Evidence map›Paper›PMID 32296520›Full record

ArticleClinical kidney journal2020

Urgent-start peritoneal dialysis results in fewer procedures than hemodialysis.

Delin Wang, Nathan Calabro-Kailukaitis, Mahmoud Mowafy, Eric S Kerns, Khetisuda Suvarnasuddhi, Jonah Licht, Sun H Ahn, Susie L Hu

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical kidney journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

8 authors at 3 institutions in 1 country.

Delin WangDivision of Kidney Diseases and Hypertension, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Nathan Calabro-KailukaitisDivision of Kidney Diseases and Hypertension, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Mahmoud MowafyDivision of Kidney Diseases and Hypertension, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Eric S KernsDivision of Kidney Diseases and Hypertension, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Khetisuda SuvarnasuddhiDivision of Kidney Diseases and Hypertension, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Jonah LichtDivision of Kidney Diseases and Hypertension, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Sun H AhnDivision of Kidney Diseases and Hypertension, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Susie L HuDivision of Kidney Diseases and Hypertension, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Brown University · USAspirus · USProvidence College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeritoneal dialysis (PD) is an underutilized modality for hospitalized patients with an urgent need to start renal replacement therapy in the USA. Most patients begin hemodialysis (HD) with a tunneled central venous catheter (CVC).

methodsWe examined the long-term burden of dialysis modality-related access procedures with urgent-start PD and urgent-start HD in a retrospective cohort of 73 adults. The number of access-related (mechanical and infection-related) procedures for each modality was compared in the first 30 days and cumulatively through the duration of follow-up.

resultsFifty patients underwent CVC placement for HD and 23 patients underwent PD catheter placement for urgent-start dialysis. Patients were followed on average >1 year. The PD group was significantly younger, with less diabetes, with a higher pre-dialysis serum creatinine and more likely to have a planned dialysis access. The mean number of access-related procedures per patient in the two groups was not different at 30 days; however, when compared over the duration of follow-up, the number of access-related procedures was significantly higher in the HD group compared with the PD group (4.6 ± 3.9 versus 0.61 ± 0.84, P < 0.0001). This difference persisted when standardized to procedures per patient-month (0.37 ± 0.57 versus 0.081 ± 0.18, P = 0.019). Infection-related procedures were similar between groups. Findings were the same even after case-matching was performed for age and diabetes mellitus with 18 patients in each group.

conclusionsUrgent-start PD results in fewer invasive access procedures compared with urgent-start HD long term, and should be considered for urgent-start dialysis.

Indexed as

access-related proceduresend-stage renal diseaseurgent-start hemodialysisurgent-start peritoneal dialysis

Identifiers

PMID32296520
PMCPMC7147319
OpenAlexW2945502233

What OpenQuestion holds

Textmetadata
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.