outcomes in patients in the ICU. In this review, we discuss the concept of dose of CRRT, its relationship with clinical outcomes, and what target optimal dose of CRRT should be pursued in light of the high-quality evidence now available.

Indexed as

Acute Kidney InjuryCritical CareDose-Response Relationship, DrugEvidence-Based MedicineHumansRandomized Controlled Trials as TopicRenal Replacement TherapyTreatment Outcome

Identifiers

PMID21489322
PMCPMC3219403
OpenAlexW2131956620

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.