Evidence map›Paper›PMID 41047713›Full record

ReviewRenal failure2025

Optimizing hemodialysis management using bioelectrical impedance analysis: emphasizing the significance of the phase angle.

Jungho Shin, Hongtae Kim, Hae Eun Jeon, Soie Kwon, Jin Ho Hwang, Hyung-Eun Son, Semin Cho, Jeong Min Cho, Su Hyun Kim

Abstract readReview
In one paragraph

Review in Renal failure, 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. Article
  2. Observational
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.

Jungho ShinDepartment of Internal Medicine, Chung-Ang University Hospital, Seoul, South Korea.ORCID 0000-0001-9755-3100
Hongtae KimDepartment of Internal Medicine, Chung-Ang University Hospital, Seoul, South Korea.ORCID 0009-0007-9885-6112
Hae Eun JeonDepartment of Internal Medicine, Chung-Ang University Hospital, Seoul, South Korea.ORCID 0009-0001-9772-7630
Soie KwonDepartment of Internal Medicine, Chung-Ang University Hospital, Seoul, South Korea.ORCID 0000-0002-0878-5469
Jin Ho HwangDepartment of Internal Medicine, Chung-Ang University Hospital, Seoul, South Korea.ORCID 0000-0003-0829-0922
Hyung-Eun SonDepartment of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, South Korea.ORCID 0000-0002-8719-3823
Semin ChoDepartment of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, South Korea.ORCID 0000-0002-6060-9032
Jeong Min ChoDepartment of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, South Korea.ORCID 0000-0001-7643-994X
Su Hyun KimDepartment of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, South Korea.ORCID 0000-0001-8608-9525

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients undergoing hemodialysis (HD) often experience complications, such as severe malnutrition, muscle wasting, and fluid overload, which significantly affect survival rates and quality of life. Accurate assessment and management of nutritional status and fluid retention are essential for improving patient outcomes. Bioelectrical impedance analysis (BIA), a noninvasive and practical tool, is increasingly used to assess body composition and fluid distribution in patients undergoing HD. The phase angle (PhA), a BIA parameter, reflects cellular integrity and serves as a reliable indicator of nutritional status and clinical prognosis. This review discusses the clinical utility of BIA in assessing nutritional status, fluid retention, and body composition in patients undergoing maintenance HD, with a particular focus on the PhA. The role of the PhA in predicting survival, frailty, sarcopenia, and erythropoiesis-stimulating agent resistance was explored. The application of personalized dry weight management guided by BIA has been proposed to optimize the care of patients undergoing HD. Despite limitations, including inter-device variability, lack of standardized cutoff values, and limited evidence, BIA represents a promising tool that may enhance clinical outcomes if integrated into routine clinical practice.

Indexed as

Body CompositionElectric ImpedanceKidney Failure, ChronicRenal DialysisHumansMalnutritionNutritional StatusPrognosisQuality of LifeSarcopeniabioimpedancehemodialysisPhase anglesarcopenia

Identifiers

PMID41047713
PMCPMC12502114

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.