Evidence map›Paper›PMID 37890966›Full record

ArticleBMJ open2023

Cardiac arrhythmia and hypoglycaemia in patients receiving haemodialysis with and without diabetes (the CADDY study): protocol for a Danish multicentre cohort study.

Dea Haagensen Kofod, Søren Zöga Diederichsen, Tobias Bomholt, Mads Ørbæk Andersen, Marianne Rix, Ylian Liem, Kristine Lindhard, Henrik Post Hansen, Casper Rydahl, Morten Lindhardt and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04841304 (Cardiac Arrhythmia in Patients With End-Stage Renal Disease), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 21% 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.

NCT04841304 completednot on this map

Cardiac Arrhythmia in Patients With End-Stage Renal Disease

TypeobservationalSponsorRigshospitalet, DenmarkRan2021 to 2026Enrolled70ConditionsEnd Stage Renal Disease on Dialysis, Cardiac Arrhythmia, Diabetes Mellitus, HypoglycemiaArmsLoop recorder (Reveal LINQ, Medtronic), Continuous Glucose Measurement (G6, Dexcom)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Observational
  3. 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

17 authors at 3 institutions in 1 country.

Dea Haagensen KofodDepartment of Nephrology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark dea.haagensen.kofod.01@regionh.dk.ORCID 0000-0003-0173-8456
Søren Zöga DiederichsenDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Tobias BomholtDepartment of Nephrology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-0614-4761
Mads Ørbæk AndersenDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Marianne RixDepartment of Nephrology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Ylian LiemDepartment of Nephrology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Kristine LindhardDepartment of Nephrology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Henrik Post HansenDepartment of Nephrology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Casper RydahlDepartment of Nephrology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
Morten LindhardtDepartment of Internal Medicine, Copenhagen University Hospital-Holbaek, Holbaek, Denmark.ORCID 0000-0001-6063-1718
Kristine SchandorffDepartment of Nephrology, Copenhagen University Hospital-Hilleroed, Hilleroed, Denmark.
Theis LangeSection of Biostatistics, University of Copenhagen, Copenhagen, Denmark.
Kirsten NørgaardSteno Diabetes Center Copenhagen, Herlev, Denmark.
Thomas Peter AlmdalDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Jesper Hastrup SvendsenDepartment of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Bo Feldt-RasmussenDepartment of Nephrology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Mads HornumDepartment of Nephrology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Copenhagen University Hospital · DKUniversity of Copenhagen · DKGentofte Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients receiving haemodialysis are at increased risk of arrhythmias and sudden cardiac death, but data on arrhythmia burden and the pathophysiology remain limited. Among potential risk factors, hypoglycaemia is proposed as a possible trigger of lethal arrhythmias. The development of implantable loop recorders (ILR) and continuous glucose monitoring (CGM) enables long-term continuous ECG and glycaemic monitoring. The current article presents the protocol of a study aiming to increase the understanding of arrhythmias and risk factors in patients receiving haemodialysis. The findings will provide a detailed exploration of the burden and nature of arrhythmias in these patients including the potential association between hypoglycaemia and arrhythmias. METHODS AND ANALYSIS: The study is an investigator-initiated, prospective, multicentre cohort study recruiting 70 patients receiving haemodialysis: 35 with diabetes and 35 without diabetes. Participants are monitored with ILRs and CGM for 18 months follow-up. Data collection further includes a monthly collection of predialysis blood samples and dialysis parameters. The primary outcome is the presence of clinically significant arrhythmias defined as a composite of bradycardia, ventricular tachycardia, or ventricular fibrillation. Secondary outcomes include the characterisation of clinically significant arrhythmias and other arrhythmias, glycaemic characteristics, and mortality. The data analyses include an assessment of the association between arrhythmias and hypoglycaemia and hyperglycaemia, baseline clinical variables, and parameters related to kidney failure and the haemodialysis procedure. ETHICS AND DISSEMINATION: The study has been approved by the Ethics Committee of the Capital Region of Denmark (H-20069767). The findings will be presented at national and international congresses as well as in international peer-reviewed scientific journals. TRIAL REGISTRATION NUMBER: NCT04841304.

Indexed as

Diabetes MellitusHypoglycemiaArrhythmias, CardiacBlood GlucoseBlood Glucose Self-MonitoringCohort StudiesDenmarkHumansMulticenter Studies as TopicProspective StudiesRenal DialysisBlood GlucoseDiabetes & endocrinologyDialysisPacing & electrophysiology

Identifiers

PMID37890966
PMCPMC10619063
OpenAlexW4387978494

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Registered trials

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.