Evidence map›Paper›PMID 29724122›Full record

SynthesisRenal failure2018

A meta-analysis of the association between diabetic patients and AVF failure in dialysis.

Yan Yan, Dan Ye, Liu Yang, Wen Ye, Dandan Zhan, Li Zhang, Jun Xiao, Yan Zeng, Qinkai Chen

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Renal failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Yan Yana Department of Nephrology , The First Affiliated Hospital, Nanchang University , Nanchang , Jiangxi , People's Republic of China.ORCID http://orcid.org/0000-0001-6144-6207
Dan Yeb Jiangxi Medical College of Nanchang University , Jiangxi , People's Republic of China.
Liu Yanga Department of Nephrology , The First Affiliated Hospital, Nanchang University , Nanchang , Jiangxi , People's Republic of China.
Wen Yeb Jiangxi Medical College of Nanchang University , Jiangxi , People's Republic of China.
Dandan Zhanb Jiangxi Medical College of Nanchang University , Jiangxi , People's Republic of China.
Li Zhanga Department of Nephrology , The First Affiliated Hospital, Nanchang University , Nanchang , Jiangxi , People's Republic of China.
Jun Xiaoa Department of Nephrology , The First Affiliated Hospital, Nanchang University , Nanchang , Jiangxi , People's Republic of China.
Yan Zenga Department of Nephrology , The First Affiliated Hospital, Nanchang University , Nanchang , Jiangxi , People's Republic of China.
Qinkai Chena Department of Nephrology , The First Affiliated Hospital, Nanchang University , Nanchang , Jiangxi , People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe most preferable vascular access for patients with end-stage renal failure needing hemodialysis is native arteriovenous fistula (AVF) on account of its access longevity, patient morbidity, hospitalization costs, lower risks of infection and fewer incidence of thrombotic complications. Meanwhile, according to National Kidney Foundation (NKF)̸Dialysis Out-comes Quality Initiative (DOQI) guidelines, AVF is more used than before. However, a significant percentage of AVF fails to support dialysis therapy due to lack of adequate maturity. Among all factors, the presence of diabetes mellitus was shown to be one of the risk factors for the development of vascular access failure by some authors. Therefore, this review evaluates the current evidence concerning the correlation of diabetes and AVF failure.

methodsA search was conducted using MEDLINE, SCIENCE DIRECT, SPRINGER, WILEY-BLACKWELL, KARGER, EMbase, CNKI and WanFang Data from the establishment time of databases to January 2016. The analysis involved studies that contained subgroups of diabetic patients and compared their outcomes with those of non-diabetic adults. In total, 23 articles were retrieved and included in the review.

resultsThe meta-analysis revealed a statistically significantly higher rate of AVF failure in diabetic patients compared with non-diabetic patients (OR = 1.682; 95% CI, 1.429-1.981, Test of OR = 1: z = 6.25, p <.001).

conclusionsThis review found an increased risk of AVF failure in diabetes patients. If confirmed by further prospective studies, preventive measure should be considered when planning AVF in diabetic patients.

Indexed as

Arteriovenous Shunt, SurgicalDiabetes MellitusHumansIncidenceKidney Failure, ChronicRenal DialysisRisk FactorsTreatment Failurearteriovenous fistula/AVFDiabetes mellitus/diabeticdialysis/hemodialysismeta-analysis

Identifiers

PMID29724122
PMCPMC6014481

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Registered trials

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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.