Evidence map›Paper›PMID 32352233›Full record

Observational studyTherapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy2021

Medium cut-off dialyzers in a large population of hemodialysis patients in Colombia: COREXH registry.

Alfonso Bunch, Ricardo Sanchez, Lars-Göran Nilsson, Angelito A Bernardo, Jasmin I Vesga, Fredy Ardila, Ivan M Guerrero, Rafael M Sanabria, Angela S Rivera, Colombian Registry of Expanded Hemodialysis investigators

Abstract readObservational Study
In one paragraph

Observational study in Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, 2021. 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
–field-weighted citation impact
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.

  1. Trial
  2. Expanded hemodialysis as effective alternative to on-line hemodiafiltration: A randomized mid-term clinical trial.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2022
    Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. An initial evaluation of expanded hemodialysis on hospitalizations, drug utilization, costs, and patient utility in Colombia.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2021
    Article
  14. Review
  15. Medium cut-off dialyzers in a large population of hemodialysis patients in Colombia: COREXH registry.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2021
    Observational
  16. Slipping Through the Pores: Hypoalbuminemia and Albumin Loss During Hemodialysis.International journal of nephrology and renovascular disease · 2021
    Review
  17. 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

10 authors.

Alfonso BunchMedical Department, Renal Therapy Services-Latin America, Bogotá, DC, Colombia.
Ricardo SanchezEpidemiology Department, Universidad Nacional de Colombia, Bogotá, DC, Colombia.
Lars-Göran NilssonMedical Affairs, Baxter Healthcare Corporation, Deerfield, Illinois, USA.
Angelito A BernardoMedical Affairs, Baxter Healthcare Corporation, Deerfield, Illinois, USA.
Jasmin I VesgaMedical Department, Renal Therapy Services-Colombia, Bogotá, DC, Colombia.
Fredy ArdilaMedical Department, Renal Therapy Services-Colombia, Bogotá, DC, Colombia.
Ivan M GuerreroNephrology Department, Renal Therapy Services-Barranquilla, Barranquilla, Colombia.
Rafael M SanabriaMedical Department, Renal Therapy Services-Latin America, Bogotá, DC, Colombia.ORCID https://orcid.org/0000-0002-5111-9832
Angela S RiveraMedical Affairs, Baxter Healthcare Corporation, Deerfield, Illinois, USA.
Colombian Registry of Expanded Hemodialysis investigators

Funding

Baxter Healthcare CorporationBaxter Health Corporation
6 · The paper itself

Abstract

Expanded hemodialysis (HDx) provides increased clearance of conventional and large middle molecules through innovative medium cutoff (MCO) membranes. However, there is a paucity of real-world data regarding the benefits and safety of HDx. This large observational study evaluated outcomes among patients in Colombia undergoing HDx at a extended dialysis clinical services provider. This was a prospective single cohort study of prevalent patients who were treated with HDx; baseline information was collected from the most recent data before patients were started on HDx. Patients were followed prospectively for 1 year for changes in serum albumin and other laboratory parameters compared with the baseline. Survival, hospitalization and safety were assessed from the start of HDx. A total of 1000 patients were invited to enroll; 992 patients met the inclusion criteria for data analysis and 638 patients completed the year of follow-up. Seventy-four (8%) patients died during 866 patient-years (PY) of follow-up; the mortality rate was 8.54 deaths/100 PY (95% confidence interval [CI], 6.8-10.7). There were 673 hospitalization events with a rate of 0.79 events/PY (95% CI, 0.73-0.85) with 6.91 hospital days/PY (95% CI, 6.74-7.09). The observed variability from baseline and maximum average change in mean serum albumin levels were -1.8% and -3.5%, respectively. No adverse events were related to the MCO membrane. HDx using an MCO membrane maintains stable serum albumin levels and is safe in terms of nonoccurrence of dialyzer related adverse events.

Indexed as

Membranes, ArtificialBiomarkersColombiaFemaleHospitalizationHumansKidney Failure, ChronicMaleMiddle AgedProspective StudiesRegistriesRenal DialysisBiomarkersMembranes, ArtificialColombiaexpanded hemodialysishemodialysismedium cutoff membranesreal world evidence

Identifiers

PMID32352233
PMCPMC7818220

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.