Evidence map›Paper›PMID 33387226›Full record

SynthesisInternational urology and nephrology2021

A meta-analysis of traditional and functional end-to-side anastomosis in radiocephalic fistula for dialysis access.

Tang Weigang, Xu Wei, Gong Lifeng, Lu Jingkui, Li Yani, Jiang Huaqin, Li Hui

Abstract readMeta-Analysis
In one paragraph

Synthesis in International urology and nephrology, 2021. 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
–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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. A modified no-touch technique for anastomosis to create a radiocephalic arteriovenous fistula.Journal of vascular surgery cases and innovative techniques · 2021
    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

7 authors.

Tang WeigangDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou City, Jiangsu Province, China.
Xu WeiDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou City, Jiangsu Province, China. q844055361@qq.com.
Gong LifengDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou City, Jiangsu Province, China.
Lu JingkuiDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou City, Jiangsu Province, China.
Li YaniDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou City, Jiangsu Province, China.
Jiang HuaqinDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou City, Jiangsu Province, China.
Li HuiDepartment of Nephrology, Wujin Hospital Affiliated with Jiangsu University, Changzhou City, Jiangsu Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFunctional vein end to arterial side (ETS) anastomosis uses vein side to arterial side (STS) anastomosis with distal vein ligation, which can achieve similar effects as those of ETS after STS anastomosis. The purpose of the study was to provide a meta-analysis to compare the clinical outcomes between traditional and functional ETS anastomosis in radiocephalic fistula for dialysis access.

methodsDatabases including PubMed, EMbase, the Cochrane Library, CNKI, Wanfang database were searched from the inception to February 6, 2020. Eligible studies comparing traditional and functional ETS anastomosis in radiocephalic fistula were included. Data were analyzed using Review Manager Version 5.3.

resultsSeven studies were included in the meta-analysis. Five randomized controlled trials and two cohort studies involving 841 patients were identified. Compared with traditional ETS anastomosis, functional ETS anastomosis had shorter anastomosis time (MD - 9.54, 95% CI - 17.96 to - 1.12, P = 0.03), higher surgical success rate (OR 3.80, 95% CI 1.76-8.22, P < 0.01), fewer complications(OR 0.18, 95% CI 0.08-0.39, P < 0.01), higher patency rate after 3 months (OR 4.91, 95% CI 1.19-20.33, P = 0.03), higher patency rate after 6 months (OR 1.90, 95%CI 1.09-3.31, P = 0.02), higher patency rate after 12 months (OR 1.70, 95% CI 1.09-2.66, P = 0.02). There was no difference after the two arteriovenous (AVF) anastomosisl methods concerning AVF maturation time (SMD - 0.48, 95% CI - 1.30-0.34, P = 0.25) and patency rate after 1 month (OR 1.77, 95% CI 0.65-4.80, P = 0.26).

conclusionFunctional ETS anastomosis had advantages of easy operation, high surgical success rate, few complications, high patency rate of 3 months and long-term, but did not have obvious advantage in the early stages concerning AVF maturation time and 1-month patency rate.

Indexed as

Renal DialysisArteriovenous Shunt, SurgicalHumansRadial ArteryArteriovenous fistulaDialysis accessFunctional end-to-side anastomosisMeta-analysis

Identifiers

PMID33387226
PMCPMC8192352

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Registered trials

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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.