Evidence map›Paper›PMID 30097064›Full record

Trial reportBMC nephrology2018

Effect of haemodiafiltration vs conventional haemodialysis on growth and cardiovascular outcomes in children - the HDF, heart and height (3H) study.

Rukshana Shroff, Aysun Bayazit, Constantinos J Stefanidis, Varvara Askiti, Karolis Azukaitis, Nur Canpolat, Ayse Agbas, Ali Anarat, Bilal Aoun, Sevcan Bakkaloglu and 31 more

Registry-linked trialAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02063776 (The Effects of Haemodiafiltration), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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.

NCT02063776 unknown statusnot on this map

The Effects of Haemodiafiltration (HDF) vs Conventional Haemodialysis (HD) on Growth and Cardiovascular Markers in Children - 3H (HDF, Hearts and Height) Study

TypeobservationalSponsorGreat Ormond Street Hospital for Children NHS Foundation TrustRan2014 to 2019Enrolled150ConditionsChildren, Haemodialysis, Haemodiafiltration
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Haemodiafiltration versus high-flux haemodialysis-a Consensus Statement from the EuDial Working Group of the ERA.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Review
  15. Article
  16. Cardiovascular risk factors in children on dialysis: an update.Pediatric nephrology (Berlin, Germany) · 2020
    Review
  17. Nephrology and Public Policy Committee propositions to stimulate research collaboration in adults and children in Europe.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2019
    Article
  18. Article
  19. Article
  20. Observational
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

41 authors.

Rukshana ShroffGreat Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, UK. Rukshana.Shroff@gosh.nhs.uk.ORCID 0000-0001-8501-1072
Aysun BayazitCukurova University, Adana, Turkey.
Constantinos J StefanidisA & P Kyriakou Children's Hospital, Athens, Greece.
Varvara AskitiA & P Kyriakou Children's Hospital, Athens, Greece.
Karolis AzukaitisClinic of Paediatrics, Vilnius University, Vilnius, Lithuania.
Nur CanpolatCerrahpasa School of Medicine, Istanbul, Turkey.
Ayse AgbasCerrahpasa School of Medicine, Istanbul, Turkey.
Ali AnaratCukurova University, Adana, Turkey.
Bilal AounArmand Trousseau Hospital, Paris, France.
Sevcan BakkalogluGazi University Hospital, Ankara, Turkey.
Devina BhowruthGreat Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, UK.
Dagmara Borzych-DużałkaMedical University of Gdansk, Gdansk, Poland.
Ipek Kaplan BulutEge University Faculty of Medicine, Izmir, Turkey.
Rainer BüscherUniversity Children Hospital Essen, Essen, Germany.
Claire DempsterGreat Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, UK.
Ali DuzovaHacettepe University, Ankara, Turkey.
Sandra HabbigUniversity Hospital Cologne, Cologne, Germany.
Wesley HayesGreat Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, UK.
Shivram HegdeUniversity Hospital of Wales, Cardiff, UK.
Saoussen KridHôpital Necker-Enfants Malades, Paris, France.
Christoph LichtHospital for Sick Children, Toronto, Canada.
Mieczyslaw LitwinChildren's Memorial Health Institute, Warsaw, Poland.
Mark MayesGreat Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, UK.
Sevgi MirEge University Faculty of Medicine, Izmir, Turkey.
Rose NemecHospital for Sick Children, Toronto, Canada.
Lukasz ObryckiChildren's Memorial Health Institute, Warsaw, Poland.
Fabio PaglialongaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Stefano PiccaBambino Gesù' Children Research Hospital, IRCCS, Rome, Italy.
Bruno RanchinHôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.
Charlotte SamailleHôpital Jeanne De Flandre, Lille Cedex, France.
Mohan ShenoyRoyal Manchester Children's Hospital, Manchester, UK.
Manish SinhaEvelina Children's Hospital, London, UK.
Colette SmithInstitute for Global Health, UCL, London, UK.
Brankica SpasojevicUniversity Children's Hospital, Belgrade, Serbia.
Enrico VidalPediatric Dialysis and Transplant Unit, Padova, Italy.
Karel VondrákUniversity Hospital Motol, Prague, Czech Republic.
Alev YilmazIstanbul University Faculty of Medical, Istanbul, Turkey.
Ariane ZaloszycChildren's Dialysis Center, Strasbourg, France.
Michel FischbachChildren's Dialysis Center, Strasbourg, France.
Franz SchaeferCenter for Pediatrics and Adolescent Medicine, Heidelberg, Germany.
Claus Peter SchmittCenter for Pediatrics and Adolescent Medicine, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease is prevalent in children on dialysis and accounts for almost 30% of all deaths. Randomised trials in adults suggest that haemodiafiltration (HDF) with high convection volumes is associated with reduced cardiovascular mortality compared to high-flux haemodialysis (HD); however paediatric data are scarce. We designed the haemodiafiltration, heart and height (3H) study to test the hypothesis that children on HDF have an improved cardiovascular risk profile, growth and nutritional status and quality of life, compared to those on conventional HD. We performed a non-randomised parallel-arm intervention study within the International Paediatric Haemodialysis Network Registry comparing children on HDF and conventional HD to determine annualised change in cardiovascular end-points and growth. Here we present the 3H study design and baseline characteristics of the study population.

methods190 children were screened and 177 (106 on HD and 71 on HDF) recruited from 28 centres in 10 countries. There was no difference in age, underlying diagnosis, comorbidities, previous dialysis therapy, dialysis vintage, residual renal function, type of vascular access or blood flow between HD and HDF groups. High flux dialysers were used in 63% of HD patients and ultra-pure water was available in 52%. HDF patients achieved a median convection volume of 13.3 L/m DISCUSSION: This is the largest study on dialysis outcomes in children that involves deep phenotyping across a wide range of cardiovascular, anthropometric, nutritional and health-related quality of life measures, to test the hypothesis that HDF leads to improved cardiovascular and growth outcomes compared to conventional HD.

trial registrationClinicalTrials.gov: NCT02063776 . The trial was prospectively registered on the 14 Feb 2014.

Indexed as

AdolescentBody HeightCardiovascular DiseasesChildChild DevelopmentChild, PreschoolFemaleHeartHemodiafiltrationHumansKidney Failure, ChronicMaleProspective StudiesQuality of LifeRenal DialysisTreatment OutcomeCardiovascularCarotid intima media thickness (IMT)ChildrenGrowthHaemodiafiltration (HDF)Haemodialysis (HD)

Identifiers

PMID30097064
PMCPMC6086045

What OpenQuestion holds

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Registered trials

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.