Evidence map›Paper›PMID 25995180›Full record

ArticleClinical and experimental nephrology2016

Prevalence of CMMSE defined cognitive impairment among peritoneal dialysis patients and its impact on peritonitis.

Yat Fung Shea, Man-Fai Lam, Mi Suen Connie Lee, Ming Yee Maggie Mok, Sing-Leung Lui, Terence P S Yip, Wai Kei Lo, Leung Wing Chu, Tak-Mao Chan

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In one paragraph

Article in Clinical and experimental nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 38% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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 3 institutions in 2 countries.

Yat Fung SheaDivision of Geriatrics, Department of Medicine LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong 102 Pokfulam Road, Hong Kong SAR, China. elphashea@gmail.com.
Man-Fai LamDivision of Nephrology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Mi Suen Connie LeeDepartment of Occupation Therapy, Queen Mary Hospital, Hong Kong, China.
Ming Yee Maggie MokDivision of Nephrology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Sing-Leung LuiDivision of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong, China.
Terence P S YipDivision of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong, China.
Wai Kei LoDivision of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong, China.
Leung Wing ChuDivision of Geriatrics, Department of Medicine LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong 102 Pokfulam Road, Hong Kong SAR, China.
Tak-Mao ChanDivision of Nephrology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Queen Mary Hospital · CNTung Wah Hospital · CNUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeritoneal dialysis (PD) exchange procedure is complex. Patients with cognitive impairment (CI) may require assistance. We studied the prevalence of CI among PD patients, its impact on PD-related peritonitis and the outcome of assisted PD.

methodsCantonese version of Mini-Mental State examination (CMMSE) was performed in 151 patients newly started on PD. Data on patient characteristics including demographics, co-morbidities, blood parameters, medications, and number of PD-related peritonitis in the first 6 months were collected.

results151 subjects were recruited. The age of studied patients was 60 ± 15.0 years, and 45% were female. The prevalence of CI was 13.9% using education-adjusted cut-off of CMMSE. Patients older than 65-year-old, female, and lower education level were independent risk factors for CI (OR 9.27 p = 0.001, OR 14.84 p = 0.005, and OR 6.10 p = 0.009, respectively). Age greater than 65-year old is an independent risk factor for PD-related peritonitis but CI was not. Patients requiring assisted PD were of older age (p < 0.001), lower CMMSE (p < 0.001), and scored higher for age-adjusted Charlson Co-morbidity index (p < 0.001). Compared with self-care PD patients, assisted PD patients did not have higher rates exit site infection (p = 0.30) but had a trend of higher PD peritonitis (p = 0.07).

conclusionCI is common among local PD patients. Overall, CI could not be identified as an independent risk factor for PD peritonitis. There is a higher prevalence of CI among assisted PD patients but helpers may not completely eliminate the risk of PD-related peritonitis.

Indexed as

Psychiatric Status Rating ScalesAgedAged, 80 and overAge FactorsChinaChi-Square DistributionCognition DisordersComorbidityFemaleHumansKidney DiseasesLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioCognitive impairmentPeritoneal dialysisPeritonitis

Identifiers

PMID25995180
OpenAlexW258232686

What OpenQuestion holds

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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.