Evidence map›Paper›PMID 40250871›Full record

ArticleBMJ open2025

Key performance indicators for acute intermittent kidney replacement therapy in critically ill patients: a protocol for a systematic review.

Dawn Opgenorth, Liza Bialy, Kristin Robertson, Samantha L Bowker, Selvi Sinnadurai, Jeanna Morrissey, N Pannu, Scott Klarenbach, Matthew James, Ashita Tolwani and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05186636 (Dialyzing Wisely - Improving the Delivery of Acute Renal Replacement Therapy to Albertans), which is not on this map. Not yet cited in PubMed.

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

NCT05186636 completednot on this map

Dialyzing Wisely - Improving the Delivery of Acute Renal Replacement Therapy to Albertans

TypeobservationalSponsorUniversity of AlbertaRan2023 to 2026Enrolled9,348ConditionsAcute Renal InjuryArmsKPI reports, Prescriber reports
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Dawn OpgenorthDepartment of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0003-3571-3871
Liza BialyDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0002-5861-2769
Kristin RobertsonCritical Care Strategic Clinical Network of Alberta Health Services, Edmonton, Alberta, Canada.
Samantha L BowkerCritical Care Strategic Clinical Network of Alberta Health Services, Edmonton, Alberta, Canada.
Selvi SinnaduraiCritical Care Strategic Clinical Network of Alberta Health Services, Edmonton, Alberta, Canada.
Jeanna MorrisseyCritical Care Strategic Clinical Network of Alberta Health Services, Edmonton, Alberta, Canada.
N PannuDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Scott KlarenbachDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0002-8611-1056
Matthew JamesUniversity of Calgary, Calgary, Alberta, Canada.
Ashita TolwaniDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Michael HeungDepartment of Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Javier A NeyraDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Teresa MottesAnn & Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Fadi HammalDepartment of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.
Xiaoming WangProvincial Research Data Services, Alberta Health Services, Edmonton, Alberta, Canada.
Janice Y KungUniversity of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0001-8676-8675
Sean M BagshawDepartment of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.
Oleksa G RewaDepartment of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada rewa@ualberta.ca.ORCID http://orcid.org/0000-0002-8718-0547

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere have been previous initiatives to identify key performance indicators (KPIs) for continuous kidney replacement therapy. However, no formal reviews of the evidence for KPIs of intermittent kidney replacement therapy (IKRT) have been conducted. This systematic review will appraise the evidence for KPIs of IKRT in critically ill patients and is part of the DIALYZING WISELY (NCT05186636) programme which aims to improve the performance of acute renal replacement therapy in intensive care units by aligning local practices with evidence-based best practices. METHODS AND ANALYSIS: Ovid MEDLINE, Ovid Embase, CINAHL and Cochrane Library will be searched for studies involving KPIs for IKRT. Grey literature will also be searched and include technical reports, practice guidelines and conference proceedings as well as websites of relevant organisations. We will search the Agency of Healthcare Research and National Quality Measures Clearinghouse for IKRT-related KPIs. Studies will be included if they contain KPIs, occur in critically ill patients and are associated with IKRT. We will evaluate the risk of bias using the modified Cochrane tool and certainty of evidence using the Grading of Recommendations, Assessment, Development and Evaluations methodology. The analysis will be primarily descriptive. Each KPI will be evaluated for importance, scientific acceptability, usability and feasibility using the four criteria proposed by the United States Strategic Framework Board for a National Quality Measurement and Reporting System. Finally, KPIs will be appraised for potential operational characteristics, potential to be integrated into electronic medical records, adoptability by stakeholders and affordability, if applicable. ETHICS AND DISSEMINATION: Ethics approval is not required as primary data will not be collected. Findings of this review will be disseminated through peer-related publication. PROSPERO REGISTRATION NUMBER: CRD42022074444.

Indexed as

Acute Kidney InjuryCritical IllnessQuality Indicators, Health CareRenal Replacement TherapyHumansIntensive Care UnitsResearch DesignSystematic Reviews as TopicAcute renal failureAdult intensive & critical careDialysisMeta-AnalysisSystematic Review

Identifiers

PMID40250871
PMCPMC12007020

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.