Evidence map›Paper›PMID 27882810›Full record

ArticleRenal failure2017

What has changed in the prevalence of hypertension in dialyzed children during the last decade?

Marcin Tkaczyk, Małgorzata Stańczyk, Monika Miklaszewska, Katarzyna Zachwieja, Ryszard Wierciński, Roman Stankiewicz, Agnieszka Firszt-Adamczyk, Jacek Zachwieja, Halina Borzęcka, Ilona Zagożdżon and 5 more

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

Article in Renal failure, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Hypertension in pediatric patients with chronic kidney disease: management challenges.International journal of nephrology and renovascular disease · 2017
    Review
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

15 authors.

Marcin Tkaczyka Department of Pediatrics, Immunology and Nephrology , Polish Mother's Memorial Hospital Research Institute , Lodz , Poland.
Małgorzata Stańczyka Department of Pediatrics, Immunology and Nephrology , Polish Mother's Memorial Hospital Research Institute , Lodz , Poland.
Monika Miklaszewskac Department of Pediatric Nephrology , Jagiellonian University Medical College , Krakow , Poland.
Katarzyna Zachwiejac Department of Pediatric Nephrology , Jagiellonian University Medical College , Krakow , Poland.
Ryszard Wiercińskid Department of Pediatrics and Nephrology , Medical University of Bialystok , Bialystok , Poland.
Roman Stankiewicze Department of Pediatric Nephrology , Torun , Poland.
Agnieszka Firszt-Adamczyke Department of Pediatric Nephrology , Torun , Poland.
Jacek Zachwiejaf Department of Cardiology and Nephrology , Medical University of Poznan , Poznan , Poland.
Halina Borzęckag Department of Pediatric Nephrology , Medical University of Lublin , Lublin , Poland.
Ilona Zagożdżonh Department of Nephrology and Hypertension of Children and Adolescents , Medical University of Gdansk , Gdansk , Poland.
Beata Leszczyńskai Department of Pediatric Nephrology , Medical University of Warsaw , Warsaw , Poland.
Anna Medyńskaj Department of Pediatric Nephrology , Medical University of Wroclaw , Wroclaw , Poland.
Piotr Adamczykk Department of Pediatric Nephrology , Silesian Medical University , Zabrze , Poland.
Maria Szczepańskak Department of Pediatric Nephrology , Silesian Medical University , Zabrze , Poland.
Wojciech Fendlerl Department of Pediatrics, Hematology, Oncology and Diabetology , Medical University of Lodz , Lodz , Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension very often accompanies progression of chronic kidney disease (CKD) in children. A cross-sectional analysis of hypertension prevalence in dialyzed children in Poland was designed with a comparison with the data previously recorded 10 years earlier.

methodsTwo cohorts of children were analyzed: 59 subjects dialyzed in 2013, and 134 children from the previous study performed in 2003 that were reevaluated according to the current methodology. The incidence of hypertension (defined by SDS of sBP or dBP >1.64), clinical data, medical history, dialysis modalities and selected biochemical parameters of dialysis adequacy were analyzed.

resultsThe prevalence of hypertension increased from 64% in 2003 to 78% in 2013. The efficacy of antihypertensive treatment remained unsatisfactory (61% proper BP control). Preservation of residual urine output and strict fluid balance may prevent development of hypertension in children on dialysis.

conclusionsDespite the higher awareness of hypertension and its complications in dialyzed children, the incidence of this entity has increased during the last decade, with the percentage of undertreated patients comparable to that observed 10 years ago. Thus, more attention should be paid to therapy efficacy in this population to prevent further damage to the cardiovascular system and to decrease morbidity.

Indexed as

Disease ProgressionAdolescentAntihypertensive AgentsBlood PressureChildChild, PreschoolCross-Sectional StudiesFemaleFluid TherapyHumansHypertensionIncidenceMalePediatricsPolandRenal Insufficiency, ChronicAntihypertensive AgentsDialysishypertensionpediatricsprevalence

Identifiers

PMID27882810
PMCPMC6014511

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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.