Evidence map›Paper›PMID 30141177›Full record

ArticlePediatric nephrology (Berlin, Germany)2019

Outcomes of infants receiving chronic peritoneal dialysis: an analysis of the USRDS registry.

Keia R Sanderson, Yichun Yu, Hongying Dai, Laurel K Willig, Bradley A Warady

Abstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Bilateral renal agenesis: fetal intervention and outcomes.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Beyond Autonomy: Ethics of Decision Making About Treatments for Kidney Failure at the Extremes of Age.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Care of the pediatric patient on chronic peritoneal dialysis.Pediatric nephrology (Berlin, Germany) · 2022
    Article
  15. Review
  16. Article
  17. Caregiver burden in pediatric dialysis.Pediatric nephrology (Berlin, Germany) · 2020
    Review
  18. End-stage kidney disease in infancy: an educational review.Pediatric nephrology (Berlin, Germany) · 2020
    Review
  19. Colostomy in children on chronic peritoneal dialysis.Pediatric nephrology (Berlin, Germany) · 2020
    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

5 authors at 2 institutions in 1 country.

Keia R SandersonUniversity of North Carolina Department of Medicine-Nephrology, 7024 Burnett-Womack, CB 7155, Chapel Hill, NC, 27599, USA. keia_sanderson@med.unc.edu.ORCID 0000-0001-7759-4220
Yichun YuUniversity of North Carolina Department of Medicine-Nephrology, 7024 Burnett-Womack, CB 7155, Chapel Hill, NC, 27599, USA.
Hongying DaiChildren's Mercy Hospitals and Clinics, Kansas City, Kansas City, MO, USA.
Laurel K WilligChildren's Mercy Hospitals and Clinics, Kansas City, Kansas City, MO, USA.
Bradley A WaradyChildren's Mercy Hospitals and Clinics, Kansas City, Kansas City, MO, USA.
Children's Mercy Hospital · USUniversity of North Carolina at Chapel Hill · US

Funding

North Carolina Translational and Clinical Science Institute (NC TraCS) KL2KL2TR002490 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WEINBERGER, MORRIS · 2018 to 2022
$11.0M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
NCATS NIH HHS KL2 TR001109NCATS NIH HHS KL2TR001109NCATS NIH HHS KL2 TR002490
6 · The paper itself

Abstract

backgroundOutcome data for infants on chronic peritoneal dialysis (CPD) is limited and has been based primarily on the analyses of voluntary entry registry data. In contrast, the United States Renal Data Systems (USRDS) collects data on all infants with end-stage kidney disease (ESKD) on chronic dialysis in the USA. We aimed to describe the clinical characteristics of this population and to determine the associated patient mortality.

methodsThe USRDS database was reviewed retrospectively for data on infants who initiated CPD at ≤ 12 months of age from 1990 to 2014. Infants were categorized into four groups, CPD initiation age (≤ 1 month of age or neonates and > 1-12 months of age or older infants) and initiation era (1990-1999 and 2000-2014).

resultsA total of 1723 infants (574 neonates and 1149 older infants) were identified. Overall, 20.9% of infants (147 neonates and 213 older infants) died on dialysis during the follow-up. The most commonly identified causes of death on dialysis were cardiorespiratory disease (25.8%) and infection (22.8%). There was an increased risk for mortality in all infants who initiated CPD in the earlier initiation era (1990-1999) vs the later era (2000-2014) (aHR of 1.95), for females vs males (aHR 1.43), and for those with a primary diagnosis of cystic kidney diseases vs congenital anomalies of the kidney and urinary tract (CAKUT) (aHR 1.84). In 2000-2014, patient survival at 1 and 5 years was 86.8% and 74.6% for those who initiated CPD as neonates and 89.6% and 79.3% for those who did so as older infants.

conclusionsIn this large cohort of infants who received chronic peritoneal dialysis over more than two decades, the probability of survival after initiating CPD in the first year of life has significantly improved. There is no difference in the probability of death for neonates compared to older infants. However, the mortality rate remains substantial in association with multiple risk factors.

Indexed as

Peritoneal DialysisAge FactorsCause of DeathFemaleFollow-Up StudiesHumansInfantInfant, NewbornKidney Failure, ChronicMaleRegistriesRetrospective StudiesSurvival RateTime FactorsTreatment OutcomeUnited StatesChronic peritoneal dialysisInfantsNeonatesPediatric ESKDPeritoneal dialysis

Identifiers

PMID30141177
PMCPMC6289046
OpenAlexW2888533489

What OpenQuestion holds

Textmetadata
LicenceTDM
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.