Evidence map›Paper›PMID 23803012›Full record

Trial reportClinical transplantation

Accuracy of dialysis medical records in determining patients' interest in and suitability for transplantation.

Anne M Huml, Catherine M Sullivan, Julie A Pencak, Ashwini R Sehgal

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical transplantation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions for increasing solid organ donor registration.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Pooled it
  4. Review
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

4 authors.

Anne M HumlDivision of Nephrology and Hypertension, Department of Medicine, University Hospitals Case Medical Center, Cleveland, OH, USA. anne.huml@uhhospitals.org
Catherine M Sullivan
Julie A Pencak
Ashwini R Sehgal

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Transplant navigator interventuon to overcome barriers to kidney transplantionP60MD002265 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI SEHGAL, ASHWINI · 2007 to 2016
$10.5M
CWRU NEPHROLOGY TRAINING PROGRAMT32DK007470 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI SEDOR, JOHN R. · 1986 to 2019
$2.9M
Overcoming Nutritional Barriers in Hemodialysis PtntsR01DK051472 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI SEHGAL, ASHWINI · 1996 to 2006
$2.6M
NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1TR000439NCRR NIH HHS UL1 RR024989NIDDK NIH HHS DK51472NIDDK NIH HHS R01 DK051472NIDDK NIH HHS T32 DK007470NIDDK NIH HHS T32DK007470NIMHD NIH HHS P60 MD002265
6 · The paper itself

Abstract

backgroundWe sought to determine the accuracy of dialysis medical records in identifying patients' interest in and suitability for transplantation. STUDY

designCluster randomized controlled trial. SETTING AND

participantsA total of 167 patients recruited from 23 hemodialysis facilities.

interventionNavigators met with intervention patients to provide transplant information and assistance. Control patients continued to receive usual care. OUTCOMES: Agreement at study initiation between medical records and (i) patient self-reported interest in transplantation and (ii) study assessments of medical suitability for transplant referral. MEASUREMENTS: Medical record assessments, self-reports, and study assessments of patient's interest in and suitability for transplantation.

resultsThere was disagreement between medical records and patient self-reported interest in transplantation for 66 (40%) of the 167 study patients. In most of these cases, patients reported being more interested in transplantation than their medical records indicated. The study team determined that all 92 intervention patients were medically suitable for transplant referral. However, for 38 (41%) intervention patients, medical records indicated that they were not suitable. About two-thirds of these patients successfully moved forward in the transplant process.

conclusionDialysis medical records are frequently inaccurate in determining patient's interest in and suitability for transplantation.

Indexed as

Kidney TransplantationMedical RecordsRenal DialysisRisk AssessmentSelf ReportAdolescentAdultAgedCase-Control StudiesFemaleFollow-Up StudiesGlomerular Filtration RateHumansKidney Failure, ChronicKidney Function TestsMaleaccuracydialysismedical recordstransplantation

Identifiers

PMID23803012
PMCPMC3740010

What OpenQuestion holds

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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.