Evidence map›Paper›PMID 25844374›Full record

ArticleCMAJ open

Secular trends in end-stage renal disease requiring dialysis in Manitoba, Canada: a population-based study.

Paul Komenda, Nancy Yu, Stella Leung, Keevin Bernstein, James Blanchard, Manish Sood, Claudio Rigatto, Navdeep Tangri

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Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Validation of the Kidney Failure Risk Equation in Manitoba.Canadian journal of kidney health and disease · 2017
    Article
  6. Article
  7. Article
  8. 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

8 authors.

Paul KomendaSection of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Man. ; Seven Oaks General Hospital, Winnipeg, Man.
Nancy YuDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Man.
Stella LeungDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Man.
Keevin BernsteinSection of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Man. ; Health Sciences Centre, Winnipeg, Man.
James BlanchardSeven Oaks General Hospital, Winnipeg, Man.
Manish SoodSection of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Man. ; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Claudio RigattoSection of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Man. ; Seven Oaks General Hospital, Winnipeg, Man.
Navdeep TangriSection of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Man. ; Seven Oaks General Hospital, Winnipeg, Man. ; Department of Community Health Sciences, University of Manitoba, Winnipeg, Man.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnd-stage renal disease (ESRD) requiring dialysis is expensive and is associated with disproportionately poor health outcomes and quality of life. Understanding regional long-term secular trends in the incidence and prevalence of dialysis will allow for the alignment of appropriate and efficient delivery of care. The primary objective of this study was to describe long-term secular and geographic trends in ESRD over a 22-year period in a single-provider Canadian health care setting.

methodsUsing a previously validated case definition, we described the annual incidence and prevalence of ESRD in Manitoba from 1989 to 2010, stratified by age, sex and geographic location within the province.

resultsWe searched more than 1.2 million records within the Manitoba Health repository. We identified 9489 patients in the Manitoba Health Physician Claims database with at least 1 claim for dialysis from 1989 through Mar. 31, 2010. Using the case definition of any 2 dialysis treatment claims, the total annual incidence of ESRD increased 2.5-fold from 15.8 to 40.2 per 100 000 during the study period. Of note, the northern rural portions of the province saw a 12-fold unadjusted increase in ESRD, from 8.1 per 100 000 in 1989 to 96.3 per 100 000 in 2009.

interpretationThe incidence and prevalence of ESRD is increasing in Manitoba, most notably in the north of the province. Innovative interventions, such as primary screening and treatment initiatives, should specially target northern rural regions.

Identifiers

PMID25844374
PMCPMC4382045

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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.