Evidence map›Paper›PMID 34360717›Full record

ReviewInternational journal of molecular sciences2021

How to Improve the Biocompatibility of Peritoneal Dialysis Solutions (without Jeopardizing the Patient's Health).

Mario Bonomini, Valentina Masola, Giuseppe Procino, Victor Zammit, José C Divino-Filho, Arduino Arduini, Giovanni Gambaro

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

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  14. Aging of the Peritoneal Dialysis Membrane.Frontiers in physiology · 2022
    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

7 authors at 5 institutions in 3 countries.

Mario BonominiNephrology and Dialysis Unit, Department of Medicine, G. d'Annunzio University, Chieti-Pescara, SS. Annunziata Hospital, Via dei Vestini, 66013 Chieti, Italy.ORCID 0000-0002-8466-6314
Valentina MasolaDivision of Nephrology and Dialysis, Department of Medicine, University of Verona, Piazzale A. Stefani 1, 37126 Verona, Italy.ORCID 0000-0003-2341-2481
Giuseppe ProcinoDepartment of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, 70125 Bari, Italy.ORCID 0000-0002-0043-7523
Victor ZammitTranslational & Experimental Medicine, Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
José C Divino-FilhoDivision of Renal Medicine, CLINTEC, Karolinska Institutet, 17177 Stockholm, Sweden.
Arduino ArduiniDepartment of Research and Development, Iperboreal Pharma, 65100 Pescara, Italy.
Giovanni GambaroDivision of Nephrology and Dialysis, Department of Medicine, University of Verona, Piazzale A. Stefani 1, 37126 Verona, Italy.ORCID 0000-0001-5733-2370
University of Verona · ITKarolinska Institutet · SEUniversity of Bari Aldo Moro · ITUniversity of Chieti-Pescara · ITUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peritoneal dialysis (PD) is an important, if underprescribed, modality for the treatment of patients with end-stage kidney disease. Among the barriers to its wider use are the deleterious effects of currently commercially available glucose-based PD solutions on the morphological integrity and function of the peritoneal membrane due to fibrosis. This is primarily driven by hyperglycaemia due to its effects, through multiple cytokine and transcription factor signalling-and their metabolic sequelae-on the synthesis of collagen and other extracellular membrane components. In this review, we outline these interactions and explore how novel PD solution formulations are aimed at utilizing this knowledge to minimise the complications associated with fibrosis, while maintaining adequate rates of ultrafiltration across the peritoneal membrane and preservation of patient urinary volumes. We discuss the development of a new generation of reduced-glucose PD solutions that employ a variety of osmotically active constituents and highlight the biochemical rationale underlying optimization of oxidative metabolism within the peritoneal membrane. They are aimed at achieving optimal clinical outcomes and improving the whole-body metabolic profile of patients, particularly those who are glucose-intolerant, insulin-resistant, or diabetic, and for whom daily exposure to high doses of glucose is contraindicated.

Indexed as

Insulin ResistancePeritoneal DialysisDiabetes MellitusDialysis SolutionsGlucoseGlucose IntoleranceHumansKidney Failure, ChronicPeritoneumDialysis SolutionsGlucosealanyl-glutaminebiocompatibilityglucoseL-carnitinePD fluidperitoneal dialysisperitoneal fibrosissolutionxylitol

Identifiers

PMID34360717
PMCPMC8347640
OpenAlexW3183839239

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.