Evidence map›Paper›PMID 34307981›Full record

ArticleKidney international reports2021

Hemodialysis Patients Have Impaired Cerebrovascular Reactivity to CO

Marat Slessarev, Ossama Mahmoud, Rehab Albakr, Justin Dorie, Tanya Tamasi, Christopher W McIntyre

Abstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Dialysis and cognitive impairment.Nature reviews. Nephrology · 2025
    Review
  7. Article
  8. Cerebrovascular Reactivity and Cerebral Ischemia During Chronic Hemodialysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. 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

6 authors.

Marat SlessarevKidney Clinical Research Unit, Lawson Health Research Institute, London, Ontario, Canada.
Ossama MahmoudKidney Clinical Research Unit, Lawson Health Research Institute, London, Ontario, Canada.
Rehab AlbakrKidney Clinical Research Unit, Lawson Health Research Institute, London, Ontario, Canada.
Justin DorieKidney Clinical Research Unit, Lawson Health Research Institute, London, Ontario, Canada.
Tanya TamasiKidney Clinical Research Unit, Lawson Health Research Institute, London, Ontario, Canada.
Christopher W McIntyreKidney Clinical Research Unit, Lawson Health Research Institute, London, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecurrent hemodialysis (HD)-induced ischemia has emerged as a mechanism responsible for cognitive impairment in HD patients. Impairment of cerebrovascular function in HD patients may render the brain vulnerable to HD-induced ischemic injury. Cerebrovascular reactivity to CO

methodsThis was a single-center prospective observational study carried out at Kidney Clinical Research Unit in London, Canada. We used carefully controlled hypercapnia to interrogate brain vasomotor control. Transcranial Doppler was combined with 10-mm Hg step changes in CO

resultsHD patients had lower CVR than CKD or healthy participants during both intervention and recovery (

conclusionsOur study shows that HD patients have impaired CVR relative to CKD and healthy participants. This renders HD patients vulnerable to ischemic injury during circulatory stress of dialysis and may contribute to the pathogenesis of cognitive impairment.

Indexed as

carbon dioxidecerebrovascular circulationcerebrovascular reactivityhypercapniamiddle cerebral arteryrenal dialysis

Identifiers

PMID34307981
PMCPMC8258459

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.