Evidence map›Paper›PMID 24895552›Full record

ArticleBioMed research international2014

Impact of hemodialysis on dyspnea and lung function in end stage kidney disease patients.

Anastasios F Palamidas, Sofia-Antiopi Gennimata, Foteini Karakontaki, Georgios Kaltsakas, Ioannis Papantoniou, Antonia Koutsoukou, Joseph Milic-Emili, Demetrios V Vlahakos, Nikolaos G Koulouris

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 94% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Breathlessness worsened by haemodialysis.Respiratory medicine case reports · 2019
    Article
  10. Article
  11. Article
  12. Pulmonary Function in Patients with End-Stage Renal Disease: Effects of Hemodialysis and Fluid Overload.Medical science monitor : international medical journal of experimental and clinical research · 2016
    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

9 authors at 4 institutions in 2 countries.

Anastasios F PalamidasRespiratory Function Laboratory, 1st Respiratory Medicine Department, Athens University Medical School, "Sotiria" Hospital, 152 Mesogeion Avenue, Athens 11527, Greece.
Sofia-Antiopi GennimataRespiratory Function Laboratory, 1st Respiratory Medicine Department, Athens University Medical School, "Sotiria" Hospital, 152 Mesogeion Avenue, Athens 11527, Greece.
Foteini KarakontakiRespiratory Function Laboratory, 1st Respiratory Medicine Department, Athens University Medical School, "Sotiria" Hospital, 152 Mesogeion Avenue, Athens 11527, Greece.
Georgios KaltsakasRespiratory Function Laboratory, 1st Respiratory Medicine Department, Athens University Medical School, "Sotiria" Hospital, 152 Mesogeion Avenue, Athens 11527, Greece.ORCID 0000-0002-6852-1553
Ioannis PapantoniouArtificial Kidney Unit, Euromedica Athinaion, Kononos Street 121-123, Vyronas, Attica, 16231 Athens, Greece.
Antonia KoutsoukouRespiratory Function Laboratory, 1st Respiratory Medicine Department, Athens University Medical School, "Sotiria" Hospital, 152 Mesogeion Avenue, Athens 11527, Greece.ORCID 0000-0002-1536-3205
Joseph Milic-EmiliMeakins-Christie Labs, McGill University, 3626 Saint Urbain Street, Montreal, QC, Canada.
Demetrios V VlahakosRenal Unit, Attikon University Hospital, Rimini 1, Haidari, Attika, 12462 Athens, Greece.
Nikolaos G KoulourisRespiratory Function Laboratory, 1st Respiratory Medicine Department, Athens University Medical School, "Sotiria" Hospital, 152 Mesogeion Avenue, Athens 11527, Greece.
Sotiria General Hospital · GRChristie (Canada) · CAEuromedica · GRUniversity General Hospital Attikon · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory symptoms are usually underestimated in patients with chronic kidney disease undergoing maintenance hemodialysis. Therefore, we set out to investigate the prevalence of patients chronic dyspnea and the relationship of the symptom to lung function indices.

methodsTwenty-five clinically stable hemodialysis patients were included. The mMRC dyspnea scale was applied before and after hemodialysis. Spirometry, single breath nitrogen test, arterial blood gases, static maximum inspiratory (P(imax)) and expiratory (P(emax)) muscle pressures, and mouth occlusion pressure (P 0.1) were also measured.

resultsDespite normal spirometry, all patients (100%) reported mild to moderate degree of chronic dyspnea pre which was reduced after hemodialysis. The sole predictor of (Δ) mMRC was the (Δ) P 0.1 (r = 0.71, P < 0.001). The P(imax) was reduced before and correlated with the duration of hemodialysis (r = 0.614, P < 0.001), whilst after the session it was significantly increased (P < 0.001). Finally (Δ) weight was correlated with the (Δ) P(imax) %pred (r = 0.533, P = 0,006) and with the (Δ) CV (%pred) (r = 0.65, P < 0.001).

conclusionWe conclude that dyspnea is the major symptom among the CKD patients that improves after hemodialysis. The neuromechanical dissociation observed probably is one of the major pathophysiologic mechanisms of dyspnea.

Indexed as

AnthropometryBlood Gas AnalysisBody WeightBreath TestsDyspneaFemaleHumansKidney Failure, ChronicMaleMiddle AgedPressureRenal DialysisRespirationRespiratory Function Tests

Identifiers

PMID24895552
PMCPMC4034396
OpenAlexW1835542343

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.