Evidence map›Paper›PMID 26628394›Full record

SynthesisBrazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica2016

Prognostic effect of high-flux hemodialysis in patients with chronic kidney disease.

X Li, H Xu, X C Xiao, S L Deng, W Wang, R Tang

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

X LiThe Hemodialysis Room, Xiangya Hospital of Central South University, Changsha, P.R., China.
H XuThe Hemodialysis Room, Xiangya Hospital of Central South University, Changsha, P.R., China.
X C XiaoThe Hemodialysis Room, Xiangya Hospital of Central South University, Changsha, P.R., China.
S L DengDepartment of Educational Administration, Xiangya Hospital of Central South University, Changsha, P.R., China.
W WangThe Hemodialysis Room, Xiangya Hospital of Central South University, Changsha, P.R., China.
R TangThe Hemodialysis Room, Xiangya Hospital of Central South University, Changsha, P.R., China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the prognostic effects of high-flux hemodialysis (HFHD) and low-flux hemodialysis (LFHD) in patients with chronic kidney disease (CKD). Both an electronic and a manual search were performed based on our rigorous inclusion and exclusion criteria to retrieve high-quality, relevant clinical studies from various scientific literature databases. Comprehensive meta-analysis 2.0 (CMA 2.0) was used for the quantitative analysis. We initially retrieved 227 studies from the database search. Following a multi-step screening process, eight high-quality studies were selected for our meta-analysis. These eight studies included 4967 patients with CKD (2416 patients in the HFHD group, 2551 patients in the LFHD group). The results of our meta-analysis showed that the all-cause death rate in the HFHD group was significantly lower than that in the LFHD group (OR=0.704, 95%CI=0.533-0.929, P=0.013). Additionally, the cardiovascular death rate in the HFHD group was significantly lower than that in the LFHD group (OR=0.731, 95%CI=0.616-0.866, P<0.001). The results of this meta-analysis clearly showed that HFHD decreases all-cause death and cardiovascular death rates in patients with CKD and that HFHD can therefore be implemented as one of the first therapy choices for CKD.

Indexed as

BiasCardiovascular DiseasesCase-Control StudiesCause of DeathDisease ProgressionHumansKidney Failure, ChronicPrognosisPublication BiasRegression AnalysisRenal DialysisRenal Insufficiency, ChronicSensitivity and Specificity

Identifiers

PMID26628394
PMCPMC4681413

What OpenQuestion holds

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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.