Evidence map›Paper›PMID 39212241›Full record

ArticleRenal failure2024

Survival rates in comprehensive conservative care compared to dialysis therapy in elderly end-stage kidney disease patients: a propensity score analysis.

Kajohnsak Noppakun, Apichat Tantraworasin, Jiraporn Khorana, Surapon Nochaiwong, Surachet Vongsanim, Phoom Narongkiatikhun, Karn Pongsuwan, Prit Kusirisin, Chalongrat Manoree, Chidchanok Ruengorn

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Renal failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Kajohnsak NoppakunDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-5783-8766
Apichat TantraworasinFaculty of Medicine, Clinical Epidemiology and Clinical Statistic Center, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-7913-2799
Jiraporn KhoranaFaculty of Medicine, Clinical Epidemiology and Clinical Statistic Center, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0001-9023-0923
Surapon NochaiwongFaculty of Pharmacy, Pharmacoepidemiology and Statistics Research Center, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0003-1100-7171
Surachet VongsanimDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-4551-393X
Phoom NarongkiatikhunDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-1569-4581
Karn PongsuwanDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-3967-2918
Prit KusirisinDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-3885-9377
Chalongrat ManoreeTransplant and Dialysis Unit, Nursing Medicine Section, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand.ORCID 0009-0006-5346-5305
Chidchanok RuengornFaculty of Pharmacy, Pharmacoepidemiology and Statistics Research Center, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0001-7927-1425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Initiating dialysis therapy in elderly patients with end-stage kidney disease (ESKD) is a challenging decision. We aimed to examine the mortality rates among elderly patients who underwent hemodialysis, peritoneal dialysis, or comprehensive conservative care. This retrospective cohort study included elderly patients (≥70 years) with ESKD who selected their treatment options from January 2008 to December 2018. Patients were categorized into three groups: hemodialysis, peritoneal dialysis, and comprehensive conservative care. The outcome of interest was all-cause mortality analyzed using flexible parametric survival models. Propensity score analysis with inverse probability treatment weighting technique was performed, incorporating age, Charlson Comorbidity Index score, and estimated glomerular filtration rate. The study included 719 elderly ESKD patients with mean age of 78.2 ± 4.9 years, 52.3% were male, and 60.1% died during the median follow-up period of 22.1 months. In a fully adjusted model, patients receiving comprehensive conservative care (

Indexed as

Conservative TreatmentKidney Failure, ChronicPeritoneal DialysisPropensity ScoreRenal DialysisAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesSurvival RateAdvance care planningcomprehensive conservative managementgeriatric dialysisinverse probability treatment weighting (IPTW)kidney replacement therapy (KRT)shared decision-making

Identifiers

PMID39212241
PMCPMC11370684

What OpenQuestion holds

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LicenceCC BY-NC
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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.