Evidence map›Paper›PMID 23515055›Full record

ArticleKidney international2013

Interdialytic weight gain, systolic blood pressure, serum albumin, and C-reactive protein levels change in chronic dialysis patients prior to death.

Len A Usvyat, Claudia Barth, Inga Bayh, Michael Etter, Gero D von Gersdorff, Aileen Grassmann, Adrian M Guinsburg, Maggie Lam, Daniele Marcelli, Cristina Marelli and 10 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Kidney international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.9field-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

21 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
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  6. Clinical and predictive value of simplified creatinine index used as muscle mass surrogate in end-stage kidney disease haemodialysis patients-results from the international MONitoring Dialysis Outcome initiative.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020
    Article
  7. Wearable health devices and personal area networks: can they improve outcomes in haemodialysis patients?Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020
    Review
  8. Review
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  12. Greater fluid overload and lower interdialytic weight gain are independently associated with mortality in a large international hemodialysis population.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2018
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 8 institutions in 5 countries.

Len A UsvyatRenal Research Institute, New York, New York 10128, USA.
Claudia Barth
Inga Bayh
Michael Etter
Gero D von Gersdorff
Aileen Grassmann
Adrian M Guinsburg
Maggie Lam
Daniele Marcelli
Cristina Marelli
Laura Scatizzi
Mathias Schaller
Adam Tashman
Ted Toffelmire
Stephan Thijssen
Jeroen P Kooman
Frank M van der Sande
Nathan W Levin
Yuedong Wang
Peter Kotanko
Fresenius Medical Care (Germany) · DERenal Research Institute · USFresenius Kabi (China) · CNMaastricht University Medical Centre · NLUniversity of California, Santa Barbara · USUniversity of Cologne · DEKfH Kuratorium für Dialyse und Nierentransplantation · DEQueen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reports from a United States cohort of chronic hemodialysis patients suggested that weight loss, a decline in pre-dialysis systolic blood pressure, and decreased serum albumin may precede death. However, no comparative studies have been reported in such patients from other countries. Here we analyzed dynamic changes in these parameters in hemodialysis patients and included 3593 individuals from 5 Asian countries; 35,146 from 18 European countries; 8649 from Argentina; and 4742 from the United States. In surviving prevalent patients, these variables appeared to have notably different dynamics than in patients who died. While in all populations the interdialytic weight gain, systolic blood pressure, and serum albumin levels were stable in surviving patients, these indicators declined starting more than a year ahead in those who died with the dynamics similar irrespective of gender and geographic region. In European patients, C-reactive protein levels were available on a routine basis and indicated that levels of this acute-phase protein were low and stable in surviving patients but rose sharply before death. Thus, relevant fundamental biological processes start many months before death in the majority of chronic hemodialysis patients. Longitudinal monitoring of these dynamics may help to identify patients at risk and aid the development of an alert system to initiate timely interventions to improve outcomes.

Indexed as

Blood PressureSystoleWeight GainAgedArgentinaAsiaBiomarkersC-Reactive ProteinDatabases, FactualDisease ProgressionEuropeFemaleHumansMaleMiddle AgedRenal DialysisALB protein, humanBiomarkersC-Reactive ProteinSerum AlbuminSerum Albumin, Human

Identifiers

PMID23515055
PMCPMC3697046
OpenAlexW2094956072

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.