Evidence map›Paper›PMID 29974025›Full record

ArticleCureus2018

Association of Hemodialysis Inadequacy and Duration with Restless Legs Syndrome: A Cross-sectional Study.

Zain Ul Abideen, Syed Nayer Mahmud, Fahad Mushtaq, Muhammad Umer Farooq, Yusaf Farooq Qasim, Zamara Hamid, Amna Rasheed, Muhammad Zafran, Muhammad Nabeel Pasha, Faiqa Pirzada

Abstract read
In one paragraph

Article in Cureus, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
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

10 authors.

Zain Ul AbideenNephrology and Renal Transplant, Royal Cornwall Hospital.
Syed Nayer MahmudDepartment of Nephrology, Shifa International Hospital, Islamabad, Pakistan, Islamabad , PAK.
Fahad MushtaqShifa College of Medicine, Shifa Tameer-e-Millat University.
Muhammad Umer FarooqShifa College of Medicine, Shifa Tameer-e-Millat University.
Yusaf Farooq QasimMedicine, Shifa International Hospital, Islamabad, PAK.
Zamara HamidMedicine, Shifa International Hospital, Islamabad, PAK.
Amna RasheedDepartment of Internal Medicine, Shifa International Hospital, Islamabad, PAK.
Muhammad ZafranRespiratory Department , Royal Cornwall Hospital, Royal Cornwall Hospital, Truro, GBR.
Muhammad Nabeel PashaMedicine, Shifa International Hospital, Islamabad, PAK.
Faiqa PirzadaPediatrics, Bahawal Victoria Hospital Bahawalpur.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Restless legs syndrome (RLS) is a common neurological disorder in hemodialysis (HD) patients. It is associated with poor sleep and decreased quality of life. The precipitants for the disorder are still poorly understood. The condition has not been studied extensively in Pakistan, which has a vast majority of end-stage renal disease patients on maintenance HD. We aimed to determine the prevalence of this condition in patients attending HD units of the largest renal dialysis center in Northern Pakistan. We also strived to determine any associations with dialysis inadequacy and the total duration of HD. This was an observational study comprising 279 patients. RLS was diagnosed using the International Restless Leg Syndrome Study Group criteria. Dialysis adequacy was determined using the Urea Reduction Ratio and the Kt/V technique. The prevalence of RLS in this large HD population was 24%. Our results show that a longer duration and greater number of HD sessions were significantly associated with the development of RLS (p<0.05). Dialysis inadequacy was not associated with the development of the disorder. These results may indicate that the pro-inflammatory nature of hemodialysis may have a role in the pathophysiology of RLS in HD patients and prolonged exposure to it may make them more prone to developing the disorder.

Indexed as

hemodialysis patientsrestless legs syndrome

Identifiers

PMID29974025
PMCPMC6029741

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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.