Evidence map›Paper›PMID 28832652›Full record

ArticlePloS one2017

Impact of post-dialysis calcium level on ex vivo rat aortic wall calcification.

Daniel Azpiazu, Emilio González-Parra, Alberto Ortiz, Jesús Egido, Ricardo Villa-Bellosta

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. 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

5 authors.

Daniel AzpiazuFundación Instituto de Investigación Sanitaria, Fundación Jiménez Díaz (FIIS-FJD), Madrid, Spain.
Emilio González-ParraFundación Instituto de Investigación Sanitaria, Fundación Jiménez Díaz (FIIS-FJD), Madrid, Spain.
Alberto OrtizFundación Instituto de Investigación Sanitaria, Fundación Jiménez Díaz (FIIS-FJD), Madrid, Spain.
Jesús EgidoFundación Instituto de Investigación Sanitaria, Fundación Jiménez Díaz (FIIS-FJD), Madrid, Spain.
Ricardo Villa-BellostaFundación Instituto de Investigación Sanitaria, Fundación Jiménez Díaz (FIIS-FJD), Madrid, Spain.ORCID http://orcid.org/0000-0002-1680-552X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesVascular calcification is a frequent complication in chronic haemodialysis patients and is associated with adverse outcomes. Serum calcium and phosphate levels and imbalances in calcification regulators are thought to contribute to the process. In this regard, the dialysate calcium concentration is a modifiable tool for modulating the risk of vascular calcification. We explored pre- and post-dialysis phosphate and calcium concentrations in stable chronic haemodialysis patients treated by dialysis with the KDIGO-suggested 1.5 mmol/L calcium dialysate to investigate the effects on ex vivo calcification of rat aortic rings. APPROACH AND

resultsAt the end of haemodialysis, mean serum calcium levels were increased in 88% of paired pre-/post-dialysis samples, while mean serum phosphate and parathyroid hormone levels were decreased. Rat aortic ring cultures grown at the same calcium and phosphate concentrations revealed that pre- and post-dialysis resulted in a similar degree of calcification. By contrast, haemodialysis with unchanged serum calcium resulted in a 5-fold reduction in calcium deposition.

conclusionDialysis with the widely prescribed 1.5 mmol/L calcium dose results in persistent high serum calcification potential in a sizable proportion of patients, driven by increased post-dialysis calcium concentration. This could potentially be mitigated by individualising dialysate calcium dosage based on pre-dialysis serum calcium levels.

Indexed as

CalcinosisRenal DialysisVascular CalcificationAnimalsAortaCalciumMaleRatsRats, Sprague-DawleyCalcium

Identifiers

PMID28832652
PMCPMC5568142
OpenAlexW2749816233

What OpenQuestion holds

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LicenceCC BY
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.