Evidence map›Paper›PMID 39301271›Full record

ReviewClinical kidney journal2024

Transportable, portable, wearable and (partially) implantable haemodialysis systems: comparison of technologies and readiness levels.

Fokko P Wieringa, Dian Bolhuis, Henning Søndergaard, Stephen R Ash, Cian Cummins, Karin G F Gerritsen, Jeroen Vollenbroek, Tugrul Irmak

Abstract readReview
In one paragraph

Review in Clinical kidney journal, 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

8 authors.

Fokko P WieringaIMEC the Netherlands - Health Research, Eindhoven, The Netherlands.ORCID https://orcid.org/0000-0002-7759-7816
Dian BolhuisUMC Utrecht - Nephrology Dept, Utrecht, The Netherlands.
Henning SøndergaardEuropean Kidney Health Alliance - WG3, Brussels, Belgium.
Stephen R AshHemoCleanse, Inc. and Ash Access Technologies - R&D, 3601 Sagamore Parkway North, Lafayette, IN, USA.
Cian CumminsIMEC, Leuven, Belgium.
Karin G F GerritsenUMC Utrecht - Nephrology Dept, Utrecht, The Netherlands.
Jeroen VollenbroekIMEC the Netherlands - Health Research, Eindhoven, The Netherlands.
Tugrul IrmakUMC Utrecht - Nephrology Dept, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dialysis modalities and their various treatment schedules result from complex compromises ('trade-offs') between medical, financial, technological, ergonomic, and ecological factors. This study targets summarizing the mutual influence of these trade-offs on (trans)portable, wearable, or even (partially) implantable haemodialysis (HD) systems, identify what systems are in development, and how they might improve quality of life (QoL) for patients with kidney failure. Methods: HD as defined by international standard IEC 60601-2-16 was applied on a PUBMED database query regarding (trans)portable, wearable, and (partly) implantable HD systems. Out of 159 search results, 24 were included and scanned for specific HD devices and/or HD systems in development. Additional information about weight, size, and development status was collected by the internet and/or contacting manufacturers. International airplane hand baggage criteria formed the boundary between transportable and portable. Technology readiness levels (TRLs) were assigned by combining TRL scales from the European Union and NATO medical staff. Results: The query revealed 13 devices/projects: seven transportable (six TRL9, one TRL5); two portable (one TRL6-7, one TRL4); two wearable (one TRL6, one frozen); and two partly implantable (one TRL4-5, one TRL2-3). Discussion: Three main categories of technical approaches were distinguished: single-pass, dialysate regenerating, and implantable HD filter with extracorporeal dialysate regeneration (in climbing order of mobility). Conclusions: Kidneys facilitate mobility by excreting strongly concentrated waste solutes with minimal water loss. Mimicking this kidney function can increase HD system mobility. Dialysate-regenerating HD systems are enablers for portability/wearability and, combined with durable implantable HD filters (once available), they may enable HD without needles or intravascular catheters. However, lack of funding severely hampers progress.

Indexed as

kidney replacement therapyminiaturizationmobilitytechnology readiness leveltrade-offs

Identifiers

PMID39301271
PMCPMC11411285

What OpenQuestion holds

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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.