Evidence map›Paper›PMID 30096785›Full record

Observational studyNutrients2018

Does a Supplemental Low-Protein Diet Decrease Mortality and Adverse Events After Commencing Dialysis? A Nationwide Cohort Study.

Chieh-Li Yen, Kun-Hua Tu, Ming-Shyan Lin, Su-Wei Chang, Pei-Chun Fan, Ching-Chung Hsiao, Chao-Yu Chen, Hsiang-Hao Hsu, Ya-Chun Tian, Chih-Hsiang Chang

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
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  4. Cost-effectiveness of a ketoanalogue-supplemented very low-protein diet in CKD.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
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  6. Observational
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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

10 authors at 3 institutions in 1 country.

Chieh-Li YenKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan. b9102087@yahoo.com.tw.
Kun-Hua TuKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan. 8902086@cgmh.org.tw.
Ming-Shyan LinDepartment of Cardiology, Chang Gung Memorial Hospital, Chiayi branch, Chiayi 61363, Taiwan. mingshyan@cgmh.org.tw.ORCID 0000-0001-9348-8153
Su-Wei ChangClinical Informatics and Medical Statistics Research Center, College of Medicine, Chang Gung University, Taoyuan 33341, Taiwan. shwchang@mail.cgu.edu.tw.
Pei-Chun FanKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan. franwis1023@gmail.com.
Ching-Chung HsiaoKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan. colinhua0123@gmail.com.
Chao-Yu ChenKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan. Chaoyuclaire@gmail.com.
Hsiang-Hao HsuKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan. hsianghao@gmail.com.
Ya-Chun TianKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan. dryctian@yahoo.com.
Chih-Hsiang ChangKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan. franwisandsun@gmail.com.
Chang Gung Memorial Hospital · TWChang Gung University · TWChiayi Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA beneficial effect of a ketoanalogue-supplemented low-protein diet (sLPD) in postponing dialysis has been demonstrated in numerous previous studies. However, evidence regarding its effect on long-term survival is limited. Our study assessed the long-term outcomes of patients on an sLPD after commencing dialysis.

methodsThis retrospective study examined patients with new-onset end-stage renal disease with permanent dialysis between 2001 and 2013, extracted from Taiwan's National Health Insurance Research Database. Patients who received more than 3 months of sLPD treatment in the year preceding the start of dialysis were extracted. The outcomes studied were all-cause mortality, infection rate, and major cardiac and cerebrovascular events (MACCEs).

resultsAfter propensity score matching, the sLPD group (

conclusionWe found that sLPD treatment might be safe without long-term negative consequences after dialysis treatment.

Indexed as

AgedCause of DeathDatabases, FactualDiet, Protein-RestrictedFemaleHumansMaleMiddle AgedRenal DialysisRenal Insufficiency, ChronicRetrospective StudiesRisk AssessmentRisk FactorsTaiwanTime FactorsTreatment Outcomeadverse eventschronic kidney diseaseketoacidslow-protein dietnutritionsurvival

Identifiers

PMID30096785
PMCPMC6115816
OpenAlexW2885201653

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.