Evidence map›Paper›PMID 34101030›Full record

ArticleClinical and experimental nephrology2021

A mixed-method feasibility study of a novel transitional regime of incremental haemodialysis: study design and protocol.

Adil M Hazara, Victoria Allgar, Maureen Twiddy, Sunil Bhandari

Open access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Clinical and experimental nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 39% of its field
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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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

4 authors at 3 institutions in 1 country.

Adil M HazaraHull York Medical School, Hull, UK. adil.hazara@hyms.ac.uk.ORCID http://orcid.org/0000-0003-2423-0356
Victoria AllgarPeninsula Medical School, Faculty of Health, University of Plymouth, N15, ITTC Building 1, Plymouth Science Park, Plymouth, PL6 8BX, UK.
Maureen TwiddyInstitute of Clinical and Applied Health Research, University of Hull, Hull, HU6 7RX, UK.
Sunil BhandariHull York Medical School, Hull, UK.
University of Hull · GBHull and East Yorkshire Hospitals NHS Trust · GBUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncremental haemodialysis/haemodiafiltration (HD) may help reduce early mortality rates in patients starting HD. This mixed-method feasibility study aims to test the acceptability, tolerance and safety of a novel incremental HD regime, and to study its impact on parameters of patient wellbeing.

methodWe aim to enrol 20 patients who will commence HD twice-weekly with progressive increases in duration and frequency, achieving conventional treatment times over 15 weeks (incremental group). Participants will be followed-up for 6 months and will undergo regular tests including urine collections, bio-impedance analyses and quality-of-life questionnaires. Semi-structured interviews will be conducted to explore patients' prior expectations from HD, their motivations for participation and experiences of receiving incremental HD. For comparison of safety and indicators of dialysis adequacy, a cohort of 40 matched patients who previously received conventional HD will be constructed from local dialysis records (historical controls).

resultsData will be recorded on the numbers screened and proportions consented and completing the study (primary outcome). Incremental and conventional groups will be compared in terms of differences in blood pressure control, interdialytic weight changes, indicators of dialysis adequacy and differences in adverse and serious adverse events. In analyses restricted to incremental group, measurements of RRF, fluid load and quality-of-life during follow-up will be compared with baseline values. From patient interviews, a narrative description of key themes along with anonymised quotes will be presented.

conclusionResults from this study will address a significant knowledge gap in the prescription HD therapy and inform the development novel future therapy regimens.

Indexed as

HemodiafiltrationBlood PressureBody WeightClinical Trials as TopicElectric ImpedanceFeasibility StudiesHumansPatient SelectionQuality of LifeRenal DialysisRenal Insufficiency, ChronicResearch DesignChronic kidney diseaseDialysisHaemodialysisHemodialysisIncremental HD

Identifiers

PMID34101030
PMCPMC8421284
OpenAlexW3170180852

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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 Socratic graph.