Evidence mapPaperPMID 41285129Full record

ReviewRenal failure2025

Innovations in peritoneal dialysis fluid: biocompatible formulations and expanded therapeutic applications.

Qing Xu, Zhifeng Zhou, Lu Jin, Chen Liu, Peiyun Li, Fang Wang, Ling Zhang, Ping Fu

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 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.

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

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

8 authors.

Qing XuDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Zhifeng ZhouDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Lu JinDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Chen LiuDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0002-7331-1075
Peiyun LiDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Fang WangDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Ling ZhangDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Ping FuDepartment of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peritoneal dialysis (PD) is a critical renal replacement therapy for end-stage kidney disease. However, its adoption remains limited, partly due to peritoneal fibrosis and metabolic complications induced by conventional glucose-based peritoneal dialysis fluid (PDF), the primary complications in PD patients and the leading cause of technique failure. This review outlines three innovative approaches to overcome these limitations: (1) novel biocompatible osmotic agents (L-carnitine can improve the metabolism of the peritoneum, and hyperbranched polyglycerol provides sustained ultrafiltration with dual peritoneal/renal protection), (2) advanced biocompatible buffers (citrate and pyruvate), and (3) peritoneal protectants (glycosaminoglycans and molecular hydrogen) that collectively mitigate fibrosis while protecting membrane function. These developments indicate a future direction for biocompatible PDF: integrating dual or triple protective functions of "osmotic agents + buffers + additives" synergy-optimizing hybrid formulations and accelerating clinical translation. Furthermore, we explored the emerging role of PD in refractory heart failure, where specialized PDF and steady-concentration protocols enhanced ultrafiltration efficiency. These advances address volume overload in cardiorenal syndrome, expanding PD's therapeutic scope of PD to systemic conditions such as heart failure.

Indexed as

Biocompatible MaterialsDialysis SolutionsKidney Failure, ChronicPeritoneal DialysisPeritoneal FibrosisGlycerolHeart FailureHumansPeritoneumPolymersBiocompatible MaterialsDialysis SolutionsGlycerolPolymersbiocompatibilityhyperbranched polyglycerolsl-CarnitinePeritoneal dialysisperitoneal dialysis fluid

Identifiers

PMID41285129
PMCPMC12646097

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.