Evidence map›Paper›PMID 33394346›Full record

ArticleJournal of nephrology2021

Low performance of prognostic tools for predicting dialysis in elderly people with advanced CKD.

Julien Prouvot, Emilie Pambrun, Cecile Couchoud, Cecile Vigneau, Sophie Roche, Vincent Allot, Jerome Potier, Maud Francois, Daniela Babici, Camelia Prelipcean and 2 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Frailty in Adults with CKD and Validation of the Kidney Failure Risk Equation in Frailty Subgroups.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. 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 9 institutions in 1 country.

Julien ProuvotEA2415, Université de Montpellier, Montpellier, France.ORCID http://orcid.org/0000-0001-5944-5598
Emilie PambrunService de Nephrologie, Dialyse et Apherese, Hôpital Universitaire de Caremeau, Nimes, France.
Cecile CouchoudRegistre REIN, Agence de la Biomedecine, Saint-Denis La Plaine, France.
Cecile VigneauCHU Pontchaillou, Service de Néphrologie-Dialyse-Transplantation, Université Rennes 1, IRSET 1085, Rennes, France.
Sophie RocheService de Néphrologie-Dialyse, CH Macon, Macon, France.
Vincent AllotCHU Limoges, Service de Néphrologie, Dialyse, Transplantation, Limoges, France.
Jerome PotierService de Néphrologie-Dialyse, CH St Brieuc, Saint Brieuc, France.
Maud FrancoisCHU Tours, Service de Néphrologie-Dialyse-Transplantation, Tours, France.
Daniela BabiciHôpital Emile Muller, Service Néphrologie-Dialyse, GHR MSA, Mulhouse, France.
Camelia PrelipceanService de Nephrologie, Dialyse et Apherese, Hôpital Universitaire de Caremeau, Nimes, France.
Olivier MoranneEA2415, Université de Montpellier, Montpellier, France. olivier.moranne@chu-nimes.fr.ORCID http://orcid.org/0000-0002-3127-1415
PSPA investigators
Centre Hospitalier Universitaire de Nîmes · FRCentre Hospitalier Universitaire de Tours · FRCentre Hospitalier de Saint-Brieuc · FRCentre Hospitalier de Mulhouse · FRUniversité de Montpellier · FRCentre Hospitalier Compiègne-Noyon · FRCentre Hospitalier Universitaire de Limoges · FRInstitut de Recherche en Santé, Environnement et Travail · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical decision-making about care plans can be difficult for very elderly people with advanced chronic kidney disease (CKD). Current guidelines propose the use of prognostic tools predicting end stage renal disease (ESRD) to assist in a patient-centered shared decision-making approach. Our objective was to evaluate the existing risk model scores predicting ESRD, from data collected for a French prospective multicenter cohort of mainly octogenarians with advanced CKD.

methodsWe performed a rapid review to identify the risk model scores predicting ESRD developed from CKD patient cohorts and evaluated them with data from a prospective multicenter French cohort of elderly (> 75 years) patients with advanced CKD (estimated glomerular filtration rate [eGFR] < 20 mL/min/1.75m

resultsThe PSPA cohort included 573 patients; their mean age was 83 years and their median eGFR was 13 mL/min/1.73 m

conclusionsThe low predictiveness for ESRD of the scores tested in a cohort of octogenarian patients with advanced CKD underlines the need to develop new tools for this population.

Indexed as

Kidney Failure, ChronicRenal Insufficiency, ChronicAgedAged, 80 and overDisease ProgressionGlomerular Filtration RateHumansPrognosisProspective StudiesRenal DialysisRisk FactorsDialysisESRDNephrogeriatryPredictive model

Identifiers

PMID33394346
OpenAlexW3119109929

What OpenQuestion holds

Textmetadata
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.