Evidence map›Paper›PMID 36122909›Full record

ArticleNephrology (Carlton, Vic.)2022

Impact of phosphate binders on quality of life in dialysis patients: Results from the prospective Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes study.

Julia M T Colombijn, Sanne Vonk, Tom Cornelis, Siska Boorsma, Marielle M E Krekels, Alferso C Abrahams, Brigit C van Jaarsveld

Open access · hybridAbstract read
In one paragraph

Article in Nephrology (Carlton, Vic.), 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
1.2field-weighted citation impact, top 23% 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, 8 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

7 authors at 6 institutions in 2 countries.

Julia M T ColombijnDepartment of Nephrology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-9022-5937
Sanne VonkDepartment Nephrology and Hypertension, University Medical Centre Utrecht, Utrecht, The Netherlands.
Tom CornelisDepartment of Nephrology, Jessa Hospital, Hasselt, Belgium.
Siska BoorsmaDepartment of Nephrology, Laurentius Hospital, Roermond, The Netherlands.
Marielle M E KrekelsDepartment of Nephrology, Zuyderland Medical Centre, Sittard, The Netherlands.
Alferso C AbrahamsDepartment Nephrology and Hypertension, University Medical Centre Utrecht, Utrecht, The Netherlands.
Brigit C van JaarsveldDepartment of Nephrology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
University Medical Center Utrecht · NLAmsterdam Neuroscience · NLJessa Hospital · BELaurentius Ziekenhuis · NLUtrecht University · NLZuyderland Medisch Centrum · NL

Funding

AstraZenecaBaxter NederlandDirincoFresenius Medical Care Deutschland GmbHNierstichting 20OSR004ZonMw 843004116
6 · The paper itself

Abstract

backgroundPhosphate binders cause high pill burden for dialysis patients, complicate medication regimens, and have unpleasant taste and large size which may affect patients' quality of life. This study explores the association between phosphate binder pill burden and health-related quality of life (HRQoL) in dialysis patients.

methodsWe conducted a cross-sectional multi-centre cohort study in 21 Dutch dialysis centres. Phosphate binder pill burden was extracted from electronic patient records. Primary outcome was HRQoL measured with the Short Form 12 physical and mental component summary scores (PCS and MCS). Secondary endpoints were severity of gastro-intestinal symptoms, itching, dry mouth, and mental health symptoms, measured with the Dialysis Symptom Index.

resultsOf 388 included patients, aged 62 ± 16 years, 77% underwent haemodialysis. PCS scores were comparable for patients with and without phosphate binders. Patients using 1-3 pills reported lower scores for decreased appetite (β -0.5; 95%CI -0.9 to -0.2), implying better appetite, than patients without phosphate binders. Patients using 4-6 pills also reported lower scores for decreased appetite (β -0.5; 95%CI -0.8 to -0.1) and for itching (β -0.5; 95%CI -0.9 to -0.1). Patients using >6 pills reported lower MCS (β -2.9; 95%CI -6.2-0.4) and higher scores for feeling nervous (β 0.6; 95%CI 0.1-1.1) and feeling sad (β 0.4; 95%CI 0.0-0.9).

conclusionPhosphate binder pill burden is not associated with physical quality of life. A higher pill burden is associated with better appetite and less itching. Patients using >6 pills per day report lower mental quality of life and felt nervous and sad more often.

Indexed as

Hemodialysis, HomeKidney Failure, ChronicCohort StudiesCross-Sectional StudiesHumansPhosphatesProspective StudiesPruritusQuality of LifeRenal DialysisPhosphatesdialysisphosphate bindersphosphate binding agentspolypharmacyquality of life

Identifiers

PMID36122909
PMCPMC9826474
OpenAlexW4292478879

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.