Evidence map›Paper›PMID 26303208›Full record

Trial reportBMC nephrology2015

The effect of citrate dialysate on intradialytic heparin dose in haemodialysis patients: study design of a randomised controlled trial.

Davina J Tai, Kelvin Leung, Pietro Ravani, Robert R Quinn, Nairne Scott-Douglas, Jennifer M MacRae, Alberta Kidney Disease Network

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01466959 (The Effect of Citrasate Dialysate on Heparin Dose), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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.

NCT01466959 nacompletednot on this map

The Effect of Citrasate Dialysate on Heparin Dose: A Randomized Cross Over Trial in Hemodialysis Patients.

TypeinterventionalSponsorUniversity of CalgaryRan2011 to 2013Enrolled20ConditionsChronic Kidney DiseaseArmscitrate dialysate (CD), acetic-acid based dialysate (AD)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Anticoagulation for people receiving long-term haemodialysis.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Article
  3. Article
  4. 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

7 authors at 3 institutions in 1 country.

Davina J TaiDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. davina_j_tai@hotmail.com.
Kelvin LeungDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada. kelvincwleung@gmail.com.
Pietro RavaniDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada. pravani@ucalgary.ca.
Robert R QuinnDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada. rob.quinn@albertahealthservices.ca.
Nairne Scott-DouglasDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada. nairne.scott-douglas@albertahealthservices.ca.
Jennifer M MacRaeDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada. jennifer.macrae@albertahealthservices.ca.
Alberta Kidney Disease Network
Alberta Health Services · CAUniversity of Calgary · CAUniversity of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnfractionated heparin is the most common anticoagulant used in haemodialysis (HD), although it has many potential adverse effects. Citrate dialysate (CD) has an anticoagulant effect which may allow reduction in cumulative heparin dose (CHD) compared to standard acetate dialysate (AD).

methodsThis double-blinded, randomised, cross-over trial of chronic haemodialysis patients determines if CD allows reduction in CHD during HD compared with AD. After enrolment, intradialytic heparin is minimised during a two-week run-in period using a standardised protocol based on a visual clotting score. Patients still requiring intradialytic heparin after the run-in period are randomised to two weeks of HD with AD followed by two weeks of CD (Sequence 1) or two weeks of HD with CD followed by two weeks of AD (Sequence 2). The primary outcome is the change in CHD with CD compared with AD. Secondary outcomes include metabolic and haemodynamic parameters, and dialysis adequacy. DISCUSSION: This randomised controlled trial will determine the impact of CD compared with AD on CHD during HD.

trial registrationClinicalTrials.gov NCT01466959.

Indexed as

Renal DialysisAnticoagulantsCitric AcidCross-Over StudiesDialysis SolutionsDouble-Blind MethodHeparinHumansResearch DesignAnticoagulantsCitric AcidDialysis SolutionsHeparin

Identifiers

PMID26303208
PMCPMC4548909
OpenAlexW1840350818

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.