Evidence map›Paper›PMID 30848066›Full record

ArticleHemodialysis international. International Symposium on Home Hemodialysis2019

Brain natriuretic peptide reflects individual variation in hydration status in hemodialysis patients.

Jenny Stenberg, Jan Melin, Magnus Lindberg, Hans Furuland

Open access · hybridAbstract read
In one paragraph

Article in Hemodialysis international. International Symposium on Home Hemodialysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

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  11. Natriuretic peptides, extracellular volume, and subclinical cardiovascular changes in chronic kidney disease stages 1-3: a pilot study.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2022
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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 1 institution in 1 country.

Jenny StenbergDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2408-0087
Jan MelinDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Magnus LindbergDepartment of Health and Caring Sciences, University of Gävle, Gävle, Sweden.ORCID 0000-0003-1289-9896
Hans FurulandDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Uppsala University · SE

Funding

CUWX Counties Renal Patients' FoundationSigne and Olof Wallenius FoundationUppsala County Council
6 · The paper itself

Abstract

introductionFluid management in hemodialysis patients is a controversial topic. Brain natriuretic peptide (BNP) is secreted from the heart in response to volume overload, and may be a marker of overhydration in hemodialysis patients. Our aim was to investigate the correlation between BNP and overhydration in a cohort of hemodialysis patients, and to find out whether BNP and overhydration correlate in repeated measurements within individuals with elevated BNP.

methodsThe study was prospective, observational, and had a cross-sectional part and a longitudinal follow-up. The distribution of BNP was investigated in a cohort of 64 hemodialysis patients. Blood samples and bioimpedance spectroscopy measurements were performed before midweek dialysis. Subsequently, 11 study participants with elevated BNP concentrations (>500 pg/mL) were assessed in another nine dialysis sessions each. These individuals also had their cardiac function and heart rate variability (HRV) examined.

findingsBNP was above 500 pg/mL in 38% of the participants, and correlated positively with overhydration (r DISCUSSION: BNP correlates positively to overhydration, malnutrition, and inflammation. In a subgroup of patients with elevated BNP, who are mainly elderly and frail, BNP reflects individual variation in hydration status, and hence seems to be a modifiable marker of overhydration. These data suggest that BNP is best applied for measuring changes in hydration status within an individual over time.

Indexed as

AgedBiomarkersCohort StudiesCross-Sectional StudiesFemaleHumansKidney Failure, ChronicLongitudinal StudiesMaleMiddle AgedNatriuretic Peptide, BrainProspective StudiesRenal DialysisBiomarkersNatriuretic Peptide, Brainbioimpedancebrain natriuretic peptide (BNP)Fluid overloadhemodialysisrepeated measurements

Identifiers

PMID30848066
PMCPMC6850372
OpenAlexW2921274029

What OpenQuestion holds

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LicenceCC BY-NC
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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.