ArticleDigestive diseases and sciences2025
Relationship Between Timing of Hemodialysis and Procedure-Related Complications Following Endoscopy in Patients with End-Stage Renal Disease.
Article in Digestive diseases and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Small Bowel Lesions and Bleeding Risk in Hemodialysis Patients: A Narrative Review.Hemodialysis international. International Symposium on Home Hemodialysis · 2026Review
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Authors and funding
9 authors.
Funding
Abstract
purposeThere is a growing population of patients with end-stage renal disease (ESRD) on hemodialysis (HD) requiring endoscopic procedures. While literature supports timing general surgeries one day following dialysis, there is inadequate data on optimal timing of endoscopic procedures. This study examined the procedural complications related to endoscopic procedures based on timing post-HD.
methodsThis retrospective cohort study included endoscopic procedures in patients with ESRD on thrice-weekly HD at a single institution. Procedural complications were analyzed using a GEE model incorporating inverse probability treatment weighting logistic regression based on pre-procedural covariates (Model 1) and combined pre- and intra-procedural covariates (Model 2).
results252 procedures were identified in 191 unique patients, among which 48, 147 and 57 were performed 0, 1 and 2 days post-HD, respectively. Procedures performed on the same day post-HD were more likely to be inpatient (n = 44, 91.7% vs. n = 101, 68.7% vs. n = 39, 68.4% for 0 vs. 1 vs. 2 days post-HD, respectively; p = 0.005) with indication for GI bleeding and/or anemia (n = 40, 83.3% vs. n = 95, 64.6% vs. n = 42, 73.7% for 0 vs. 1 vs. 2 days post-HD, respectively; p = 0.04). Patients undergoing procedures 0 compared to 1-2 days post-HD were more likely to experience mortality (Model 1 OR 2.91, 95% CI 1.24-6.80; p = 0.01; Model 2 OR 3.22, 95% CI 1.42-7.29, p = 0.005).
conclusionEndoscopic procedures performed on the same day following HD may be associated with a higher risk for mortality. Further studies are needed to reproduce these findings and explore the underlying mechanisms driving this association.
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