Evidence map›Paper›PMID 30603002›Full record

SynthesisAfrican health sciences2018

A meta-analysis of phosphate binders lanthanum carbonate versus sevelamer hydrochloride in patients with end-stage renal disease undergoing hemodialysis.

Tianbiao Zhou, Hongyan Li, Weiji Xie, Zhijun Lin

Open access · diamondAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in African health sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

4 authors at 3 institutions in 1 country.

Tianbiao ZhouDepartment of Nephrology, the Second Affiliated Hospital of Shantou University Medical College, 515041, Shantou, China.
Hongyan LiDepartment of Nephrology, Huadu District People's Hospital of Guangzhou, Southern Medical University, Guangzhou, 510800, China.
Weiji XieDepartment of Nephrology, the Second Affiliated Hospital of Shantou University Medical College, 515041, Shantou, China.
Zhijun LinDepartment of Nephrology, the Second Affiliated Hospital of Shantou University Medical College, 515041, Shantou, China.
Second Affiliated Hospital of Shantou University Medical College · CNShantou University · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe purpose of this study was to compare the effects of phosphate binders lanthanum carbonate (LC) versus sevelamer hydrochloride (SH) in end-stage renal disease (ESRD) patients undergoing hemodialysis.

methodsStudies including randomized controlled trials (RCTs) comparing phosphate binders lanthanum carbonate versus sevelamer hydrochloride, in ESRD patients undergoing hemodialysis, were identified using a pre-defined search strategy. Phosphate, calcium, calcium-phosphorus product, intact parathyroid hormone, alkaline phosphatase, total cholesterol, and triglyceride were extracted and compared by RevMan 5.1 (The Cochrane Collaboration, Oxford, UK).

resultsSix studies were identified. Meta-analysis showed that SH treatment reduced levels of phosphate, intact parathyroid hormone, and total serum alkaline phosphatase (ALP) when compared with LC treatment. Furthermore, patients on SH treatment tended to have reduced calcium levels, calcium-phosphorus product, total cholesterol, and triglyceride when compared to patients treated with LC, but there was no statistical difference.

conclusionSH treatment of patients with ESRD is more effective compared to LC treatment. However, more well-designed random control trails are required for confirmation.

Indexed as

Alkaline PhosphataseCalciumChelating AgentsCholesterolHumansKidney Failure, ChronicLanthanumParathyroid HormonePhosphatesRenal DialysisSevelamerTreatment OutcomeTriglyceridesAlkaline PhosphataseCalciumChelating AgentsCholesterolLanthanumlanthanum carbonateParathyroid HormonePhosphatesSevelamerTriglyceridesEnd-stage renal diseasehemodialysislanthanum carbonate (LC)meta-analysisphosphate binderssevelamer hydrochloride (SH)

Identifiers

PMID30603002
PMCPMC6307018
OpenAlexW2886039934

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.