Evidence map›Paper›PMID 31434843›Full record

ArticleJournal of atherosclerosis and thrombosis2020

The Incidence and Associated Factors of Sudden Death in Patients on Hemodialysis: 10-Year Outcome of the Q-Cohort Study.

Hiroto Hiyamuta, Shigeru Tanaka, Masatomo Taniguchi, Masanori Tokumoto, Kiichiro Fujisaki, Toshiaki Nakano, Kazuhiko Tsuruya, Takanari Kitazono

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Observational
  16. Review
  17. Article
  18. Sudden Death, A Common Cause of Death in Japanese Hemodialysis Patients.Journal of atherosclerosis and thrombosis · 2020
    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

8 authors at 3 institutions in 1 country.

Hiroto HiyamutaDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University.
Shigeru TanakaDepartment of Internal Medicine, Fukuoka Dental College.
Masatomo TaniguchiFukuoka Renal Clinic.
Masanori TokumotoDepartment of Internal Medicine, Fukuoka Dental College.
Kiichiro FujisakiDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University.
Toshiaki NakanoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University.
Kazuhiko TsuruyaDepartment of Nephrology, Nara Medical University.
Takanari KitazonoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University.
Kyushu University · JPFukuoka Dental College · JPNara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe incidence of sudden death and its risk factors in patients on hemodialysis remain unclear. This study aimed to clarify the incidence of sudden death and its risk factors in Japanese patients on hemodialysis.

methodsA total of 3505 patients on hemodialysis aged ≥ 18 years were followed for 10 years. Multivariate-adjusted hazard ratio (HR) with 95% confidence interval (95% CI) of each risk factor of sudden death were calculated using a Cox proportional hazards model.

resultsDuring the 10-year follow-up, 1735 patients died, including 227 (13%) sudden deaths. The incidence rate of sudden death was 9.13 per 1000 person-years. In multivariable-adjusted Cox analysis, male sex (HR 1.67; 95% CI 1.20-2.33), age (HR 1.44; 95% CI 1.26-1.65 per 10-year higher), the presence of diabetes (HR 2.45; 95% CI 1.82-3.29), history of cardiovascular disease (HR 1.85; 95% CI 1.38-2.46), cardiothoracic ratio (HR 1.21; 95% CI 1.07-1.39 per 5% higher), serum C-reactive protein (HR 1.11; 95% CI 1.03-1.20 per 1-mg/dL higher), and serum phosphate (HR 1.15; 95% CI 1.03-1.30 per 1-mg/dL higher) were independent predictors of sudden death. A subgroup analysis stratified by sex or age showed that lower serum corrected calcium levels, not using vitamin D receptor activators in women, and a shorter dialysis session length in men or older people (≥ 65 years) increased the risk for sudden death.

conclusionsThis study clarified the incidence of sudden death and its specific predictors in Japanese patients on hemodialysis.

Indexed as

AgedCause of DeathDeath, SuddenFemaleFollow-Up StudiesHumansJapanKidney Failure, ChronicMaleMiddle AgedPrognosisRenal DialysisSurvival RateTime FactorsAssociated factorsCardiovascular diseaseEnd-stage kidney diseaseHemodialysisSudden death

Identifiers

PMID31434843
PMCPMC7192813
OpenAlexW2969664025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.