Evidence map›Paper›PMID 26924062›Full record

ArticleKidney international2016

Estimating residual kidney function in dialysis patients without urine collection.

Tariq Shafi, Wieneke M Michels, Andrew S Levey, Lesley A Inker, Friedo W Dekker, Raymond T Krediet, Tiny Hoekstra, George J Schwartz, John H Eckfeldt, Josef Coresh

Open access · greenAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Kidney international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
10.5field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 81 citations in OpenAlex.

  1. Article
  2. Article
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  4. Twice Weekly versus Thrice Weekly Hemodialysis-A Pilot Cross-Over Equivalence Trial.Clinical journal of the American Society of Nephrology : CJASN · 2024
    Article
  5. Review
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  15. Article
  16. Observational
  17. Narrative Review of Incremental Hemodialysis.Kidney international reports · 2020
    Review
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Tariq ShafiDivision of Nephrology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA; Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA. Electronic address: tshafi@jhmi.edu.
Wieneke M MichelsDivision of Nephrology, Department of Medicine, Academic Medical Center, Amsterdam, the Netherlands.
Andrew S LeveyDivision of Nephrology, Department of Medicine, Tufts Medical Center, Boston, Massachusetts, USA.
Lesley A InkerDivision of Nephrology, Department of Medicine, Tufts Medical Center, Boston, Massachusetts, USA.
Friedo W DekkerDepartment of Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Raymond T KredietDivision of Nephrology, Department of Medicine, Academic Medical Center, Amsterdam, the Netherlands.
Tiny HoekstraDepartment of Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
George J SchwartzDivision of Nephrology, Department of Pediatrics, University of Rochester, Rochester, New York, USA.
John H EckfeldtDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, USA.
Josef CoreshWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Departments of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Division of General Internal Medicine, Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Academic Medical Center · NLJohns Hopkins University · USLeiden University Medical Center · NLTufts Medical Center · USUniversity of Minnesota · USUniversity of Rochester · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Residual Kidney Function in ESRD: Measurements, Serum Markers and OutcomesK23DK083514 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SHAFI, TARIQ · 2010 to 2014
$904k
NCATS NIH HHS UL1 TR001079NIDDK NIH HHS K23 DK083514
6 · The paper itself

Abstract

Residual kidney function contributes substantially to solute clearance in dialysis patients but cannot be assessed without urine collection. We used serum filtration markers to develop dialysis-specific equations to estimate urinary urea clearance without the need for urine collection. In our development cohort, we measured 24-hour urine clearances under close supervision in 44 patients and validated these equations in 826 patients from the Netherlands Cooperative Study on the Adequacy of Dialysis. For the development and validation cohorts, median urinary urea clearance was 2.6 and 2.4 ml/min, respectively. During the 24-hour visit in the development cohort, serum β-trace protein concentrations remained in steady state but concentrations of all other markers increased. In the validation cohort, bias (median measured minus estimated clearance) was low for all equations. Precision was significantly better for β-trace protein and β2-microglobulin equations and the accuracy was significantly greater for β-trace protein, β2-microglobulin, and cystatin C equations, compared with the urea plus creatinine equation. Area under the receiver operator characteristic curve for detecting measured urinary urea clearance by equation-estimated urinary urea clearance (both 2 ml/min or more) were 0.821, 0.850, and 0.796 for β-trace protein, β2-microglobulin, and cystatin C equations, respectively; significantly greater than the 0.663 for the urea plus creatinine equation. Thus, residual renal function can be estimated in dialysis patients without urine collections.

Indexed as

Glomerular Filtration RatePeritoneal DialysisRenal DialysisAdultAgedArea Under CurveBaltimorebeta 2-MicroglobulinBiomarkersCreatinineCross-Sectional StudiesCystatin CFemaleHumansIntramolecular OxidoreductasesKidneybeta 2-MicroglobulinBiomarkersCreatinineCST3 protein, humanCystatin CIntramolecular OxidoreductasesLipocalinsprostaglandin R2 D-isomeraseUreahemodialysisperitoneal dialysisresidual kidney function

Identifiers

PMID26924062
PMCPMC4834223
OpenAlexW2276930994

What OpenQuestion holds

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LicenceTDM
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.