Evidence map›Paper›PMID 32272776›Full record

Trial reportToxins2020

Protein-Bound Uremic Toxins in Hemodialysis Patients Relate to Residual Kidney Function, Are Not Influenced by Convective Transport, and Do Not Relate to Outcome.

Maaike K van Gelder, Igor R Middel, Robin W M Vernooij, Michiel L Bots, Marianne C Verhaar, Rosalinde Masereeuw, Muriel P Grooteman, Menso J Nubé, M A van den Dorpel, Peter J Blankestijn and 2 more

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Toxins, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Renal failure · 2022
    Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. A guide to uraemic toxicity.Nature reviews. Nephrology · 2026
    Review
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Effects ofLife (Basel, Switzerland) · 2025
    Article
  17. Article
  18. Review
  19. Article
  20. Review
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 4 institutions in 1 country.

Maaike K van GelderDepartment of Nephrology and Hypertension, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.
Igor R MiddelDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3584 CG Utrecht, The Netherlands.
Robin W M VernooijDepartment of Nephrology and Hypertension, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.
Michiel L BotsJulius Center for Health Sciences and Primary Care, University Utrecht, 3584 CG Utrecht, The Netherlands.
Marianne C VerhaarDepartment of Nephrology and Hypertension, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.ORCID 0000-0002-3276-6428
Rosalinde MasereeuwDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3584 CG Utrecht, The Netherlands.ORCID 0000-0002-1560-1074
Muriel P GrootemanAmsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Nephrology, 1081 HV Amsterdam, The Netherlands.
Menso J NubéAmsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Nephrology, 1081 HV Amsterdam, The Netherlands.
M A van den DorpelDepartment of Internal Medicine, Maasstad Hospital, 3079 DZ Rotterdam, The Netherlands.
Peter J BlankestijnDepartment of Nephrology and Hypertension, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.
Maarten B RookmaakerDepartment of Nephrology and Hypertension, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.
Karin G F GerritsenDepartment of Nephrology and Hypertension, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.
University Medical Center Utrecht · NLAmsterdam University Medical Centers · NLUtrecht University · NLMaasstad Ziekenhuis · NL

Funding

Amgen BV Netherlands NADr. E.E. Twiss Fund, Roche Netherlands NADutch Kidney Foundation grant C02.2019Fresenius Medical Care NAthe Dutch Organization for Health Research and Development (ZonMW) 17088.2802the International Society of Nephrology/Baxter Extramural Grant Program NA
6 · The paper itself

Abstract

Protein-bound uremic toxins (PBUTs) are predominantly excreted by renal tubular secretion and hardly removed by traditional hemodialysis (HD). Accumulation of PBUTs is proposed to contribute to the increased morbidity and mortality of patients with end-stage kidney disease (ESKD). Preserved PBUT excretion in patients with residual kidney function (RKF) and/or increased PBUT clearance with improved dialysis techniques might improve the prognosis of patients with ESKD. The aims of this study are to explore determinants of PBUTs in HD patients, and investigate whether hemodiafiltration (HDF) lowers PBUT plasma concentrations, and whether PBUTs are related to the outcome. Predialysis total plasma concentrations of kynurenine, kynurenic acid, indoxyl sulfate, indole-3-acetic acid, p-cresyl sulfate, p-cresyl glucuronide, and hippuric acid were measured by UHPLC-MS at baseline and after 6 months of follow-up in the first 80 patients participating in the CONvective TRAnsport Study (CONTRAST), a randomized controlled trial that compared the effects of online HDF versus low-flux HD on all-cause mortality and new cardiovascular events. RKF was inversely related to kynurenic acid (

Indexed as

HemodiafiltrationRenal DialysisAgedBiomarkersBlood ProteinsCardiovascular DiseasesFemaleHumansKidneyKidney Failure, ChronicMaleMiddle AgedNetherlandsProtein BindingRenal EliminationTime FactorsBiomarkersBlood ProteinsToxins, BiologicalconvectionEnd-stage kidney diseasehemodiafiltrationhemodialysisProtein-bound uremic toxinresidual kidney function

Identifiers

PMID32272776
PMCPMC7232478
OpenAlexW3016092116

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.