Evidence map›Paper›PMID 30626347›Full record

ArticleBMC nephrology2019

IHDIP: a controlled randomized trial to assess the security and effectiveness of the incremental hemodialysis in incident patients.

Javier Deira, Miguel A Suárez, Francisca López, Emilio García-Cabrera, Antonio Gascón, Eduardo Torregrosa, Giannina E García, Jorge Huertas, Jose C de la Flor, Suleya Puello and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03239808 (Assessment of the Incremental Haemodialysis Security and Effectiveness in Incident Patients), 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
3.7field-weighted citation impact, top 7% 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.

NCT03239808 naactive not recruitingnot on this map

Assessment of the Incremental Haemodialysis Security and Effectiveness in Incident Patients

TypeinterventionalSponsorFundación para la Formación e Investigación de los Profesionales de la Salud de ExtremaduraRan2018 to 2025Enrolled152ConditionsRenal Disease, End-StageArmsIncremental haemodialysis, Conventional haemodialysis
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 43 citations in OpenAlex.

  1. Ten tips for the first hemodialysis sessions.Clinical kidney journal · 2026
    Review
  2. Review
  3. Observational
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Incremental dialysis: two complementary views.Clinical kidney journal · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Narrative Review of Incremental Hemodialysis.Kidney international reports · 2020
    Review
  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

19 authors at 15 institutions in 3 countries.

Javier DeiraHospital San Pedro de Alcantara, Cáceres, Spain. deiralorenzo@gmail.com.ORCID 0000-0002-8873-6260
Miguel A SuárezHospital Virgen Del Puerto, Plasencia, Spain.
Francisca LópezHospital Costa del Sol, Marbella, Spain.
Emilio García-CabreraDelos Clinical Research Organization, Sevilla, Spain.
Antonio GascónHospital Obispo Polanco, Teruel, Spain.
Eduardo TorregrosaHospital de Manises, Valencia, Spain.
Giannina E GarcíaHospital Arquitecto Marcide, Ferrol, Spain.
Jorge HuertasHospital de Especialidades de las Fuerzas Armadas, Quito, Ecuador.
Jose C de la FlorHospital Central de la Defensa Gómez Ulla, Madrid, Spain.
Suleya PuelloHospital Clínico Universitario, Santiago de Compostela, Spain.
Jonathan Gómez-RajaFundeSalud, Mérida, Spain.
Jesús GrandeHospital Virgen de la Concha, Zamora, Spain.
José L LermaComplejo Asistencial Universitario, Salamanca, Spain.
Carlos CorradinoHospital Durand de Buenos Aires, Buenos Aires, Argentina.
Carlos MussoHospital Durand de Buenos Aires, Buenos Aires, Argentina.
Manuel RamosHospital de Jerez, Cádiz, Spain.
Jesús MartínHospital Nuestra Sra. de Sonsoles, Ávila, Spain.
Carlo BasileClinical Research Branch, Division of Nephrology, Miulli General Hospital, Acquaviva delle Fonti, Bari, Italy.
Francesco G CasinoClinical Research Branch, Division of Nephrology, Miulli General Hospital, Acquaviva delle Fonti, Bari, Italy.
El Hospital General de Agudos Carlos G. Durand · AROspedale Generale Regionale Francesco Miulli · ITComplejo Hospitalario de Salamanca · ESComplejo Hospitalario Universitario de Ferrol · ESComplejo Hospitalario Universitario de Santiago · ESDelos Clinical · ESHospital Central de la Defensa Gómez Ulla · ESHospital Costa del Sol · ESHospital de Manises · ESHospital Jerez Puerta del Sur · ESHospital Nuestra Señora de Alarcos · ESHospital Obispo Polanco · ESHospital San Pedro de Alcántara · ESHospital Virgen de la Concha · ESHospital Virgen del Puerto · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost people who make the transition to renal replacement therapy (RRT) are treated with a fixed dose thrice-weekly hemodialysis réegimen, without considering their residual kidney function (RKF). Recent papers inform us that incremental hemodialysis is associated with preservation of RKF, whenever compared with conventional hemodialysis. The objective of the present controlled randomized trial (RCT) is to determine if start HD with one sessions per week (1-Wk/HD), it is associated with better patient survival and other safety parameters. METHODS/

designIHDIP is a multicenter RCT experimental open trial. It is randomized in a 1:1 ratio and controlled through usual clinical practice, with a low intervention level and non-commercial. It includes 152 incident patients older than 18 years, with a RRF of ≥4 ml/min/1.73 m2, measured by renal clearance of urea (KrU). The intervention group includes 76 patients who will start with incremental HD (1-Wk/HD). The control group includes 76 patients who will start with thrice-weekly hemodialysis régimen. The primary outcome is assessing the survival rate, while the secondary outcomes are the morbidity rate, the clinical parameters, the quality of life and the efficiency. DISCUSSION: This study will enable to know the number of sessions a patient should receive when starting HD, depending on his RRF. The potentially important clinical and financial implications of incremental hemodialysis warrant this RCT.

trial registrationU.S. National Institutes of Health, ClinicalTrials.gov . Number: NCT03239808 , completed 13/04/2017. SPONSOR: Foundation for Training and Research of Health Professionals of Extremadura.

Indexed as

CreatinineHumansKidneyMulticenter Studies as TopicOutcome Assessment, Health CareProspective StudiesRandomized Controlled Trials as TopicRenal DialysisUreaCreatinineUreaIncremental haemodialysis progressive hemodialysisOnce-weekly haemodialysisRandomized clinical trialTwice-weekly haemodialysis

Identifiers

PMID30626347
PMCPMC6325813
OpenAlexW2910316024

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.