Evidence map›Paper›PMID 29514139›Full record

ArticleAmerican journal of nephrology2018

Real-World Scenario Improvements in Serum Phosphorus Levels and Pill Burden in Peritoneal Dialysis Patients Treated with Sucroferric Oxyhydroxide.

Kamyar Kalantar-Zadeh, Vidhya Parameswaran, Linda H Ficociello, Ludmila Anderson, Norma J Ofsthun, Christopher Kwoh, Claudy Mullon, Robert J Kossmann, Daniel W Coyne

Open access · hybridAbstract read
In one paragraph

Article in American journal of nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  13. One-Year Historical Cohort Study of the Phosphate Binder Sucroferric Oxyhydroxide in Patients on Maintenance Hemodialysis.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2019
    Article
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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

9 authors at 4 institutions in 1 country.

Kamyar Kalantar-ZadehUniversity of California Irvine, School of Medicine, Irvine, California, USA.
Vidhya ParameswaranFresenius Medical Care North America, Waltham, Massachusetts, USA.
Linda H FicocielloFresenius Medical Care North America, Waltham, Massachusetts, USA.
Ludmila AndersonFresenius Medical Care North America, Waltham, Massachusetts, USA.
Norma J OfsthunFresenius Medical Care North America, Waltham, Massachusetts, USA.
Christopher KwohThe Kidney Institute, Houston, Texas, USA.
Claudy MullonFresenius Medical Care North America, Waltham, Massachusetts, USA.
Robert J KossmannFresenius Medical Care North America, Waltham, Massachusetts, USA.
Daniel W CoyneWashington University School of Medicine, St. Louis, Missouri, USA.
Fresenius Medical Care (United States) · USBaylor College of Medicine · USUniversity of California, Irvine · USWashington University in St. Louis · US

Funding

2011 ASN Improving Design and Conduct of Pragmatic Trials and Clinical Studies inR13DK094686 · NIDDK · AMERICAN SOCIETY OF NEPHROLOGY, INC. · PI KALANTAR-ZADEH, KAMYAR · 2011 to 2012
$12k
NIDDK NIH HHS R13 DK094686
6 · The paper itself

Abstract

backgroundA database analysis was conducted to assess the effectiveness of sucroferric oxyhydroxide (SO) on lowering serum phosphorus and phosphate binder (PB) pill burden among adult peritoneal dialysis (PD) patients prescribed SO as part of routine care.

methodsAdult PD patients (n = 258) prescribed SO through a renal pharmacy service were analyzed. Baseline was 3 months before SO prescription. SO-treated follow-up was for 6 months or until either a new PB was prescribed, SO was not refilled, PD modality changed, or patient was discharged. In-range serum phosphorus was defined as ≤5.5 mg/dL.

resultsAt baseline, mean serum phosphorus was 6.59 mg/dL with 10 prescribed PB pills/day. The proportion of patients achieving in-range serum phosphorus increased by 72% from baseline to month 6. Prescribed PB pills/day decreased by 57% (10 at baseline to 4.3 at SO follow-up, p < 0.0001). The mean length of SO follow-up was 5.1 months; SO follow-up ended for 38, 27, and 50 patients at months 4, 5, and 6, respectively, due to no further PB fills, and for 10, 11, and 4 patients at months 4, 5, and 6, respectively, due to another PB prescribed. In patients with baseline serum phosphorus >5.5 mg/dL who achieved in-range serum phosphorus during SO follow-up for ≥1 quarter, a notable improvement in serum phosphorus (6.54 to 5.10 mg/dL, p < 0.0001) was observed, and there was a 53% reduction in PB pill burden (9.9 to 4.7, p < 0.0001).

conclusionAmong PD patients prescribed SO as part of routine care, improvements in serum phosphorus control and >50% reduction in PB pills/day were observed.

Indexed as

AdultAgedDrug CombinationsFemaleFerric CompoundsHumansHyperphosphatemiaKidney Failure, ChronicMaleMiddle AgedPeritoneal DialysisPhosphorusRetrospective StudiesSucroseDrug CombinationsFerric CompoundsPhosphorussucroferric oxyhydroxideSucroseChronic kidney disease-mineral bone disordersPeritoneal DialysisPhosphate bindersPhosphorus

Identifiers

PMID29514139
PMCPMC5906196
OpenAlexW2791544291

What OpenQuestion holds

Textmetadata
LicenceTDM
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.