Evidence map›Paper›PMID 39802637›Full record

ArticleMedComm2025

Serum sodium to chloride ratio and mortality on continuous ambulatory peritoneal dialysis: a multicenter retrospective study.

Jiayin You, Sijie Gu, Ning Su, Xiaoran Feng, Fenfen Peng, Qingdong Xu, Xiaojiang Zhan, Yueqiang Wen, Xiaoyang Wang, Na Tian and 2 more

Abstract read
In one paragraph

Article in MedComm, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Review
  2. Article
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

12 authors.

Jiayin YouDepartment of Nephrology Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China.ORCID https://orcid.org/0000-0001-5815-0640
Sijie GuDepartment of Nephrology Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China.
Ning SuDepartment of Nephrology The Sixth Affiliated Hospital of Sun Yat-Sen University Guangzhou China.
Xiaoran FengDepartment of Nephrology Jiujiang NO.1 People's Hospital Jiujiang China.
Fenfen PengDepartment of Nephrology Zhujiang Hospital Southern Medical University Zhujiang China.
Qingdong XuDepartment of Nephrology Jiangmen Central Hospital Jiangmen China.
Xiaojiang ZhanDepartment of Nephrology The First Affiliated Hospital of Nanchang University Nanchang China.
Yueqiang WenDepartment of Nephrology The Second Affiliated Hospital of Guangzhou Medical University Guangzhou China.
Xiaoyang WangDepartment of Nephrology The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Na TianDepartment of Nephrology General Hospital of Ningxia Medical University Yinchuan China.
Xianfeng WuDepartment of Nephrology Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China.
Niansong WangDepartment of Nephrology Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An imbalance in the serum sodium to chloride ratio (Na/Cl) was linked to higher mortality among heart failure patients. Nonetheless, the prognostic significance of Na/Cl in individuals undergoing peritoneal dialysis (PD) remains unexplored. This study seeks to explore the association between initial Na/Cl levels and mortality in PD patients. The study, conducted across multiple centers, included 3341 patients undergoing PD from January 1, 2005, to December 31, 2021. Patients were stratified into quartiles according to baseline Na/Cl and followed up for a median of 5.77 years. To explore the association between Na/Cl levels and mortality, we employed Cox proportional hazards models, competing risks models, and restricted cubic spline analysis. Of 3341 patients, 722 patients died, including 259 cardiovascular deaths. Following adjustments for comorbidities and multiple covariates, individuals in the highest Na/Cl quartile (>1.42) exhibited lower all-cause mortality (hazard ratio [HR] 0.63, 95% confidence interval [CI] 0.47-0.86) and cardiovascular mortality (HR 0.38, 95% CI 0.22-0.67) compared with those in the lowest quartile (<1.33). A similar pattern was also found when Na/Cl was dealt with continuous variables. Initial levels of Na/Cl at the start of PD were negatively correlated with all-cause mortality and cardiovascular mortality in PD patients.

Indexed as

all‐cause mortalitycardiovascular mortalityperitoneal dialysissodium‐to‐chloride ratio

Identifiers

PMID39802637
PMCPMC11718323

What Socratic holds

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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.