Evidence map›Paper›PMID 30675418›Full record

ArticleKidney international supplements2016

Renal replacement therapy for refugees with end-stage kidney disease: an international survey of the nephrological community.

Wim Van Biesen, Raymond Vanholder, Bert Vanderhaegen, Norbert Lameire, Christoph Wanner, Andrzej Wiecek, Mehmet S Sever, Johan Feehally, Remuyza Kazancioglu, Eric Rondeau and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Kidney international supplements, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

21 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. CKD in Migrants: From Epidemiology to Challenges.Kidney international reports · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Distribution, preparedness and management of Ukrainian adult refugees on dialysis-an international survey by the Renal Disaster Relief Task Force of the European Renal Association.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  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

12 authors at 9 institutions in 8 countries.

Wim Van BiesenRenal Division, Ghent University Hospital, Ghent, Belgium.
Raymond VanholderRenal Division, Ghent University Hospital, Ghent, Belgium.
Bert VanderhaegenHospital and Research Ethics Committee, Ghent University Hospital, Ghent, Belgium.
Norbert LameireRenal Division, Ghent University Hospital, Ghent, Belgium.
Christoph WannerEuropean Renal Association-European Dialysis and Transplant Association (ERA-EDTA), Parma, Italy.
Andrzej WiecekEuropean Renal Association-European Dialysis and Transplant Association (ERA-EDTA), Parma, Italy.
Mehmet S SeverRenal Disaster Relief Task Force (RDRTF), International Society of Nephrology, Ghent, Belgium.
Johan FeehallyThe International Society of Nephrology, Brussels, Belgium.
Remuyza KazanciogluThe International Society of Nephrology, Brussels, Belgium.
Eric RondeauThe International Society of Nephrology, Brussels, Belgium.
Adeera LevinThe International Society of Nephrology, Brussels, Belgium.
David HarrisThe International Society of Nephrology, Brussels, Belgium.
Ghent University Hospital · BEBezmiâlem Vakıf Üniversitesi · TRIstanbul University · TRLeicester General Hospital · GBMedical University of Silesia · PLSorbonne Université · FRThe University of Sydney · AUUniversitätsklinikum Würzburg · DEUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Provision of health care for refugees poses many political, economical, and ethical questions. Data on the prevalence and management of refugees with end-stage kidney disease (ESKD) are scant. Nevertheless, the impact of refugees in need for renal replacement can be as high for the patient as for the receiving centers. The International Society of Nephrology and the European Renal Association/European Dialysis and Transplant Association surveyed their membership through Survey Monkey questionnaires to obtain data on epidemiology and management practices of refugees with ESKD. Refugees represent 1.5% of the dialysis population, but their geographic distribution is very skewed: ±60% of centers treat 0, 15% treat 1, and a limited number of centers treat >20 refugees. Knowledge on financial and legal management of these patients is low. There is a lack of a structured approach by the government. Most respondents stated we have a moral duty to treat refugee patients with ESKD. Cultural rather than linguistic differences were perceived as a barrier for optimal care. Provision of dialysis for refugees with ESKD seems sustainable and logistically feasible, as they are only 1.5% of the regular dialysis population, but the skewed distribution potentially threatens optimal care. There is a need for education on financial and legal aspects of management of refugees with ESKD. Clear guidance from governing bodies should avoid unacceptable ethical dilemmas for the individual physician. Such strategies should balance access to care for all with equity and solidarity without jeopardizing the health care of the local population.

Indexed as

chronic kidney diseaseend-stage kidney diseaserefugeerenal replacement therapy

Identifiers

PMID30675418
PMCPMC6340918
OpenAlexW2554448404

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.