Evidence map›Paper›PMID 34176302›Full record

ArticleJournal of the American Heart Association2021

Erythropoietin Use and the Risk of Stroke in Patients on Hemodialysis: A Retrospective Cohort Study in Taiwan.

Peir-Haur Hung, Chih-Ching Yeh, Chih-Yen Hsiao, Chih-Hsin Muo, Kuan-Yu Hung, Kuen-Jer Tsai

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Peir-Haur HungDepartment of Internal Medicine Ditmanson Medical Foundation Chia-yi Christian Hospital Chiayi Taiwan.
Chih-Ching YehSchool of Public Health College of Public Health Taipei Medical University Taipei Taiwan.
Chih-Yen HsiaoDepartment of Internal Medicine Ditmanson Medical Foundation Chia-yi Christian Hospital Chiayi Taiwan.
Chih-Hsin MuoManagement Office for Health Data China Medical University Hospital Taichung Taiwan.
Kuan-Yu HungDepartment of Internal Medicine National Taiwan University Hospital Taipei city Taiwan.
Kuen-Jer TsaiInstitute of Clinical Medicine College of Medicine National Cheng Kung University Tainan Taiwan.
Chia-Yi Christian Hospital · TWChina Medical University · TWNational Cheng Kung University Hospital · TWNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Targeting higher hemoglobin levels with erythropoietin to treat anemia in patients with chronic kidney disease is associated with increased cardiovascular risk, including that of stroke. The risks of the subtypes of stroke, ischemic, hemorrhagic, and unspecified, following the administration of erythropoietin in patients with end-stage renal disease receiving hemodialysis remain unclear. Methods and results Overall, 12 948 adult patients with end-stage renal disease treated during 1999 to 2010 who had undergone hemodialysis were included. The study end points were the incidences of stroke and its subtypes. We used Cox proportional hazards regression models to estimate hazard ratios (HRs) of stroke and its subtypes in erythropoietin recipients compared with nonrecipients. Patients in the erythropoietin cohort did not have an increased risk of stroke compared with those in the nonerythropoietin cohort (adjusted HR, 1.03; 95% CI, 0.92-1.15). Compared with patients in the nonerythropoietin cohort, the risks of ischemic, hemorrhagic, or unspecified stroke were not higher in patients in the erythropoietin cohort (adjusted HRs, 1.08 [95% CI, 0.93-1.26], 0.96 [95% CI, 0.78-1.18], and 1.03 [95% CI, 0.80-1.32], respectively). Increased risks of stroke and its subtypes were not observed with even large annual defined daily doses of erythropoietin (>201). Conclusions Erythropoietin in patients receiving hemodialysis is not associated with increased risk of stroke or any of its subtypes.

Indexed as

Renal DialysisAdolescentAdultAgedAged, 80 and overDose-Response Relationship, DrugErythropoietinFemaleHumansKidney Failure, ChronicMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesStrokeTaiwanErythropoietinend‐stage renal diseaseerythropoietinhemodialysisischemic stroke

Identifiers

PMID34176302
PMCPMC8483460
OpenAlexW3177075648

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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.