Evidence map›Paper›PMID 29725641›Full record

ArticleKidney international reports2018

Proton Pump Inhibitor Usage and the Risk of Mortality in Hemodialysis Patients.

Angel L M de Francisco, Javier Varas, Rosa Ramos, Jose Ignacio Merello, Bernard Canaud, Stefano Stuard, Julio Pascual, Pedro Aljama, Optimizing Results in Dialysis (ORD) group

Abstract read
In one paragraph

Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Ten tips for the first hemodialysis sessions.Clinical kidney journal · 2026
    Review
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  17. The Authors Reply.Kidney international reports · 2019
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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.

Angel L M de FranciscoServicio de Nefrología H. U. Valdecilla, Santander, Spain.
Javier VarasDirección Médica, Fresenius Medical Care, Madrid, Spain.
Rosa RamosDirección Médica, Fresenius Medical Care, Madrid, Spain.
Jose Ignacio MerelloDirección Médica, Fresenius Medical Care, Madrid, Spain.
Bernard CanaudFresenius Medical Care, Bad Homburg, Germany.
Stefano StuardFresenius Medical Care, Bad Homburg, Germany.
Julio PascualServicio de Nefrologia, Hospital del Mar, Barcelona, Spain.
Pedro AljamaServicio de Nefrología, Hospital Universitario Reina Sofía, Córdoba, Spain.
Optimizing Results in Dialysis (ORD) group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLong-term inappropriate proton pump inhibitors use (PPIs) is a matter of concern because of the risks associated with their long-term use in older patients with chronic conditions. The risk of PPI treatment in hemodialysis patients remains unexplored.

methodsWe assessed the relationship between the use of PPIs and the risk of death in hemodialysis patients throughout a retrospective multicenter propensity score-matched study. Information about demographic, hemodialysis treatment, laboratory data, and concomitant medication was obtained from the EuCliD database (Fresenius Medical Care). We studied 1776 hemodialysis patients on PPI therapy compared to 466 patients not receiving PPIs. The resulting population comprising 2 groups of 410 matched patients was studied.

resultsPPI use was associated with hypomagnesemia (Mg <1.8 mg/dl (0.75 mmol/l); odds ratio [OR] = 2.70, 95% confidence interval [CI] = 1.38-5.27,

conclusionThe study data suggest that the PPI treatment should be regularly monitored and prescribed only when indicated.

Indexed as

hemodialysismagnesiummortality riskproton pump inhibitors

Identifiers

PMID29725641
PMCPMC5932134

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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.