Evidence map›Paper›PMID 39984620›Full record

ArticleScientific reports2025

Impact of using oral spherical carbon adsorbent in predialysis chronic kidney disease period on cardiovascular outcome after dialysis therapy.

Takhyeon Kweon, Youn Kyung Kee, Dong Ho Shin, Jieun Oh, Hee Jung Jeon

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Takhyeon KweonDepartment of Internal Medicine, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, 150, Seongan-ro, Gangdong-Gu, Seoul, 05355, Republic of Korea.
Youn Kyung KeeDepartment of Internal Medicine, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, 150, Seongan-ro, Gangdong-Gu, Seoul, 05355, Republic of Korea.
Dong Ho ShinDepartment of Internal Medicine, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, 150, Seongan-ro, Gangdong-Gu, Seoul, 05355, Republic of Korea.
Jieun OhDepartment of Internal Medicine, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, 150, Seongan-ro, Gangdong-Gu, Seoul, 05355, Republic of Korea.
Hee Jung JeonDepartment of Internal Medicine, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, 150, Seongan-ro, Gangdong-Gu, Seoul, 05355, Republic of Korea. jhj0223@kdh.or.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The oral spherical carbon adsorbent (OSCA), AST-120, has demonstrated efficacy in slowing the progression of chronic kidney disease (CKD). This study assessed the impact of OSCA administration during predialysis CKD period on cardiovascular outcomes after dialysis therapy. We conducted a retrospective cohort study with 294 patients, including 98 who received OSCA before dialysis (OSCA group) and 196 matched control by age and sex (control group). The primary outcome was cardiovascular events, and the secondary composite outcome included cardiovascular events and cardiovascular death post-dialysis initiation. The analysis of cardiovascular event-free survival revealed no difference between two groups (P = 0.228). However, when the OSCA group was further divided based on the duration of OSCA administration, the patients who received OSCA for ≥ 4 months presented significantly fewer cardiovascular events than those who received OSCA for shorter periods (P = 0.032). Multivariate Cox models revealed a reduced risk of cardiovascular events in the OSCA ≥ 4 months group compared to the control group (HR 0.39, 95% CI 0.18-0.84). Additionally, the OSCA ≥ 4 months group experienced significantly fewer composite outcome (HR 0.46, 95% CI 0.24-0.90). These findings indicate that longer-term OSCA use before dialysis initiation could reduce cardiovascular events and death post-dialysis, suggesting a potential 'legacy effect'.

Indexed as

CarbonCardiovascular DiseasesRenal DialysisRenal Insufficiency, ChronicAdministration, OralAgedFemaleHumansMaleMiddle AgedOxidesRetrospective StudiesTreatment OutcomeAST 120CarbonOxidesAST-120Cardiovascular eventChronic kidney diseaseEnd-stage renal diseaseOral spherical carbon adsorbents

Identifiers

PMID39984620
PMCPMC11845776

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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.