Evidence map›Paper›PMID 37849996›Full record

ArticleKidney international reports2023

Effect of a Multifaceted Intervention on the Incidence of Hemodialysis Catheter Dysfunction in a National Stepped-Wedge Cluster Randomized Trial.

Benjamin Lazarus, Sradha Kotwal, Martin Gallagher, Nicholas A Gray, Sarah Coggan, Kris Rogers, Girish Talaulikar, Kevan R Polkinghorne, REDUCCTION Investigators

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 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
2.2field-weighted citation impact, top 13% 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, 6 citations in OpenAlex.

  1. Article
  2. Strategies to Prevent Hemodialysis Catheter Dysfunction.Journal of the American Society of Nephrology : JASN · 2025
    Review
  3. Replacement Strategies for Tunneled Hemodialysis Catheters with Complications: A Nationwide Cohort Study.Clinical journal of the American Society of Nephrology : CJASN · 2024
    Article
  4. Review
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 5 institutions in 1 country.

Benjamin LazarusThe George Institute for Global Health, UNSW, Sydney, Australia.
Sradha KotwalThe George Institute for Global Health, UNSW, Sydney, Australia.
Martin GallagherThe George Institute for Global Health, UNSW, Sydney, Australia.
Nicholas A GraySunshine Coast University Hospital, Birtinya, Queensland, Australia.
Sarah CogganThe George Institute for Global Health, UNSW, Sydney, Australia.
Kris RogersThe George Institute for Global Health, UNSW, Sydney, Australia.
Girish TalaulikarDepartment of Nephrology, The Canberra Hospital, Garran, ACT, Australia.
Kevan R PolkinghorneDepartment of Medicine, Monash University, Clayton, Victoria, Australia.
REDUCCTION Investigators
UNSW Sydney · AUAustralian National University · AUMonash Health · AUUniversity of Technology Sydney · AUUniversity of the Sunshine Coast · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Effective strategies to prevent hemodialysis (HD) catheter dysfunction are lacking and there is wide variation in practice. Methods: In this Results: A total of 873 HD catheters were removed because of dysfunction over 1.12 million catheter days. The raw incidence was 0.91 events per 1000 catheter days during the baseline phase and 0.68 events per 1000 catheter days during the intervention phase. The service-wide incidence of catheter dysfunction was 33% lower during the intervention after adjustment for calendar time (incidence rate ratio = 0.67; 95% confidence interval [CI], 0.50-0.89; Conclusion: Multifaceted interventions that promote evidence-based catheter care may prevent dysfunction, and patient factors are an important source of variation in events.

Indexed as

CVCdialysismalfunctionrandomizedrenalvariance

Identifiers

PMID37849996
PMCPMC10577327
OpenAlexW4385299058

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.