Evidence map›Paper›PMID 35211304›Full record

ArticleClinical kidney journal2022

Super high-flux membrane dialyzers improve mortality in patients on hemodialysis: a 3-year nationwide cohort study.

Masanori Abe, Ikuto Masakane, Atsushi Wada, Shigeru Nakai, Kosaku Nitta, Hidetomo Nakamoto

Registry-linked trialAbstract read
In one paragraph

Article in Clinical kidney journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06989892 (Comparing Super High-flux and High-flux Dialyzer Performance Among Hemodialysis Patient With Sepsis), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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.

NCT06989892 narecruitingnot on this mapstarted 2024, after this paper: background citation

Comparing Super High-flux and High-flux Dialyzer Performance Among Hemodialysis Patient With Sepsis : a Randomized Control Trial

TypeinterventionalSponsorNavamindradhiraj UniversityRan2024 to 2026Enrolled202ConditionsThe Efficacy and Safety for Super High-flux Dialyzer in Case of Sepsis in ESKD, End Stage Kidney Disease (ESRD), SepsisArmsSuper High-flux dialyzer (Elisio 19HDx), High-flux dialyzer (Elisio 19H)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Latest Trends in Hemodiafiltration.Journal of clinical medicine · 2024
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

6 authors.

Masanori AbeThe Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan.
Ikuto MasakaneThe Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan.
Atsushi WadaThe Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan.
Shigeru NakaiThe Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan.
Kosaku NittaThe Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan.
Hidetomo NakamotoThe Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Japan, dialyzers are classified based on β

methodsIn this nationwide prospective cohort study, we analyzed Japanese Society for Dialysis Therapy Renal Data Registry data collected at the end of 2008 and 2011. We enrolled 242,467 patients on maintenance hemodialysis and divided them into five groups by dialyzer type. We assessed the associations of each dialyzer type with 3-year all-cause mortality using Cox proportional hazards models and performed propensity score matching analysis, adjusting for potential confounders.

resultsBy the end of 2011, 53,172 (21.9%) prevalent dialysis patients had died. Mortality significantly decreased according to dialyzer type. Hazard ratios (HRs) were significantly higher for type I, II and III compared with type IV (reference) after adjustment for basic factors and further adjustment for dialysis-related factors. HR was significantly higher for type I, but significantly lower for type V, after further adjustment for nutrition- and inflammation-related factors. These significant findings were also evident after propensity score matching.

conclusionsHemodialysis using super high-flux dialyzers might reduce mortality. Randomized controlled trials are warranted to clarify whether these type V dialyzers can improve prognosis.

Indexed as

hemodialysishigh-flux dialyzerlow-flux dialyzersuper high-flux dialyzerβ2-microglobulin

Identifiers

PMID35211304
PMCPMC8862063

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Registered trials

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.