Evidence map›Paper›PMID 32188148›Full record

ReviewNutrients2020

Intradialytic Nutrition and Hemodialysis Prescriptions: A Personalized Stepwise Approach.

Giorgina Barbara Piccoli, Francoise Lippi, Antioco Fois, Lurlynis Gendrot, Louise Nielsen, Jerome Vigreux, Antoine Chatrenet, Claudia D'Alessandro, Gianfranca Cabiddu, Adamasco Cupisti

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 52 citations in OpenAlex.

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  19. When is parenteral nutrition indicated?Journal of intensive medicine · 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

10 authors at 3 institutions in 2 countries.

Giorgina Barbara PiccoliDipartimento di Scienze Cliniche e Biologiche, Università di Torino, 10100 Torino, Italy.
Francoise LippiCentre Hospitalier Le Mans, 72037 Le Mans, France.
Antioco FoisNephrologie, Centre Hospitalier Le Mans, 72000 Le Mans, France.
Lurlynis GendrotNephrologie, Centre Hospitalier Le Mans, 72000 Le Mans, France.
Louise NielsenNephrologie, Centre Hospitalier Le Mans, 72000 Le Mans, France.
Jerome VigreuxCentre Hospitalier Le Mans, 72037 Le Mans, France.
Antoine ChatrenetCentre Hospitalier Le Mans, 72037 Le Mans, France.
Claudia D'AlessandroDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Gianfranca CabidduNephrology, Brotzu Hospital, 09100 Cagliari, Italy.
Adamasco CupistiDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Centre Hospitalier du Mans · FRUniversity of Pisa · ITAzienda Ospedaliera G. Brotzu · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dialysis and nutrition are two sides of the same coin-dialysis depurates metabolic waste that is typically produced by food intake. Hence, dietetic restrictions are commonly imposed in order to limit potassium and phosphate and avoid fluid overload. Conversely, malnutrition is a major challenge and, albeit to differing degrees, all nutritional markers are associated with survival. Dialysis-related malnutrition has a multifactorial origin related to uremic syndrome and comorbidities but also to dialysis treatment. Both an insufficient dialysis dose and excessive removal are contributing factors. It is thus not surprising that dialysis alone, without proper nutritional management, often fails to be effective in combatting malnutrition. While composite indexes can be used to identify patients with poor prognosis, none is fully satisfactory, and the definitions of malnutrition and protein energy wasting are still controversial. Furthermore, most nutritional markers and interventions were assessed in hemodialysis patients, while hemodiafiltration and peritoneal dialysis have been less extensively studied. The significant loss of albumin in these two dialysis modalities makes it extremely difficult to interpret common markers and scores. Despite these problems, hemodialysis sessions represent a valuable opportunity to monitor nutritional status and prescribe nutritional interventions, and several approaches have been tried. In this concept paper, we review the current evidence on intradialytic nutrition and propose an algorithm for adapting nutritional interventions to individual patients.

Indexed as

AlgorithmsMalnutritionParenteral NutritionPeritoneal DialysisPrecision MedicineFemaleHumansKidney Failure, ChronicMaleMiddle AgedNutritional Statusalbumincomorbiditydialysis efficiencyelderlyhemodiafiltrationhemodialysisKt/VmalnutritionMIS index

Identifiers

PMID32188148
PMCPMC7146606
OpenAlexW3011426202

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.