Evidence map›Paper›PMID 27228101›Full record

Observational studyPloS one2016

Type of Referral, Dialysis Start and Choice of Renal Replacement Therapy Modality in an International Integrated Care Setting.

Belén Marrón, Janusz Ostrowski, Marietta Török, Delia Timofte, Attila Orosz, Andrzej Kosicki, Alicja Całka, Daniela Moro, Dezider Kosa, Jenö Redl and 3 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Effects of renin-angiotensin system inhibitors on the incidence of unplanned dialysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

13 authors.

Belén MarrónDiaverum Home Therapies, Medical Office, Munich, Germany.
Janusz OstrowskiWloclawek Diaverum Clinic, Wloclawek, Poland.
Marietta TörökSzeged Diaverum Clinic, Szeged, Hungary.
Delia TimofteSemaparc Diaverum Clinic, Bucharest, Romania.
Attila OroszBajcsy Diaverum Clinic, Budapest, Hungary.
Andrzej KosickiPrzemysl Diaverum Clinic, Przemysl, Poland.
Alicja CałkaOlsztyn Diaverum Clinic, Olsztyn, Poland.
Daniela MoroSibiu Distributei Diaverum Clinic, Sibiu, Romania.
Dezider KosaZalaegerszeg Diaverum Clinic, Zalaegerszeg, Hungary.
Jenö RedlSzolnok Diaverum Clinic, Szolnok, Hungary.
Abdul Rashid QureshiDivision of Renal Medicine, CLINTEC, Karolinska Institute, Stockholm, Sweden.
Jose Carolino Divino-FilhoDivision of Renal Medicine, CLINTEC, Karolinska Institute, Stockholm, Sweden.
d.PD Clinics Eastern Europe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntegrated Care Settings (ICS) provide a holistic approach to the transition from chronic kidney disease into renal replacement therapy (RRT), offering at least both types of dialysis.

objectivesTo analyze which factors determine type of referral, modality provision and dialysis start on final RRT in ICS clinics.

methodsRetrospective analysis of 626 patients starting dialysis in 25 ICS clinics in Poland, Hungary and Romania during 2012. Scheduled initiation of dialysis with a permanent access was considered as planned RRT start.

resultsModality information (80% of patients) and renal education (87%) were more frequent (p<0.001) in Planned (P) than in Non-Planned (NP) start. Median time from information to dialysis start was 2 months. 89% of patients started on hemodialysis, 49% were referred late to ICS (<3 months from referral to RRT) and 58% were NP start. Late referral, non-vascular renal etiology, worse clinical status, shorter time from information to RRT and less peritoneal dialysis (PD) were associated with NP start (p<0.05). In multivariate logistic regression analysis, P start (p≤0.05) was associated with early referral, eGFR >8.2 ml/min, >2 months between information and RRT initiation and with vascular etiology after adjustment for age and gender. "Optimal care," defined as ICS follow-up >12 months plus modality information and P start, occurred in 23%.

conclusionsDespite the high rate of late referrals, information and education were widely provided. However, NP start was high and related to late referral and may explain the low frequency of PD.

Indexed as

Choice BehaviorReferral and ConsultationRenal DialysisRenal Replacement TherapyAdultAgedAged, 80 and overDelivery of Health Care, IntegratedFemaleHumansInternational AgenciesKidney Failure, ChronicMaleMiddle AgedRetrospective StudiesTime Factors

Identifiers

PMID27228101
PMCPMC4882011

What OpenQuestion holds

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LicenceCC BY
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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.