Evidence map›Paper›PMID 40171116›Full record

ArticleFrontiers in physiology2025

A novel kinetic model estimating the urea concentration in plasma during non-invasive sweat-based monitoring in hemodialysis.

Xiaoyu Yin, Sophie Adelaars, Elisabetta Peri, Eduard Pelssers, Jaap Den Toonder, Arthur Bouwman, Daan Van de Kerkhof, Massimo Mischi

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

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiaoyu Yin *Electrical Engineering, Eindhoven University of Technology, Eindhoven, Noord-Brabant, Netherlands.
Sophie Adelaars *Electrical Engineering, Eindhoven University of Technology, Eindhoven, Noord-Brabant, Netherlands.
Elisabetta PeriElectrical Engineering, Eindhoven University of Technology, Eindhoven, Noord-Brabant, Netherlands.
Eduard PelssersBiomedical Engineering, Eindhoven University of Technology, Eindhoven, Noord-Brabant, Netherlands.
Jaap Den ToonderBiomedical Engineering, Eindhoven University of Technology, Eindhoven, Noord-Brabant, Netherlands.
Arthur BouwmanElectrical Engineering, Eindhoven University of Technology, Eindhoven, Noord-Brabant, Netherlands.
Daan Van de KerkhofLaboratory, Catharina Hospital, Eindhoven, Noord-Brabant, Netherlands.
Massimo MischiElectrical Engineering, Eindhoven University of Technology, Eindhoven, Noord-Brabant, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The adequacy of hemodialysis (HD) in patients with end-stage renal disease is evaluated frequently by monitoring changes in blood urea concentrations multiple times between treatments. As monitoring of urea concentrations typically requires blood sampling, the development of sweat-sensing technology offers a possible less-invasive alternative to repeated venipuncture. Moreover, this innovative technology could enable personalized treatment in a home-based setting. However, the clinical interpretation of sweat monitoring is hampered by the limited literature on the correlation between urea concentrations in sweat and blood. This study introduces a pioneering approach to estimate blood urea concentrations using sweat urea concentration values as input. Methods: To simulate the complex transport mechanisms of urea from blood to sweat, a novel pharmacokinetic transport model is proposed. Such a transport model, together with a double-loop optimization strategy from our previous work, was employed for patient-specific estimation of blood urea concentration. 32 patient samples of paired sweat and blood urea concentrations, collected both before and after HD, were used to validate the model. Results: This resulted in an excellent Pearson correlation coefficient (0.98, 95%CI: 0.95-0.99) and a clinically irrelevant bias (-0.181 mmol/L before and -0.005 mmol/L after HD). Discussion: This model enabled the accurate estimation of blood urea concentrations from sweat measurements. By accurately estimating blood urea concentrations from sweat measurements, our model enables non-invasive and more frequent assessments of dialysis adequacy in ESRD patients. This approach could facilitate home-based and patient-friendly dialysis management, enhancing patient comfort while enabling more personalized treatment across diverse clinical settings.

Indexed as

end-stage renal diseaseinverse modelingkidney failurepatient monitoringpharmacokinetic modeling

Identifiers

PMID40171116
PMCPMC11959058

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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.