Evidence map›Paper›PMID 35513793›Full record

ArticleBMC nephrology2022

The impact of multidisciplinary pre-dialysis care on the outcomes of incident peritoneal dialysis patients.

I-Kuan Wang, Tung-Min Yu, Tzung-Hai Yen, Hei-Tung Yip, Ping-Chin Lai, Chi-Yuan Li, Kuo-Ting Sun, Fung-Chang Sung

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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 4 institutions in 1 country.

I-Kuan WangGraduate Institute of Biological Sciences, College of Medicine, China Medical University, Taichung, Taiwan.
Tung-Min YuDivision of Nephrology, Taichung Veterans General Hospital, Taichung, Taiwan.
Tzung-Hai YenDivision of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan.
Hei-Tung YipManagement Office for Health Data, China Medical University Hospital, Taichung, Taiwan.
Ping-Chin Lai *Divisions of Nephrology, China Medical University Hospital, Taichung, Taiwan.
Chi-Yuan Li *Graduate Institute of Biological Sciences, College of Medicine, China Medical University, Taichung, Taiwan.
Kuo-Ting SunDepartment of Dentistry, China Medical University Hospital, Taichung, Taiwan.
Fung-Chang Sung *Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan. fcsung1008@yahoo.com.
China Medical University · TWChina Medical University Hospital · TWChang Gung Memorial Hospital · TWTaichung Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to evaluate the impact of multidisciplinary pre-dialysis care (MDPC) on the risks of peritonitis, technique failure and mortality in peritoneal dialysis (PD) patients.

methodsIncident end-stage kidney disease patients who received peritoneal dialysis (PD) for more than 90 days were recruited in this study from 1 January 1, 2007 to December 31, 2018. Patients were classified into two groups, the MDPC group and the control group, that received the usual care by nephrologists. Risks of the first episode of peritonitis, technique failure and mortality were compared between the two groups.

resultsThere were 126 patients under the usual care and 546 patients under the MDPC. Patients in the MDPC group initiated dialysis earlier than those in the non-MDPC group. There was no significant difference between these two groups in time to the first episode of peritonitis. Compared to the non-MDPC group, the MDPC group was at similar risks of technique failure (adjusted HR = 0.85, 95% CI = 0.64-1.15) and mortality (adjusted HR = 0.66, 95% CI = 0.42-1.02). Among patients with diabetes, the risk of mortality was significantly reduced in the MDPC group with an adjusted HR of 0.45 (95% CI = 0.25-0.80).

conclusionsThere was no significant difference in time to develop the first episode of peritonitis, and risks of technique failure and mortality between these two groups. Diabetic PD patients under MDPC had a lower risk of mortality than those under the usual care.

Indexed as

Diabetes MellitusKidney Failure, ChronicPeritoneal DialysisPeritonitisDialysisFemaleHumansMaleRenal DialysisRetrospective StudiesRisk FactorsEnd-stage kidney diseaseMultidisciplinary pre-dialysis carePatient survivalPeritoneal dialysisPeritonitisTechnique survival

Identifiers

PMID35513793
PMCPMC9069744
OpenAlexW4229006648

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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.