Evidence map›Paper›PMID 34665414›Full record

Observational studyInternational urology and nephrology2022

Unplanned vs. planned peritoneal dialysis as initial therapy for dialysis patients in chronic kidney replacement therapy.

Marcela Lara Mendes, Camila Albuquerque Alves, Laudilene Cristina Rebello Marinho, Dayana Bitencourt Dias, Daniela Ponce

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

5 authors.

Marcela Lara MendesBotucatu School of Medicine, University of Sao Paulo State, Avenue Mario Rubens Montenegro, PO 18600000, Botucatu, SP, Brazil.
Camila Albuquerque AlvesBotucatu School of Medicine, University of Sao Paulo State, Avenue Mario Rubens Montenegro, PO 18600000, Botucatu, SP, Brazil.
Laudilene Cristina Rebello MarinhoBotucatu School of Medicine, University of Sao Paulo State, Avenue Mario Rubens Montenegro, PO 18600000, Botucatu, SP, Brazil.
Dayana Bitencourt DiasBotucatu School of Medicine, University of Sao Paulo State, Avenue Mario Rubens Montenegro, PO 18600000, Botucatu, SP, Brazil.
Daniela PonceBotucatu School of Medicine, University of Sao Paulo State, Avenue Mario Rubens Montenegro, PO 18600000, Botucatu, SP, Brazil. daniela.ponce@unesp.br.ORCID http://orcid.org/0000-0002-6178-6938

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2019/02116-2
6 · The paper itself

Abstract

aimTo compare infectious and mechanical complications, technique failure and mortality of a planned PD vs. an unplanned PD program.

designIt was a prospective observational study that included chronic kidney disease (CKD) patients who started PD according to medical recommendation: group1-planned and group 2-unplanned PD.

methodsThis study evaluated patients who started planned and unplanned PD programs in a teaching hospital from July 2014 to December 2017.

resultsA total of 58 patients were included in the planned PD group and 113 in the unplanned PD group. There was difference between the two groups in leak and hospital admissions, that were more frequent in the unplanned PD group. Periods free from exite site infection, peritonitis and mechanical complications were longer in the planned group. Cox regression analysis identified age and the lowest albumin value as factors associated with mechanical complications; peritonitis indicated the presence of ESI and mechanical complications; the change to HD was associated with a younger age, mechanical complications, diabetes mellitus (DM) and peritonitis. The factors associated with death were age and lower values of albumin. After 48 months, the growth of the PD program was 252%.

conclusionThe technique survival and patient mortality in unplanned PD was similar to planned PD, while the period marked by the absence of complications related to PD was longer in the planned PD group. In the Cox regression, unplanned PD was not identified as risk factor for death, transition to HD or complications related to therapy, while age and lower albumin values were predictors of negative outcomes. IMPACT: Unplanned PD is not risk factor for death and complications related to PD and can be an option to unplanned HD.

Indexed as

Kidney Failure, ChronicPeritoneal DialysisPeritonitisAlbuminsFemaleHumansMaleRenal DialysisRetrospective StudiesAlbuminsDialysisNursing home carePeritoneal dialysis

Identifiers

What OpenQuestion holds

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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.