Evidence map›Paper›PMID 34281410›Full record

ReviewThe journal of vascular access2021

The role of Doppler ultrasonography in vascular access surveillance-controversies continue.

Jan Malik, Carlo Lomonte, Mario Meola, Cora de Bont, Robert Shahverdyan, Joris I Rotmans, Francois Saucy, Tamara Jemcov, Jose Ibeas

Open access · greenAbstract readReview
In one paragraph

Review in The journal of vascular access, 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
4.5field-weighted citation impact, top 6% 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, 25 citations in OpenAlex.

  1. Pooled it
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  3. Review
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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

9 authors at 8 institutions in 6 countries.

Jan MalikCenter for Vascular Access, General University Hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic.ORCID https://orcid.org/0000-0002-2386-3293
Carlo LomonteDivision of Nephrology, Miulli General Hospital, Acquaviva delle Fonti, Italy.
Mario MeolaInstitute of Life Sciences, Sant'Anna of Advanced Studies and Department of Internal Medicine, Pisa University, Pisa, Italy.ORCID https://orcid.org/0000-0002-1330-2820
Cora de BontVascular Laboratory, Bravis Hospital, Bergen op Zoom, The Netherlands.ORCID https://orcid.org/0000-0003-2176-5275
Robert ShahverdyanVascular Access Clinic, Asklepios Clinic Barmbek, Hamburg, Germany.
Joris I RotmansDepartment of Internal Medicine, Leiden University Medical Center, The Netherlands.ORCID https://orcid.org/0000-0001-9682-6234
Francois SaucyService of Vascular Surgery, Department of Heart and Vessels, University Hospital, Lausanne, Switzerland.
Tamara JemcovDepartment of Nephrology, Clinical Hospital Centre Zemun, Belgrade, Serbia.
Jose IbeasNephrology Department, Parc Taulí University Hospital, Parc Taulí Research and Innovation Institute (I3PT), Autonomous University of Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0002-1292-7271
Asklepios Klinik Barmbek · DEBravis Ziekenhuis · NLCharles University · CZLeiden University Medical Center · NLOspedale Generale Regionale Francesco Miulli · ITUniversitat Autònoma de Barcelona · ESUniversity of Belgrade · RSUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic hemodialysis therapy required regular entry into the patient's blood stream with adequate flow. The use of arteriovenous fistulas and grafts is linked with lower morbidity and mortality than the use of catheters. However, these types of accesses are frequently affected by stenoses, which decrease the flow and lead to both inadequate dialysis and access thrombosis. The idea of duplex Doppler ultrasound surveillance is based on the presumption that in-time diagnosis of an asymptomatic significant stenosis and its treatment prolongs access patency. Details of performed trials are conflicting, and current guidelines do not support ultrasound surveillance. This review article summarizes the trials performed and focuses on the reasons of conflicting results. We stress the need of precise standardized criteria of significant access stenosis and the weakness of the metaanalyses performed.

Indexed as

Arteriovenous Shunt, SurgicalGraft Occlusion, VascularHumansRenal DialysisUltrasonographyUltrasonography, Doppler, DuplexVascular Patencyarteriovenous fistulaarteriovenous graftHemodialysishemodialysis vascular accessultrasonography

Identifiers

PMID34281410
PMCPMC8619723
OpenAlexW3184045483

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.