Evidence map›Paper›PMID 28389481›Full record

Observational studyBMJ open2017

Relationship between uric acid and technique failure in patients on continuous ambulatory peritoneal dialysis: a long-term observational cohort study.

Yao-Peng Hsieh, Chia-Chu Chang, Chew-Teng Kor, Yu Yang, Yao-Ko Wen, Ping-Fang Chiu, Chi-Chen Lin

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
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  4. Review
  5. Article
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  8. 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

7 authors.

Yao-Peng HsiehPh.D. program in Translational Medicine, College of Life Science, National Chung Hsing University, Taichung, Taiwan.
Chia-Chu ChangDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chew-Teng KorDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Yu YangDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Yao-Ko WenDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Ping-Fang ChiuDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chi-Chen LinInstitute of Biomedical Sciences, College of Life Science, National Chung Hsing University, Taichung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUric acid (UA) is the product of purine or nucleotide metabolism via the pathway of xanthine oxidase or xanthine dehydrogenase. Although epidemiological studies assessing the role of UA in cardiovascular disease or mortality have produced inconsistent results, the correlation between UA and technique failure in patients on continuous ambulatory peritoneal dialysis (CAPD) remains to be assessed.

designA retrospective cohort study.

settingPatients starting CAPD between 2001 and 2009 in a single centre in Taiwan.

participantsA total of 371 patients on CAPD. PRIMARY OUTCOME MEASURES: All-cause and peritonitis-related technique failure.

resultsA cohort of 371 participants (43.9% male) was enrolled in the study with a mean age of 55.7±15.9 years at the start of CAPD. During the study period, technique failure occurred in 41 (34.4%) patients in the hyperuricaemia group compared with 49 (19.4%) in the normouricaemia group (p=0.003). In the multivariate Cox regression models, hyperuricaemia at baseline was significantly associated with both a higher risk of technique failure (HR 1.24; 95% CI 1.09 to 1.42, p=0.001) and peritonitis-related technique failure (HR 1.29; 95% CI 1.07 to 1.57, p=0.008).

conclusionsUA was shown to be associated with all-cause and peritonitis-related technique failure in our study. Patients on CAPD with hyperuricaemia should be closely monitored and strategies of increasing survival on CAPD should be taken.

Indexed as

Peritoneal Dialysis, Continuous AmbulatoryAdultAgedCohort StudiesFemaleHumansHyperuricemiaKidney Failure, ChronicLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisPeritonitisProportional Hazards ModelsRetrospective StudiesTaiwanUric Acidcontinuous ambulatory peritoneal dialysis (CAPD)end stage renal diseaseperitonitistechnique failureuric acid

Identifiers

PMID28389481
PMCPMC5541200

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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.