Evidence map›Paper›PMID 41278339›Full record

ArticleKidney international reports2025

Pilot Randomized Trial of Dialysis Less Frequently in the Elderly: The DLITE Study.

Christine A White, Hasitha Welihinda, Andrew G Day, Daren K Heyland, Rachel M Holden

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07738731 (A Randomized Controlled Study of Dialysis Less Frequently in the Elderly), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

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.

NCT07738731 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Randomized Controlled Study of Dialysis Less Frequently in the Elderly

TypeinterventionalSponsorQueen's UniversityRan2026 to 2031Enrolled210ConditionsHemodialysis, End Stage Kidney Disease (ESKD)ArmsTwice weekly hemodialysis, Thrice weekly hemodialysis treatment
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Christine A WhiteDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Hasitha WelihindaDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Andrew G DayClinical Evaluation Research Unit, Kingston Health Sciences Center, Kingston, Ontario, Canada.
Daren K HeylandDepartment of Critical Care Medicine, Queen's University, Kingston, Ontario, Canada.
Rachel M HoldenDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The elderly represent the most rapidly growing age group with end-stage kidney disease (ESKD) world-wide. The hemodialysis (HD) prescription that provides the best outcomes for this distinct population with reduced life expectancy is unknown. The primary objective of the DLITE pilot trial was to determine the feasibility and safety of conducting a trial designed to determine whether twice versus thrice weekly HD improves quality of life (QOL) and important clinical outcomes in elderly patients with HD. Methods: We conducted a pilot single-center open randomized controlled trial (RCT) of patients aged ≥ 70 years of age who are on incident HD. Subjects were randomized to twice ( Results: Recruitment rate was 1.1 patients/mo. The consent rate of eligible subjects was high (77%), adherence was ≥ 99%, 96% of QOL surveys were completed, and 78% of randomized subjects completed the study. Pre-HD normokalemia rates for twice versus thrice weekly were 89% and 90%, respectively. Urgent HD treatments for hypervolemia and hyperkalemia, hospitalizations, and death were infrequent in both arms. Conclusion: The results of this pilot RCT of twice versus thrice weekly HD in elderly patients on incident HD reveal that the study intervention was feasible and safe. These results will inform the design of a multicenter RCT with QOL, economic, morbidity, and mortality end points.

Indexed as

hemodialysisquality of liferandomized controlled trial

Identifiers

PMID41278339
PMCPMC12640058

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