Evidence map›Paper›PMID 34514197›Full record

ArticleKidney international reports2021

Hemodiafiltration Is Associated With Reduced Inflammation and Increased Bone Formation Compared With Conventional Hemodialysis in Children: The HDF, Hearts and Heights (3H) Study.

Dagmar-Christiane Fischer, Colette Smith, Francesca De Zan, Justine Bacchetta, Sevcan A Bakkaloglu, Ayse Agbas, Ali Anarat, Bilal Aoun, Varvara Askiti, Karolis Azukaitis and 24 more

Open access · goldAbstract 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Haemodiafiltration versus high-flux haemodialysis-a Consensus Statement from the EuDial Working Group of the ERA.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
  7. Review
  8. Review
  9. Article
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  11. Latest Trends in Hemodiafiltration.Journal of clinical medicine · 2024
    Review
  12. 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

34 authors at 20 institutions in 10 countries.

Dagmar-Christiane FischerDepartment of Pediatrics, Rostock University Medical Centre, Rostock, Germany.
Colette SmithPediatric Nephrology Unit, Institute of Global Health, University College London, London, UK.
Francesca De ZanPediatric Nephrology Unit, University College London Great Ormond Street Hospital for Children and Institute of Child Health, London, UK.
Justine BacchettaPediatric Nephrology Unit, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Université de Lyon, Bron, France.
Sevcan A BakkalogluPediatric Nephrology Unit, Gazi University Hospital, Ankara, Turkey.
Ayse AgbasPediatric Nephrology Unit, Cerrahpasa School of Medicine, Istanbul, Turkey.
Ali AnaratPediatric Nephrology Unit, Cukurova University, Adana, Turkey.
Bilal AounPediatric Nephrology Unit, Armand Trousseau Hospital, Paris, France.
Varvara AskitiPediatric Nephrology Unit, Panagiotis & Aglaia Kyriakou Children's Hospital, Athens, Greece.
Karolis AzukaitisPediatric Nephrology Unit, Clinic of Pediatrics, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Aysun BayazitPediatric Nephrology Unit, Cukurova University, Adana, Turkey.
Ipek Kaplan BulutPediatric Nephrology Unit, Ege University Faculty of Medicine, Izmir, Turkey.
Nur CanpolatPediatric Nephrology Unit, Cerrahpasa School of Medicine, Istanbul, Turkey.
Dagmara Borzych-DużałkaPediatric Nephrology Unit, Medical University of Gdańsk, Gdańsk, Poland.
Ali DuzovaPediatric Nephrology Unit, Hacettepe University, Ankara, Turkey.
Sandra HabbigPediatric Nephrology Unit, University Hospital Cologne, Cologne, Germany.
Saoussen KridPediatric Nephrology Unit, Hôpital Necker-Enfants Malades, Paris, France.
Christoph LichtPediatric Nephrology Unit, The Hospital for Sick Children, Toronto, Ontario, Canada.
Mieczyslaw LitwinPediatric Nephrology Unit, Children's Memorial Health Institute, Warsaw, Poland.
Lukasz ObryckiPediatric Nephrology Unit, Children's Memorial Health Institute, Warsaw, Poland.
Fabio PaglialongaPediatric Nephrology Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Anja RahnDepartment of Pediatrics, Rostock University Medical Centre, Rostock, Germany.
Bruno RanchinPediatric Nephrology Unit, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Université de Lyon, Bron, France.
Charlotte SamailleService de Néphrologie Pédiatrique, Centre Hospitalier Universitaire Lille, Lille, France.
Mohan ShenoyPediatric Nephrology Unit, Royal Manchester Children's Hospital, Manchester, UK.
Manish D SinhaPediatric Nephrology Unit, Kings College London Evelina London Children's Hospital, London, UK.
Brankica SpasojevicPediatric Nephrology Unit, University Children's Hospital, Belgrade, Serbia.
Constantinos J StefanidisPediatric Nephrology Unit, Panagiotis & Aglaia Kyriakou Children's Hospital, Athens, Greece.
Enrico VidalDivision of Pediatrics, Department of Medicine, University of Udine, Udine, Italy.
Alev YilmazPediatric Nephrology Unit, Istanbul University, Faculty of Medicine, Istanbul, Turkey.
Michel FischbachChildren's Dialysis Center, Strasbourg, France.
Franz SchaeferPediatric Nephrology Unit, Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany.
Claus Peter SchmittPediatric Nephrology Unit, Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany.
Rukshana ShroffPediatric Nephrology Unit, University College London Great Ormond Street Hospital for Children and Institute of Child Health, London, UK.
Children's Memorial Health Institute · PLCukurova University · TRGerman Center for Pediatric and Adolescent Rheumatology · DEIstanbul University-Cerrahpaşa · TRPanagiotis & Aglaia Kyriakou Children's Hospital · GRUniversity College London · GBUniversity of Rostock · DECentre Hospitalier Universitaire de Lille · FREge University · TRFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITGazi University · TRGdańsk Medical University · PLGreat Ormond Street Hospital · GBHacettepe University · TRHôpital Armand-Trousseau · FRHôpital Femme Mère Enfant · FRHôpital Necker-Enfants Malades · FRHospital for Sick Children · CAIstanbul University · TRKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients on dialysis have a high burden of bone-related comorbidities, including fractures. We report a

methodsThe baseline cross-sectional analysis included 144 children, of which 103 (61 HD, 42 HDF) completed 12-month follow-up. Circulating biomarkers of bone formation and resorption, inflammatory markers, fibroblast growth factor-23, and klotho were measured.

resultsInflammatory markers interleukin-6, tumor necrosis factor-α, and high-sensitivity C-reactive protein were lower in HDF than in HD cohorts at baseline and at 12 months (

conclusionChildren on HDF have an attenuated inflammatory profile, increased bone formation, and lower fibroblast growth factor-23/klotho ratios compared with those on HD. Long-term studies are required to determine the effects of an improved bone biomarker profile on fracture risk and cardiovascular health.

Indexed as

hemodiafiltrationhemodialysisinflammationmineral bone diseasepediatric nephrology

Identifiers

PMID34514197
PMCPMC8418977
OpenAlexW3180468087

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.