Evidence map›Paper›PMID 34722647›Full record

ArticleCase reports in nephrology and dialysis

Hemodialysis Initiation in Oldest-Old Patients: A Case Series.

Ryoichi Maenosono, Tomohisa Matsunaga, Yuki Yoshikawa, Kazuki Nishimura, Haruhiko Onaka, Kazumasa Komura, Hirofumi Uehara, Haruhito Azuma

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Case reports in nephrology and dialysis. 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
0.3field-weighted citation impact, top 43% 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, 2 citations in OpenAlex.

  1. Frailty and dialysis initiation in the super-elderly.Clinical and experimental nephrology · 2024
    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.

Ryoichi MaenosonoDepartment of Urology, Faculty of Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Tomohisa MatsunagaDepartment of Urology, Faculty of Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Yuki YoshikawaDepartment of Urology, Faculty of Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Kazuki NishimuraDepartment of Urology, Faculty of Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Haruhiko OnakaDepartment of Cardiology, Takatsuki Red Cross Hospital, Osaka, Japan.
Kazumasa KomuraDepartment of Urology, Faculty of Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Hirofumi UeharaDepartment of Urology, Faculty of Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Haruhito AzumaDepartment of Urology, Faculty of Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Osaka University of Pharmaceutical Sciences · JPTakatsuki Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With an increase in the number of older adults worldwide, the oldest-old population, defined as individuals over the age of 90, is also growing. Japan is now facing the problem of a "super-aged society" in which over 21% of the population is aged over 65. The oldest-old constituted 1.8% (2.31 million) of the Japanese population in 2019. Such individuals have special health-care needs. In cases of acute or chronic (or both) renal failure in the oldest-old, it becomes difficult to decide whether dialysis should be initiated. The issue is controversial, and there is some debate on whether dialysis should be avoided in elderly people because of their frailty or if it should be initiated to enable them to spend their remaining years with their families by improving their quality of life. Herein, we describe our experience in 4 cases of hemodialysis initiated in patients over the age of 90. In our experience, dialysis enabled them to spend the rest of their lives with their families, which could not have been possible without it. Although further studies are needed, we concluded that oldest-old individuals in good general health could be eligible for and benefit from hemodialysis.

Indexed as

End-stage renal diseaseHemodialysisJapanOldest-old

Identifiers

PMID34722647
PMCPMC8543281
OpenAlexW3200063741

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.