Evidence map›Paper›PMID 40841967›Full record

ArticleTrials2025

A randomized, controlled, 12-month trial on the effects of an interdisciplinary treatment approach in ESRD patients: study protocol of the smart and fit for kidney transplantation trial (S&F4KTx).

Helge Krusemark, Judith Kleemann, Julian Weigand, Dennis Kannenkeril, Katharina Heller, Tobias Hepp, Marc Albersmeyer, Doris Gerbig, Mario Schiffer

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06040281 (The Effects of an Interdisciplinary Treatment Approach in ESRD Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06040281 narecruitingnot on this map

The Effects of an Interdisciplinary Treatment Approach in ESRD Patients: a Randomised Controlled Trial

TypeinterventionalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2023 to 2026Enrolled200ConditionsChronic Kidney Disease Requiring Chronic DialysisArmsintensive individual support in nutrition and exercise, Usual Care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

9 authors.

Helge KrusemarkUniversitätsklinikum Erlangen, Erlangen, Germany. Helge.Krusemark@uk-erlangen.de.ORCID http://orcid.org/0009-0003-3803-8733
Judith KleemannUniversitätsklinikum Erlangen, Erlangen, Germany.
Julian WeigandUniversitätsklinikum Erlangen, Erlangen, Germany.
Dennis KannenkerilUniversitätsklinikum Erlangen, Erlangen, Germany.
Katharina HellerUniversitätsklinikum Erlangen, Erlangen, Germany.
Tobias HeppFriedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Marc AlbersmeyerFachklinik Bad Heilbrunn, Bad Heilbrunn, Germany.
Doris GerbigFachklinik Bad Heilbrunn, Bad Heilbrunn, Germany.
Mario SchifferUniversitätsklinikum Erlangen, Erlangen, Germany.

Funding

Bayerisches Staatsministerium für Gesundheit, Pflege und Prävention K1-2490-PF-V16
6 · The paper itself

Abstract

backgroundA prolonged waiting time for a kidney transplant leads to a significant decline in the general health status of many patients with chronic kidney disease (CKD). This deterioration may cause these patients to be classified as unsuitable for transplantation during the waiting period owing to frailty, poor body composition, or the development of new comorbidities. Studies have shown that physical exercise and tailored nutrition can maintain and improve physical performance and overall health status.

methodsThis study is a 1:1 controlled, randomized trial. The control group will receive standard care along with an app designed for dialysis patients, which provides information on topics such as nutrition, vital signs, blood parameters, and details about their condition. In addition, the intervention group will receive individualized nutritional and exercise recommendations, along with a 3-week inpatient rehabilitation program. At 0, 6, and 12 months, body composition (body mass index, skeletal muscle mass, body fat mass, and waist circumference) and physical performance (6-min walk test, timed up and go test, sit-to-stand test, one-legged stance test, stair climbing test, and frailty), blood values (e.g., potassium and phosphate), and quality of life (KDQOL) will be evaluated. Bone density (tibia and radius) will be measured at 0 and 12 months. DISCUSSION: Studies have demonstrated that physical activity and tailored nutrition have positive effects on the general health of dialysis patients. However, pretransplantation preparation programs (prehabilitation) aimed at preserving transplant eligibility have not yet been evaluated. This study aims to address this gap by investigating a potential care program for patients on the transplant waiting list.

trial registrationClinicalTrials.gov NCT06040281. Registered on September 15, 2023. TRIALS STATUS: Protocol version number: 4 (30.07.2025). Recruitment start: 18.09.2023. Recruitment completed: 30.06.2025.

Indexed as

Exercise TherapyKidney Failure, ChronicKidney TransplantationPatient Care TeamRenal DialysisAdultBody CompositionFemaleHumansMaleMobile ApplicationsNutritional StatusQuality of LifeRandomized Controlled Trials as TopicTime FactorsTreatment OutcomeBody compositionEmpowermentExerciseFrailtyKidney transplantationNutritionPhysical performancePrehabilitation

Identifiers

PMID40841967
PMCPMC12369097

What Socratic holds

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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 Socratic graph.