Evidence map›Paper›PMID 22550119›Full record

ArticlePeritoneal dialysis international : journal of the International Society for Peritoneal Dialysis

Peritoneal dialysis in childhood acute kidney injury: experience in southwest Nigeria.

Adebowale Dele Ademola, Adanze Onyenonachi Asinobi, Oluwatoyin Olufunmilayo Ogunkunle, Bamidele Nurudeen Yusuf, Olalekan Ezekiel Ojo

Open access · greenAbstract read
In one paragraph

Article in Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Use of peritoneal dialysis in AKI: a systematic review.Clinical journal of the American Society of Nephrology : CJASN · 2013
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Paediatric nephrology in under-resourced areas.Pediatric nephrology (Berlin, Germany) · 2022
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Challenges and Outcomes of Paediatric Dialysis in a Tertiary Referral Hospital, Northwest Nigeria.Nigerian medical journal : journal of the Nigeria Medical Association
    Review
  16. Outcome of acute kidney injury in Sudanese children - an experience from a sub-Saharan African unit.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
    Article
  17. Peritoneal dialysis for children with acute kidney injury in Lagos, Nigeria: experience with adaptations.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
    Article
  18. Peritoneal dialysis for acute kidney injury.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
    Review
  19. Peritoneal dialysis in children with acute kidney injury: a developing country experience.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Adebowale Dele AdemolaDepartment of Paediatrics, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Adanze Onyenonachi Asinobi
Oluwatoyin Olufunmilayo Ogunkunle
Bamidele Nurudeen Yusuf
Olalekan Ezekiel Ojo
University of Ibadan · NGFederal Medical Centre · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe choices for renal replacement therapy (RRT) in childhood acute kidney injury (AKI) are limited in low-resource settings. Peritoneal dialysis (PD) appears to be the most practical modality for RRT in young children with AKI in such settings. Data from sub-Saharan Africa on the use of PD in childhood AKI are few.

methodsWe performed a retrospective study of children who underwent PD for AKI at a tertiary-care hospital in southwest Nigeria from February 2004 to March 2011 (85 months).

resultsThe study included 27 children (55.6% female). Mean age was 3.1 ± 2.6 years, with the youngest being 7 days, and the oldest, 9 years. The causes of AKI were intravascular hemolysis (n = 11), septicemia (n = 8), acute glomerulonephritis (n = 3), gastroenteritis (n = 3), and hemolytic uremic syndrome (n = 2). Peritoneal dialysis was performed manually using percutaneous or adapted catheters. Duration of PD ranged from 6 hours to 12 days (mean: 5.0 ± 3.3 days). The main complications were peritonitis (n = 10), pericatheter leakage (n = 9), and catheter outflow obstruction (n = 5). Of the 27 patients, 19 (70%) survived till discharge.

conclusionsIn low-resource settings, PD can be successfully performed for the management of childhood AKI. In our hospital, the use of adapted catheters may have contributed to the high complication rates. Peritoneal dialysis should be promoted for the management of childhood AKI in low-resource settings, and access to percutaneous or Tenckhoff catheters, dialysis fluid, and automated PD should be increased.

Indexed as

Peritoneal DialysisAcute Kidney InjuryChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleNigeriaRetrospective Studies

Identifiers

PMID22550119
PMCPMC3525432
OpenAlexW2118025172

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.