Evidence map›Paper›PMID 29705734›Full record

ArticleBMJ case reports2018

Treatment of end-stage renal disease with continuous ambulatory peritoneal dialysis in rural Guatemala.

Jillian Moore, Pablo Garcia, Peter Rohloff, David Flood

Open access · hybridAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

4 authors at 4 institutions in 2 countries.

Jillian MooreHarvard Medical School, Boston, Massachusetts, USA.
Pablo GarciaWuqu' Kawoq, Santiago Sacatepéquez, Guatemala.
Peter RohloffWuqu' Kawoq, Santiago Sacatepéquez, Guatemala.ORCID http://orcid.org/0000-0001-7274-8315
David FloodWuqu' Kawoq, Santiago Sacatepéquez, Guatemala.
Brigham and Women's Hospital · USHarvard University · USSaint Peter's University Hospital · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 42-year-old indigenous Maya man presented to a non-profit clinic in rural Guatemala with signs, symptoms and laboratory values consistent with uncontrolled diabetes. Despite appropriate treatment, approximately 18 months after presentation, he was found to have irreversible end-stage renal disease (ESRD) of uncertain aetiology. He was referred to the national public nephrology clinic and subsequently initiated home-based continuous ambulatory peritoneal dialysis. With primary care provided by the non-profit clinic, his clinical status improved on dialysis, but socioeconomic and psychological challenges persisted for the patient and his family. This case shows how care for people with ESRD in low- and middle-income countries requires scaling up renal replacement therapy and ensuring access to primary care, mental healthcare and social work services.

Indexed as

Peritoneal Dialysis, Continuous AmbulatoryRural Health ServicesGuatemalaHealthcare DisparitiesHealth Services AccessibilityHumansKidney Failure, ChronicMaleMiddle AgedQuality of Lifechronic disease / disability nursingdiabetesdialysisglobal healthhealthcare improvement and patient safety

Identifiers

PMID29705734
PMCPMC5931272
OpenAlexW2799357511

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.