Evidence map›Paper›PMID 37697492›Full record

ArticleNephrology (Carlton, Vic.)2023

Practice of dialysis access interventional nephrology procedures in the Asia-Pacific region: Getting lay of the land.

Sanjiv Jasuja, Maurizio Gallieni, Vivekanand Jha, Tushar Vachharajani, A K Bhalla, Jackson Tan, Cheih Suai Tan, Nabin Bahadur Basnet, Nalaka Herath, Ha Phan Hai An and 28 more

Abstract read
In one paragraph

Article in Nephrology (Carlton, Vic.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

38 authors.

Sanjiv JasujaIndraprastha Apollo Hospital, New Delhi, India.ORCID https://orcid.org/0000-0003-1707-5650
Maurizio GallieniDIBIC "L. Sacco", Università degli Studi di Milano, Milano, Italy.
Vivekanand JhaFortis Kidney and Urology Institute, New Delhi, India.
Tushar VachharajaniJohn D. Dingell Veterans Affair Medical Center, Detroit, Michigan, USA.ORCID https://orcid.org/0000-0002-4494-966X
A K BhallaSir Ganga Ram Hospital, New Delhi, Delhi, India.
Jackson TanRimba Dialysis Center, Simpang, Brunei Darussalam.ORCID https://orcid.org/0000-0002-8176-9393
Cheih Suai TanSingapore General Hospital, Singapore, Singapore.
Nabin Bahadur BasnetNepal Mediciti Hospital, Karyabinayak, Nepal.
Nalaka HerathTeaching Hospital, Kurunegala, Sri Lanka.
Ha Phan Hai AnHanoi Medical University, Hanoi, Vietnam.
Yong Soo KimCollege of Medicine, St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Yaeni KimCollege of Medicine, St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Krishnaswamy SampathKumarMeenakshi Mission Hospital and Research Centre, Madurai, India.ORCID https://orcid.org/0000-0003-1059-1484
Manisha SahayOsmania General Hospital, Hyderabad, India.ORCID https://orcid.org/0000-0001-5534-2516
Raja RamachandranPGIMER, Chandigarh, India.
Suceena AlexanderChristian Medical College (CMC), Vellore, India.ORCID https://orcid.org/0000-0001-7692-606X
Vinant BhargavaSir Ganga Ram Hospital, New Delhi, Delhi, India.
J BalasubramaniamKidney Care Centre, Tirunelveli, Tamil Nadu, India.
David VossMiddlemore Hospital, Auckland, New Zealand.
Fredeick E OgbacUniversity of Brawijaya, Malang, Indonesia.
Atma GunawanSt Luke's Medical Center, Quezon City, Philippines.
Bak Leong GohHospital Serdang, Kajang, Malaysia.ORCID https://orcid.org/0000-0002-4644-7743
Chih-Ching LinTaipei Veterans General Hospital, Taipei, Taiwan.
Jamshaid KhanJamhuriat Teaching Hospital, Kabul, Afghanistan.
Ibrahim ShihamIndira Gandhi Memorial Hospital, Male, Maldives.
Haroon AyubHameed Latif Hospital, Lahore, Pakistan.
Min Aung HeinDefence Services Medical Academy (DSMA), Yangon, Myanmar.
Sarwar IqbalBIRDEM General Hospital, Dhaka, Bangladesh.
Nattachai SrisawatChulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-8544-8132
Bihu GaoAffiliated Zhongshan Hospital of Dalian University, Dalian, China.
Cherian SajivAlice Springs Hospital, The Gap, Northern Territory, Australia.
Catherine WilkinsonCairns and Hinterland Hospital and Health Service, Cairns North, Queensland, Australia.
Thim PichthidaSchool of Medicine, International University, Phnom Penh, Cambodia.
D S RanaSir Ganga Ram Hospital, New Delhi, Delhi, India.
Gaurav SagarIndraprastha Apollo Hospital, New Delhi, India.
Anupam BahlIndraprastha Apollo Hospital, New Delhi, India.
Samir TawakleyIndraprastha Apollo Hospital, New Delhi, India.
Mragank GaurIndraprastha Apollo Hospital, New Delhi, India.

Funding

DBT-Wellcome Trust India Alliance IA/CPHS/22/1/506541
6 · The paper itself

Abstract

aimThis cross-sectional survey aimed to determine the prevalence of Interventional Nephrology (IN) practice amongst nephrologists in the Asia-Pacific Region (APR), specifically related to dialysis access (DA).

methodsThe Association of VA and intervenTionAl Renal physicians (AVATAR) Foundation from India conducted a multinational online survey amongst nephrologists from the Asia-Pacific to determine the practice of IN in the planning, creation, and management of dialysis access. The treatment modalities, manpower and equipment availability, monthly cost of treatment, specifics of dialysis access interventions, and challenges in the training and practice of IN by nephrologists were included in the survey.

resultsTwenty-one countries from the APR participated in the survey. Nephrologists from 18 (85.7%) countries reported performing at least one of the basic dialysis access-related IN procedures, primarily the placement of non-tunnelled central catheters (n-TCC; 71.5%). Only 10 countries (47.6%) reported having an average of <4% of nephrologists performing any of the advanced IN access procedures, the most common being the placement of a peritoneal dialysis (PD) catheter (20%). Lack of formal training (57.14%), time (42.8%), incentive (38%), institutional support (38%), medico-legal protection (28.6%), and prohibitive cost (23.8%) were the main challenges to practice IN. The primary obstacles to implementing the IN training were a lack of funding and skilled personnel.

conclusionThe practice of dialysis access-related IN in APR is inadequate, mostly due to a lack of training, backup support, and economic constraints, whereas training in access-related IN is constrained by a lack of a skilled workforce and finances.

Indexed as

NephrologyAsiaCatheterizationCross-Sectional StudiesHumansRenal DialysisAsia-Pacificdialysis accessinterventional nephrology (IN)surveytunnelled-central catheter

Identifiers

PMID37697492
PMCPMC7615839

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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.