Evidence map›Paper›PMID 26951303›Full record

ArticleClinical and experimental nephrology2016

Recent analysis of status and outcomes of peritoneal dialysis in the Tokai area of Japan: the second report of the Tokai peritoneal dialysis registry.

Masashi Mizuno, Yasuhiko Ito, Yasuhiro Suzuki, Fumiko Sakata, Yosuke Saka, Takeyuki Hiramatsu, Hirofumi Tamai, Makoto Mizutani, Tomohiko Naruse, Norimi Ohashi and 11 more

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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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

21 authors.

Masashi MizunoDivision of Nephrology, Renal Replacement Therapy, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. masashim1jp@yahoo.co.jp.
Yasuhiko ItoDivision of Nephrology, Renal Replacement Therapy, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Yasuhiro SuzukiDivision of Nephrology, Renal Replacement Therapy, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Fumiko SakataDivision of Nephrology, Renal Replacement Therapy, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Yosuke SakaYokkaichi Municipal Hospital, Yokkaichi, Japan.
Takeyuki HiramatsuKonan Kosei Hospital, Konan, Japan.
Hirofumi TamaiAnjo Kosei Hospital, Anjo, Japan.
Makoto MizutaniHanda City Hospital, Handa, Japan.
Tomohiko NaruseKasugai Municipal Hospital, Kasugai, Japan.
Norimi OhashiOgaki Municipal Hospital, Ogaki, Japan.
Hirotake KasugaNagoya Kyoritsu Hospital, Nagoya, Japan.
Hideaki ShimizuChubu Rosai Hospital, Nagoya, Japan.
Hisashi KurataToyota Kosei Hospital, Yoyota, Japan.
Kei KurataTosei General Hospital, Seto, Japan.
Satoshi SuzukiKainan Hospital, Yatomi, Japan.
Satoko KidoMinami Seikyo Hospital, Nagoya, Japan.
Yoshikazu TsurutaMinami Seikyo Hospital, Nagoya, Japan.
Teppei MatsuokaOgaki Kita Clinic, Ogaki, Japan.
Masanobu HorieDaiyukai Daiichi Hospital, Ichinomiya, Japan.
Shoichi MaruyamaDivision of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Seiichi MatsuoDivision of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly withdrawal within 3 years after starting peritoneal dialysis (PD) and PD-related peritonitis have been major obstacles preventing increases in the population of PD patients. To address these problems, we implemented education programs for medical staff. This study analyzed the recent status and outcomes of PD therapy, focusing on findings such as the incidence and prognosis of peritonitis as of 5 years after our last study.

methodsWe investigated background, laboratory data and status of PD therapy, reasons for withdrawal from PD and incidental statements on peritonitis from 2010 to 2012 (R2), and compared findings with those from our last study of 2005-2007 (R1).

resultsEarly PD therapy withdrawal in R2 clearly improved to 44.7 %, compared with 50.9 % in R1. Peritonitis incidence improved slightly from once per 42.8 months/patient in R1 to once per 47.3 months/patient in R2. Notably, PD-related peritonitis as a cause of mortality improved markedly in R2, but outcomes of PD-related peritonitis did not change significantly between R1 and R2. In contrast, social problems increased as a reason for withdrawal from PD therapy.

conclusionOur efforts at education might have been useful for improving early withdrawal from PD and deaths attributable to PD-related peritonitis. However, since improvements to incidence of PD-related peritonitis were limited by education, further improvement in PD-related peritonitis incidence requires development of new sterilized connecting systems during PD-bag exchanges to decrease PD-related peritonitis opportunities. Construction of medical support systems to address social problems is required to maintain long-term PD therapy.

Indexed as

RegistriesAdultAgedCalciumFemaleHumansMaleMiddle AgedPatient Education as TopicPeritoneal DialysisPeritonitisPrognosisVitamin DCalciumVitamin DEarly withdrawalEducationPeritoneal dialysisPeritonitis

Identifiers

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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.