Evidence map›Paper›PMID 25825482›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2015

Comparison of Subdural Hematoma Risk between Hemodialysis and Peritoneal Dialysis Patients with ESRD.

I-Kuan Wang, Yu-Kai Cheng, Cheng-Li Lin, Chiao-Ling Peng, Che-Yi Chou, Chiz-Tzung Chang, Tzung-Hai Yen, Chiu-Ching Huang, Fung-Chang Sung, Chung Y Hsu

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.5field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Bleeding risk of haemodialysis and peritoneal dialysis patients.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
    Article
  12. Review
  13. Review
  14. Article
  15. Mortality in the Elderly on Dialysis: Is This the Right Debate?Clinical journal of the American Society of Nephrology : CJASN · 2015
    Article
  16. 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

10 authors at 4 institutions in 2 countries.

I-Kuan WangDepartment of Internal Medicine and Graduate Institute of Clinical Medical Science, China Medical University College of Medicine, Taichung, Taiwan; Divisions of Nephrology and.
Yu-Kai ChengNeurosurgery.
Cheng-Li LinManagement Office for Health Data, China Medical University Hospital, Taichung, Taiwan;
Chiao-Ling PengInstitute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan;
Che-Yi ChouDivisions of Nephrology and.
Chiz-Tzung ChangDivisions of Nephrology and.
Tzung-Hai YenDivision of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan; and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Chiu-Ching HuangDivisions of Nephrology and.
Fung-Chang SungGraduate Institute of Clinical Medical Science, China Medical University College of Medicine, Taichung, Taiwan; Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan; fcsung1008@yahoo.com.
Chung Y HsuGraduate Institute of Clinical Medical Science, China Medical University College of Medicine, Taichung, Taiwan; Department of Neurology, and.
Pediatric Nephrology of Alabama · USChina Medical University · TWChina Medical University Hospital · TWNational Taiwan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThis study compared the risk of subdural hematoma (SDH) and subsequent mortality in hemodialysis (HD) and peritoneal dialysis (PD) patients with ESRD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Claims data were obtained from the National Health Insurance Administration Research Database in Taiwan. This retrospective cohort study comprised 10,136 PD patients and 10,136 HD patients with newly diagnosed ESRD from 1998 to 2010. Patients were matched by propensity score and year of dialysis initiation. Incidence rates and hazard ratios of SDH as well as odds ratios of subsequent 30-day deaths from SDH were evaluated from the date of the first dialysis session to the date when SDH was diagnosed, or the date of renal transplantation, death, withdraw from insurance, or the end of the follow-up period (December 31, 2011).

resultsMedian (25th percentile, 75th percentile) follow-up times for SDH events were 3.61 years (1.91, 6.33) and 3.33 years (1.83, 5.66) in the HD and PD cohorts, respectively. The overall SDH incidence rate (95% confidence interval [95% CI]) was 61.4% higher in the HD cohort than in the PD cohort (34.7 [95% CI, 31.4 to 35.4] versus 21.5 [95% CI, 20.2 to 22.9] per 10,000 person-years, with an adjusted hazard ratio of 1.62 [95% CI, 1.17 to 2.33]). Approximately 152 of 253 (60%) of SDH events were associated with trauma. Subsequent 30-day SDH-related mortality was not statistically higher in HD patients than in PD patients (29.1% versus 25.3%; adjusted odds ratio, 1.30; 95% CI, 0.70 to 2.41).

conclusionsHD patients have a higher risk of developing SDH than PD patients. Both patient groups have a high risk of mortality. Routine education on fall prevention is needed for dialysis patients.

Indexed as

AgedDatabases, FactualFemaleHematoma, SubduralHumansIncidenceKaplan-Meier EstimateKidney Failure, ChronicLogistic ModelsMaleMiddle AgedOdds RatioPeritoneal DialysisPropensity ScoreProportional Hazards ModelsRenal DialysisESRDhemodialysismortalityperitoneal dialysissubdural hematoma

Identifiers

PMID25825482
PMCPMC4455210
OpenAlexW2149449523

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.