Evidence map›Paper›PMID 34331637›Full record

ArticleInternational urology and nephrology2022

Ten-year experience of an outpatient clinic for CKD-5 patients with multidisciplinary team and educational support.

Vincenzo Terlizzi, Massimo Sandrini, Valerio Vizzardi, Mattia Tonoli, Annalisa Facchini, Luigi Manili, Letizia Zeni, Giovanni Cancarini

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Vincenzo TerlizziOperative Unit of Nephrology, ASST Spedali Civili Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.ORCID http://orcid.org/0000-0003-2495-4477
Massimo SandriniOperative Unit of Nephrology, ASST Spedali Civili Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.ORCID http://orcid.org/0000-0001-7857-2429
Valerio VizzardiOperative Unit of Nephrology, ASST Spedali Civili Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy. valerio.vizzardi@asst-spedalicivili.it.ORCID http://orcid.org/0000-0001-7248-8533
Mattia TonoliPostgraduate School in Nephrology, University of Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0002-8488-9526
Annalisa FacchiniPostgraduate School in Nephrology, University of Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0002-5654-2736
Luigi ManiliOperative Unit of Nephrology, ASST Spedali Civili Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.ORCID http://orcid.org/0000-0003-4804-2712
Letizia ZeniOperative Unit of Nephrology, ASST Spedali Civili Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.ORCID http://orcid.org/0000-0001-9221-5698
Giovanni CancariniOperative Unit of Nephrology, ASST Spedali Civili Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.ORCID http://orcid.org/0000-0002-5141-3740
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Brescia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the results of an outpatient clinic with a multidisciplinary team and educational support for patients with late-stage CKD (lsCKD), to check its possible effect on their outcomes.

methodsLongitudinal cohort study on patients followed up in the MaReA (Malattia Renale Avanzata = CKD5) outpatient clinic at ASST Spedali Civili of Brescia from 2005 to 2015 for at least six months. Trajectory of renal function over time has been evaluated only in those patients with at least four estimations of eGFR before referring to MaReA.

resultsSeven hundred and six patients were enrolled, their mean age was 72 ± 14 years, 59% were males. At the end of the study, 147 (21%) were still on MaReA, 240 (34%) on dialysis, 92 (13%) on very low-protein diet (VLPDs), 13 (2%) on pre-hemodialysis clinic, 23 (3%) improved renal function, 10 (1%) transplanted, 62 (9%) transferred/lost to follow-up, and 119 (17%) died. Optimal dialysis start (defined as start with definitive dialysis access, as an out-patient and without lsCKD complications) occurred in 180/240 (75%) patients. The results showed a slower eGFR decrease during MaReA follow-up compared to previous renal follow-up: - 2.0 vs. - 4.0 mL/min/1.73 m LIMITATIONS: (1) lack of a control group, (2) one-center-study, (3) about all patients were Caucasians.

conclusionThe follow-up of lsCKD patients on MaReA is associated with an optimal and delayed initiation of dialysis.

Indexed as

Renal Insufficiency, ChronicAgedAged, 80 and overAmbulatory Care FacilitiesHumansLongitudinal StudiesMaleMiddle AgedPatient Care TeamRenal DialysisDelaying dialysisEnd-stage renal diseaseGFR trajectoryOptimal start of dialysisPatient survivalStart of dialysis

Identifiers

PMID34331637
PMCPMC8924108
OpenAlexW3186965453

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.