SynthesisJournal of nephrology2025
Lung ultrasound for fluid assessment in patients receiving dialysis-a systematic review.
Synthesis in Journal of nephrology, 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
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.
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.
Who cites it
1 citing paper in PubMed.
- Multimodal Diagnostic Ultrasound for Congestion, Perfusion, and Ultrafiltration Tolerance in Maintenance Hemodialysis: A Narrative Review.Diagnostics (Basel, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccurate methods of assessing fluid status in patients with kidney failure in need of dialysis are pivotal to preventing volume overload. Unidentified volume overload can lead to cardiac complications such as left ventricular hypertrophy, hypertension, and, ultimately, heart failure. Currently, there is no gold standard for determining the hydration status of this patient group. This systematic review aims to synthesise studies that have assessed the diagnostic accuracy of lung ultrasound in evaluating fluid status and the use of lung ultrasound to improve long-term endpoints in chronic dialysis patients.
methodsThe protocol was registered in the PROSPERO registry (CRD 42022334147), and was conducted in accordance with PRISMA guidelines. The search was conducted in the PubMed, Embase, Medline and Web of Science databases to identify studies related to lung ultrasound and dialysis.
resultsThe search yielded 2543 studies, and after screening, five diagnostic accuracy studies and seven randomised controlled trials (RCTs) were included in the final analysis. The diagnostic accuracy studies reported sensitivity between 33 and 94.5% and specificity from 39 to 80%, highlighting considerable heterogeneity among the studies. The RCTs indicated that using ultrasound in volume management was not associated with improving long-term endpoints such as all-cause mortality and cardiovascular events. The quality assessment of the included studies showed an overall risk of bias in both types of studies (RCT and diagnostic accuracy studies).
conclusionLung ultrasound is an accurate, low-cost, and easily implementable method that could complement but not replace the standard of care. The available literature concerning the use of lung ultrasound in volume assessment of patients with kidney failure was characterised by heterogeneity and risk of bias. Future rigorous, high-quality research must involve randomised controlled trials to consolidate the efficiency and efficacy of lung ultrasound for kidney failure patients.
Indexed as
Identifiers
What OpenQuestion holds
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.