Evidence map›Paper›PMID 30384369›Full record

ArticleNephron2019

Geriatric Assessment in Elderly Patients with End-Stage Kidney Disease.

Namiko A Goto, Ismay N van Loon, Moira I Morpey, Marianne C Verhaar, Hanna C Willems, Mariëlle H Emmelot-Vonk, Michiel L Bots, Franciscus T J Boereboom, Marije E Hamaker

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Nephron, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Review
  10. Review
  11. Dialysis in the Elderly: A Practical Guide for the Clinician.International journal of nephrology · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Observational
  19. Review
  20. 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

9 authors at 6 institutions in 1 country.

Namiko A GotoDianet Dialysis Center, Utrecht, The Netherlands, n.a.goto@umcutrecht.nl.
Ismay N van LoonDianet Dialysis Center, Utrecht, The Netherlands.
Moira I MorpeyDepartment of Internal Medicine, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Marianne C VerhaarDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Hanna C WillemsDepartment of Geriatrics, Academic Medical Center Amsterdam, Amsterdam, The Netherlands.
Mariëlle H Emmelot-VonkDepartment of Geriatrics, University Medical Center Utrecht, Utrecht, The Netherlands.
Michiel L BotsJulius center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Franciscus T J BoereboomDianet Dialysis Center, Utrecht, The Netherlands.
Marije E HamakerDepartment of Geriatrics, Diakonessenhuis Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLDianet · NLAcademic Medical Center · NLAlbert Schweitzer Ziekenhuis · NLDiakonessenhuis hospital · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsDecision-making in elderly patients considering dialysis is highly complex. With the increasing number of elderly with end-stage kidney disease (ESKD), it may be important to assess geriatric impairments in this population. The aim of the Geriatric assessment in OLder patients starting Dialysis (GOLD) study was to assess the prevalence of geriatric impairments and frailty in the elderly ESKD population by means of a geriatric assessment (GA), which is a comprehensive tool for overall health assessment.

methodsThis study included 285 patients ≥65 years: 196 patients at the time of dialysis initiation and 89 patients who chose maximal conservative management (MCM). The GA assessed cognition, mood, nutritional status, (instrumental) activities of daily living (ADL), mobility, comorbidity burden, quality of life and overall frailty.

resultsThe mean age of the participants was 78 years and 36% were women. Of the incident dialysis patients, 77% started haemodialysis and 23% started peritoneal dialysis. Geriatric impairments were highly prevalent in both dialysis and MCM patients. Most frequently impaired geriatric domains in the dialysis group were functional performance (ADL 29%, instrumental ADL (iADL) 79%), cognition (67%) and comorbidity (41%). According to the GA, 77% in the dialysis group and 88% in the MCM group had 2 or more geriatric impairments. In the MCM group, functional impairment (ADL 45%, iADL 85%) was highly prevalent.

conclusionsGeriatric impairments are highly prevalent in the elderly ESKD population. Since impairments can be missed when not searched for in regular (pre)dialysis care, the first step of improving nephrologic care is awareness of the extensiveness of geriatric impairment.

Indexed as

Activities of Daily LivingAffectAgedAged, 80 and overCognitionComorbidityConservative TreatmentFemaleFrailtyGeriatric AssessmentHumansKidney Failure, ChronicMaleNutritional StatusPrevalenceRenal DialysisDialysisElderlyEnd-stage kidney diseaseFrailtyGeriatric assessment

Identifiers

PMID30384369
PMCPMC6381867
OpenAlexW2899202809

What OpenQuestion holds

Textmetadata
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.