Evidence map›Paper›PMID 40437975›Full record

ArticleRenal failure2025

The association between body mass index and mortality in diabetic patients with end-stage renal disease is different in hemodialysis and peritoneal dialysis.

Hanri Afghahi, Salmir Nasic, Johan Svensson, Helena Rydell, Anna Wärme, Björn Peters

Abstract readComparative Study
In one paragraph

Article in Renal failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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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

6 authors.

Hanri AfghahiDepartment of Molecular and Clinical Medicine, Institute of Medicine, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Salmir NasicDepartment of Molecular and Clinical Medicine, Institute of Medicine, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Johan SvenssonResearch, Education, Development and Innovation Department (FoUUI), Skaraborg Hospital, Region Västra Götaland, Skövde, Sweden.
Helena RydellStockholm Division of Renal Medicine, CLINTEC, Karolinska Institute, Karolinska University Hospital, Solna, Sweden.
Anna WärmeDepartment of Nephrology, Skaraborg Hospital, Region Västra Götaland, Skövde, Sweden.
Björn PetersDepartment of Molecular and Clinical Medicine, Institute of Medicine, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and hypothesisThere are diverse results in terms of the association between body mass index (BMI) and mortality risk in patients with end-stage renal disease (ESRD). The aim was to examine if there is an association between BMI and the risk of all-cause mortality in patients with diabetes mellitus (DM) and ESRD on hemodialysis (HD) or peritoneal dialysis (PD).

methodsIncluded were 3,235 patients (mean age 66 ± 14 years, 66% men) with DM on dialysis treatment (2,452 HD, 783 PD) that were followed for 3.9 ± 3.5 years. BMI was calculated as weight (kg)/[height (m)]

resultsDuring the study, 1,688 (53%) patients died (1,275 on HD, 413 on PD). In multivariate analyses, patients on HD with BMI ≤ 18.5 kg/m

conclusionAn increased risk of mortality in underweight DM patients on HD was found. Overweight, class 1 and class 2 obesity were associated with better survival in HD. KEY LEARNING POINTS: The association between BMI and risk of mortality is different in patients with DM on maintenance HD or PD. WHAT WAS KNOWN (MAXIMUM 50 WORDS): The association between BMI and risk of mortality in ESRD population on dialysis treatment is very divers and different study have shown different results. THIS STUDY ADDS (MAXIMUM 50 WORDS): High BMI associated with better survival in patients with diabetes and HD but this finding did not observed with PD. POTENTIAL IMPACT (ON PRACTICE OR UNDERSTANDING, MAXIMUM 50 WORDS): The importance to examine time-varying BMI frequently as independent covariance in patients with dialysis treatment.

Indexed as

Body Mass IndexDiabetes MellitusKidney Failure, ChronicPeritoneal DialysisRenal DialysisAgedFemaleHumansMaleMiddle AgedObesityProportional Hazards ModelsRetrospective StudiesRisk FactorsBMIdiabetes mellitushemodialysismortalityperitoneal dialysis

Identifiers

PMID40437975
PMCPMC12123957

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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.