Evidence map›Paper›PMID 35368560›Full record

ReviewKidney3602022

Quantitative Lung Ultrasonography for the Nephrologist: Applications in Dialysis and Heart Failure.

Nathaniel Reisinger, Abhilash Koratala

Open access · diamondAbstract readReview
In one paragraph

Review in Kidney360, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Observational
  8. Review
  9. Article
  10. Review
  11. Review
  12. Incorporating Training in POCUS in Nephrology Fellowship Curriculum.Clinical journal of the American Society of Nephrology : CJASN · 2022
    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

2 authors at 2 institutions in 1 country.

Nathaniel ReisingerPerelman School of Medicine, Hospital of the University of Pennsylvania, Division of Renal, Electrolyte and Hypertension, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-8054-2579
Abhilash KoratalaDivision of Nephrology, Medical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0000-0001-5801-3574
Hospital of the University of Pennsylvania · USMedical College of Wisconsin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Volume overload, and its attendant increase in acute care utilization and cardiovascular morbidity and mortality, represents a critical challenge for the practicing nephrologist. This is particularly true among patients with ESKD on HD, where predialysis volume overload and intradialytic and postdialytic hypovolemia account for almost a third of all cost for the Medicare dialysis benefit. Quantitative lung ultrasound is a tool for assessing the extent of extravascular lung water that outperforms physical exam and plain chest radiography. B-lines are vertical hyperechoic artifacts present in patients with increased extravascular lung water. B-lines have been shown to decrease dynamically during the hemodialysis treatment in proportion to ultrafiltration volume. Among patients with chronic heart failure, titration of diuretics on the basis of the extent of pulmonary congestion noted on lung ultrasonography has been shown to decrease recurrent acute care utilization. Early data from randomized controlled trials of lung ultrasound-guided ultrafiltration therapy among patients with ESKD on HD have shown promise for potential reduction in recurrent episodes of decompensated heart failure and cardiovascular events. Ultimately, lung ultrasound may predict those who are ultrafiltration tolerant and could be used to decrease acute care utilization and, thus, cost in this population.

Indexed as

Heart FailureNephrologistsAgedHumansLungMedicareRenal DialysisUltrasonographyUnited Statescardiovascular outcomeschronic kidney diseaseESKDheart failurehemodialysisintradialytic hypotensionPOCUSpoint-of-care ultrasoundpulmonary edemaquantitative lung ultrasonography

Identifiers

PMID35368560
PMCPMC8967614
OpenAlexW3214644876

What OpenQuestion holds

Textmetadata
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.