Evidence map›Paper›PMID 29609536›Full record

Observational studyBMC nephrology2018

Effects of dialysate to serum sodium (Na

Jochen G Raimann, Linda H Ficociello, Len A Usvyat, Hanjie Zhang, Lisa Pacelli, Sandi Moore, Penny Sheppard, Qingqing Xiao, Yuedong Wang, Claudy Mullon and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Low dialysate sodium levels for chronic haemodialysis.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Low dialysate sodium levels for chronic haemodialysis.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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

13 authors at 4 institutions in 1 country.

Jochen G RaimannRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA. jochen.raimann@rriny.com.
Linda H FicocielloFresenius Medical Care North America, Waltham, MA, USA.
Len A UsvyatRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Hanjie ZhangRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Lisa PacelliRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Sandi MooreRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Penny SheppardRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Qingqing XiaoRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Yuedong WangUniversity of California Santa Barbara, Santa Barbara, CA, USA.
Claudy MullonFresenius Medical Care North America, Waltham, MA, USA.
Paul BalterRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Terry SullivanRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Peter KotankoRenal Research Institute, 315 East 62nd Street,4th Floor, New York, NY, 10065, USA.
Renal Research Institute · USFresenius Medical Care North America (United States)Fresenius Medical Care (United States) · USUniversity of California, Santa Barbara · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence indicates favorable effects of dialysate (DNa

methodsAt 4 participating hemodialysis (HD) clinics, patients with SNa

resultsIn the primary analysis, aligned and unaligned subjects showed comparable demographics at baseline. Treatment effects were significant for IDWG [-0.12 (95% CI -0.24 to 0) L] and showed decreasing non-significant trends for pre-dialysis hemodynamic parameters. Count comparison and Cox regression analysis showed no clear advantage of alignment in terms of all-cause and fluid overload-related hospitalization.

conclusionsResults from the largest sodium alignment program to date suggest positive treatment effects on volume-related and hemodynamic parameters, but no clear effect on risk of hospitalization. Well-matched control patients minimized confounding effects. Small effects and lack of significant differences may be explained by a low baseline DNa

Indexed as

Quality ImprovementAgedAged, 80 and overCohort StudiesDialysis SolutionsFemaleHumansKidney Failure, ChronicMaleMiddle AgedRenal DialysisRetrospective StudiesSodiumTreatment OutcomeDialysis SolutionsSodiumBlood pressureDialysate to serum sodium alignmentInterdialytic weight gainSodium mass balance

Identifiers

PMID29609536
PMCPMC5879548
OpenAlexW2807668274

What OpenQuestion holds

Textmetadata
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.