Evidence map›Paper›PMID 36966289›Full record

ArticleBMC nephrology2023

Impact of anemia treatment for left ventricular hypertrophy using long-acting erythropoietin-stimulating agents from the pre-dialysis to maintenance dialysis period in patients with chronic kidney disease, retrospective longitudinal cohort study.

Hiroaki Io, Masahiro Muto, Yu Sasaki, Masanori Ishizaka, Toshiki Kano, Haruna Fukuzaki, Takuya Maeda, Yuki Shimizu, Junichiro Nakata, Yusuke Suzuki

Open access · goldFull text read
In one paragraph

Article in BMC nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 5 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

10 authors at 1 institution in 1 country.

Hiroaki IoDepartment of Nephrology, Juntendo University Nerima Hospital, Takanodai 3-1-10, Nerima-ku, 177-8521, Tokyo, Japan. hiroaki@juntendo.ac.jp.ORCID 0000-0002-9446-2390
Masahiro MutoDepartment of Nephrology, Juntendo University Nerima Hospital, Takanodai 3-1-10, Nerima-ku, 177-8521, Tokyo, Japan.
Yu SasakiDepartment of Nephrology, Juntendo University Nerima Hospital, Takanodai 3-1-10, Nerima-ku, 177-8521, Tokyo, Japan.
Masanori IshizakaDepartment of Nephrology, Juntendo University Nerima Hospital, Takanodai 3-1-10, Nerima-ku, 177-8521, Tokyo, Japan.
Toshiki KanoDepartment of Nephrology, Juntendo University Nerima Hospital, Takanodai 3-1-10, Nerima-ku, 177-8521, Tokyo, Japan.
Haruna FukuzakiDepartment of Nephrology, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Takuya MaedaDepartment of Nephrology, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Yuki ShimizuDepartment of Nephrology, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Junichiro NakataDepartment of Nephrology, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Yusuke SuzukiDepartment of Nephrology, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Juntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnemia in patients with chronic kidney disease (p-CKDs) may initiate or exacerbate left ventricular hypertrophy (LVH). This study aimed to determine whether treatment using long-acting erythropoietin-stimulating agents (L-ESAs) is independently associated with LVH during the pre-dialysis to maintenance dialysis period in p-CKDs.

methodsPhysical and laboratory examinations were performed 120 days before initiating dialysis in p-CKDs (baseline). To evaluate the left ventricular mass index (LVMI) after starting dialysis, the mean hemoglobin (Hb) was defined as the average at the start of dialysis and 6 months after starting dialysis. Changes in the LVMI were observed in three groups according to mean Hb levels (Hb < 10.1, 10.1 < Hb < 11.0, and Hb > 11.0 g/dL for Groups 1, 2, and 3, respectively). LVMI was evaluated using echocardiography at the pre-dialysis, initiation, and maintenance dialysis periods.

resultsA lower LVMI at dialysis initiation and an improvement in LVMI were detected in the highest tertile group of mean Hb (11.0 g/dl). Consequently, in the high Hb group (Hb level > 11.0 g/dl), LVMI remained low from dialysis initiation until after 6 months.The relationship between Hb and LVMI was not significant; however, a constant correlation with β ≥ 0.4 in the absolute value was maintained.

conclusionL-ESAs may correlate with Hb and LVMI after administration, independent of the baseline LVMI and Hb values. These findings have therapeutic implications in the treatment strategies for p-CKDs during the pre-dialysis to maintenance dialysis period.

Indexed as

AnemiaErythropoietinKidney Failure, ChronicRenal Insufficiency, ChronicDialysisEpoetin AlfaHemoglobinsHumansHypertrophy, Left VentricularLongitudinal StudiesRenal DialysisRetrospective StudiesEpoetin AlfaErythropoietinHemoglobinsEpoetin beta pegolHemodialysisLeft ventricular remodelingMean hemoglobinRenal anemia

Identifiers

PMID36966289
PMCPMC10039592
OpenAlexW4360938678

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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.