Evidence map›Paper›PMID 34733708›Full record

ArticleQatar medical journal2021

Effects of novel anemia nurse manager program on hemodialysis: a retrospective study from Qatar.

Abdullah Hamad, Hany Ezzat, Tarek Abdel Latif Ghonimi, Rania Ibrahim, Fatma Ramadan, Nadia Noor, Fadumo Yasin, Sahar Ismail, Fadwa Al-Ali

Open access · diamondAbstract read
In one paragraph

Article in Qatar medical journal, 2021. 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
–field-weighted citation impact, top 84% 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, 0 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

9 authors at 1 institution in 1 country.

Abdullah HamadHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Hany EzzatHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Tarek Abdel Latif GhonimiHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Rania IbrahimHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Fatma RamadanHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Nadia NoorHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Fadumo YasinHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Sahar IsmailHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Fadwa Al-AliHamad Medical Corporation, Doha, Qatar E-mail: ahamad9@hamad.qa.
Hamad Medical Corporation · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnemia management in dialysis is challenging. Keeping hemoglobin levels within a tight range is difficult. A new program (anemia nurse manager [ANM]) was started for better anemia management. This study aimed to compare traditional anemia management with the new ANM model regarding the achievement of better hemoglobin targets (range, 10-12 g/dL), avoidance of extreme hemoglobin levels ( < 9 or >13 g/dL), and evaluation of the cost-effectiveness of the new model.

methodsThis retrospective observational study compared traditional anemia management with management involving our new ANM model. Patients on hemodialysis in all ambulatory dialysis clinics in Qatar were included. The study included three phases: phase 1 (observation): June 2015 to August 2015, 460 patients; phase 2 (pilot): September 2015 to May 2016, 211 patients; and phase 3 (expansion in two phases): June 2016 to February 2017 and October 2017 to June 2018, 610 patients. Hemoglobin, iron saturation, and ferritin were evaluated according to the protocol.

resultsIn this study, 55% of the patients achieved the target hemoglobin in phase 1 compared with 75% in phase 2 (

conclusionsThe ANM model was able to achieve and maintain hemoglobin levels within the target range and decrease extreme hemoglobin levels. These outcomes improved patient care by avoiding high hemoglobin (increase thrombosis, cancer recurrence, stroke, and death) and low hemoglobin (weakness, poor quality of life, and need for transfusion) levels. The ANM model was cost effective even after including the salaries of nurses. This model can be considered in other aspects of patient care in dialysis.

Indexed as

anemiaend-stage renal diseaseerythropoietinhemodialysisiron deficiency

Identifiers

PMID34733708
PMCPMC8530808
OpenAlexW3210938518

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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.