Evidence map›Paper›PMID 36014879›Full record

ArticleNutrients2022

Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study.

Marta Arias-Guillén, Silvia Collado, Elisabeth Coll, Jordi Carreras, Loreley Betancourt, Bárbara Romano, Marisol Fernández, Verónica Duarte, Julia Garro, Jordi Soler and 2 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

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

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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

12 authors at 10 institutions in 1 country.

Marta Arias-GuillénRenal Transplantation and Nephrology Department, Hospital Clinic de Barcelona, 08036 Barcelona, Spain.ORCID 0000-0001-8023-2589
Silvia ColladoNephrology Department, Hospital del Mar-Parc de Salut Mar, 08003 Barcelona, Spain.
Elisabeth CollNephrology Department, Fundació Puigvert, 08025 Barcelona, Spain.
Jordi CarrerasCentre Diaverum Baix Llobregat, Diaverum, 08908 L'Hospitalet del Llobregat, Spain.
Loreley BetancourtNephrology Department, Corporació Sanitaria Parc Taulí, 08208 Sabadell, Spain.
Bárbara RomanoNutrition and Dietetic Unit, Hospital Clinic de Barcelona, 08036 Barcelona, Spain.ORCID 0000-0002-0746-142X
Marisol FernándezNephrology Department, Hospital del Mar-Parc de Salut Mar, 08003 Barcelona, Spain.
Verónica DuarteNephrology Department, Hospital de Terrassa, 08227 Terrassa, Spain.
Julia GarroNephrology Department, Hospital Joan XXIII, 43005 Tarragona, Spain.
Jordi SolerNephrology Department, Hospital Germans Trias i Pujol, 08916 Badalona, Spain.
Juan Carlos GonzálezNephrology Department, Hospital de Mollet, 08100 Mollet del Vallés, Spain.
Jordi CalabiaNephrology Department, Hospital Universitari de Girona Doctor Josep Trueta, 17001 Girona, Spain.ORCID 0000-0001-6806-9539
Hospital Clínic de Barcelona · ESParc de Salut · ESAjuntament de L’Hospitalet · ESCorporació Sanitària Parc Taulí · ESHospital Terrassa · ESHospital Universitari de Girona Doctor Josep Trueta · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitari Joan XXIII de Tarragona · ESInstitut de Seguretat Pública de Catalunya · ESPuigvert Foundation · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This cross-sectional study aims to explore the prevalence of protein-energy wasting (PEW) in dialysis patients in Catalonia, Spain, using a new and practical online tool which enables rapid calculation and comparison with other nutritional scores.

methodsA web tool (Nutrendial) was created to introduce different variables and automatically calculate PEW, Malnutrition inflammation Score (MIS) and Subjective Global Assessment (SGA) in 1389 patients (88% in haemodialysis (HD)), 12% in peritoneal dialysis (PD) from different regions of Catalonia.

resultsA prevalence of 23.3% (26% HD, 10.2% PD) of PEW was found, with a mean MIS score of 6 and SGA score of C in 7% of the patients. ROC analysis showed MIS as the best nutritional score to diagnose PEW (AUC 0.85). Albumin delivered lower diagnostic precision (AUC 0.77) and sensitivity (66%). A cut off point of 7 (86% sensitivity and 75% specificity) for MIS and 3.7 mg/dL for albumin were found to predict the appearance of PEW in this population. SGA B or C showed an 87% sensitivity and 55% specificity to diagnose PEW. Very low nutritional intervention (14%) was recorded with this tool in patients with PEW.

conclusionsThis new online tool facilitated the calculation of PEW, enabling different professionals-including nephrologists, dieticians and nurses-to efficiently obtain insights into the nutritional status of the Catalonian dialysis population and implement the required nutritional interventions. MIS is the score with more sensitivity to diagnose PEW.

Indexed as

CachexiaProtein-Energy MalnutritionRenal DialysisAlbuminsCross-Sectional StudiesHumansInflammationKidney Failure, ChronicNutritional StatusPrevalenceAlbuminsdialysismalnutrition inflammation scorenutritional assessmentonline toolprotein-energy wastingsubjective global assessment

Identifiers

PMID36014879
PMCPMC9413877
OpenAlexW4292259734

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.