Evidence map›Paper›PMID 39696062›Full record

ReviewBMC nephrology2024

Modern tools for optimizing fluid management in dialysis patients: a comprehensive review.

Sharad Patel, Sandhya Ashokkumar, Adam Green

Abstract readReview
In one paragraph

Review in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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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

3 authors.

Sharad PatelDepartment of Critical Care Medicine, Cooper University Health Care, 1 Cooper Plaza, Camden, NJ, 08103, USA. Patel-sharad@cooperhealth.edu.
Sandhya AshokkumarDepartment of Critical Care Medicine, Cooper University Health Care, 1 Cooper Plaza, Camden, NJ, 08103, USA.
Adam GreenDepartment of Critical Care Medicine, Cooper University Health Care, 1 Cooper Plaza, Camden, NJ, 08103, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maintaining optimal fluid balance is crucial for patients with end-stage renal disease on dialysis, as both fluid overload and excess removal can lead to poor outcomes. Traditional approaches such as physical exam and chest X-ray have limitations when assessing volume status. This review carefully examines the tools that provide more precise options, including lung ultrasound, echocardiography, Venous Excess Ultrasound (VEXUS), bioimpedance analysis (BIA), and passive leg raise (PLR). We discuss the principles, supporting evidence, and practical uses of these techniques differentiating between static and dynamic methods to evaluate ultrafiltration tolerance. By integrating these modern techniques with clinical judgment, nephrologists can optimize fluid management in dialysis patients. While these tools show promise, further research is needed to establish standardized protocols and evaluate their impact on patient-centered outcomes.

Indexed as

Fluid TherapyKidney Failure, ChronicRenal DialysisEchocardiographyElectric ImpedanceHumansUltrasonographyWater-Electrolyte BalanceDialysisFluid overloadUltrasound

Identifiers

PMID39696062
PMCPMC11657891

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.