Evidence map›Paper›PMID 37277461›Full record

ReviewNature reviews. Nephrology2023

Portable, wearable and implantable artificial kidney systems: needs, opportunities and challenges.

David Loureiro Ramada, Joost de Vries, Jeroen Vollenbroek, Nazia Noor, Odyl Ter Beek, Silvia M Mihăilă, Fokko Wieringa, Rosalinde Masereeuw, Karin Gerritsen, Dimitrios Stamatialis

Open access · hybridAbstract readReview
In one paragraph

Review in Nature reviews. Nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
15.3field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 77 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. A website calculator to benchmark the carbon footprint of haemodialysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  8. Article
  9. Kidney health for all: Caring for people, protecting the planet.Journal of family medicine and primary care · 2026
    Article
  10. Decoding High-voltage LiCoOAdvanced materials (Deerfield Beach, Fla.) · 2026
    Review
  11. Article
  12. Kidney Health for all: Caring for People, Protecting the Planet.Canadian journal of kidney health and disease · 2026
    Article
  13. A guide to uraemic toxicity.Nature reviews. Nephrology · 2026
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Contemporary Perspectives on Chronic Renal Disorders.Chronic diseases and translational medicine · 2025
    Review
  19. Article
  20. 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

10 authors at 5 institutions in 2 countries.

David Loureiro RamadaAdvanced Organ bioengineering and Therapeutics, Faculty of Science and Technology, Technical Medical Centre, University of Twente, P.O Box 217, 7500, AE Enschede, The Netherlands.ORCID 0000-0001-9774-4302
Joost de VriesDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Jeroen VollenbroekDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-0778-3509
Nazia NoorAdvanced Organ bioengineering and Therapeutics, Faculty of Science and Technology, Technical Medical Centre, University of Twente, P.O Box 217, 7500, AE Enschede, The Netherlands.
Odyl Ter BeekAdvanced Organ bioengineering and Therapeutics, Faculty of Science and Technology, Technical Medical Centre, University of Twente, P.O Box 217, 7500, AE Enschede, The Netherlands.
Silvia M MihăilăDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Fokko WieringaDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-7759-7816
Rosalinde MasereeuwDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0002-1560-1074
Karin GerritsenDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Dimitrios StamatialisAdvanced Organ bioengineering and Therapeutics, Faculty of Science and Technology, Technical Medical Centre, University of Twente, P.O Box 217, 7500, AE Enschede, The Netherlands. d.stamatialis@utwente.nl.ORCID 0000-0002-2298-2442
University Medical Center Utrecht · NLUniversity of Twente · NLUtrecht University · NLBreakthrough · USImec the Netherlands · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Haemodialysis is life sustaining but expensive, provides limited removal of uraemic solutes, is associated with poor patient quality of life and has a large carbon footprint. Innovative dialysis technologies such as portable, wearable and implantable artificial kidney systems are being developed with the aim of addressing these issues and improving patient care. An important challenge for these technologies is the need for continuous regeneration of a small volume of dialysate. Dialysate recycling systems based on sorbents have great potential for such regeneration. Novel dialysis membranes composed of polymeric or inorganic materials are being developed to improve the removal of a broad range of uraemic toxins, with low levels of membrane fouling compared with currently available synthetic membranes. To achieve more complete therapy and provide important biological functions, these novel membranes could be combined with bioartificial kidneys, which consist of artificial membranes combined with kidney cells. Implementation of these systems will require robust cell sourcing; cell culture facilities annexed to dialysis centres; large-scale, low-cost production; and quality control measures. These challenges are not trivial, and global initiatives involving all relevant stakeholders, including academics, industrialists, medical professionals and patients with kidney disease, are required to achieve important technological breakthroughs.

Indexed as

Kidneys, ArtificialWearable Electronic DevicesDialysis SolutionsHumansQuality of LifeRenal DialysisDialysis Solutions

Identifiers

PMID37277461
PMCPMC10240485
OpenAlexW4379389359

What OpenQuestion holds

Textmetadata
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.