Evidence map›Paper›PMID 36531895›Full record

ArticleKidney international reports2022

Online Hemodiafiltration Compared to Conventional Hemodialysis in Critically Ill Patients.

Julie Piotte, Félix Louis, Dimitry Buyansky, Eric Mereniuk, Renée Lévesque, Ron Wald, Jean-François Cailhier, Jean-Maxime Côté, William Beaubien-Souligny

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

9 authors at 4 institutions in 1 country.

Julie PiotteDepartment of Medicine, Université de Montréal, Montréal, Canada.
Félix LouisDepartment of Medicine, Université de Sherbrooke, Montréal, Canada.
Dimitry BuyanskyDepartment of Medicine, Université de Montréal, Montréal, Canada.
Eric MereniukDepartment of Medicine, Université de Montréal, Montréal, Canada.
Renée LévesqueDepartment of Medicine, Université de Montréal, Montréal, Canada.
Ron WaldDivision of Nephrology, St. Michael's Hospital, Toronto, Canada.
Jean-François CailhierDepartment of Medicine, Université de Montréal, Montréal, Canada.
Jean-Maxime CôtéDepartment of Medicine, Université de Montréal, Montréal, Canada.
William Beaubien-SoulignyDepartment of Medicine, Université de Montréal, Montréal, Canada.
Université de Montréal · CACentre Hospitalier de l’Université de Montréal · CASt. Michael's Hospital · CAUniversité de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Online hemodiafiltration (HDF) has been increasingly used for improved clearance of middle molecular weight toxins. The impact of this mode of clearance is unknown in critically ill patients. We aimed to determine whether the use of HDF in acute kidney injury (AKI) is associated with lower mortality and improved kidney recovery up to 90 days after initiation of therapy. Methods: Single-center retrospective cohort study using data from 2017 to 2020 of adults with AKI who initiated intermittent renal replacement therapy (IRRT) in the intensive care unit (ICU), using either hemodialysis (HD) or HDF depending on the maintenance status of the water system without regards for patient characteristics. We assessed association with patient-events and session-events using time-dependent Cox models and general estimating equations models, respectively. Results: We included 182 adults with AKI for whom 848 IRRT sessions were performed in the ICU. The 90-day mortality rate was 43 of 182 (24.6%). There was no significant association with the use of HDF and mortality (adjusted hazard ratio [aHR]: 0.85 (0.43; 1.67) Conclusion: The use of HDF in the setting of AKI was not associated with a differential risk of mortality or kidney recovery.

Indexed as

acute kidney injuryconvective clearancehemodiafiltrationhemodialysisinflammationrenal replacement therapy

Identifiers

PMID36531895
PMCPMC9751768
OpenAlexW4293294847

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.