Evidence map›Paper›PMID 41499061›Full record

ReviewInternational urology and nephrology2026

Exercise rehabilitation in frail elderly patients on maintenance hemodialysis: a best evidence summary.

Lulu Wu, Huiling Zhao, Xiaoman Zhang, Yuping Liu, Cui Chen, Qingya Meng, Mingchen Jiang, Ren Cheng

Abstract readReview
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In one paragraph

Review in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lulu WuSchool of Nursing, Xuzhou Medical University, Xuzhou, China. 1554719177@qq.com.
Huiling ZhaoThe Affiliated Hospital of Xuzhou Medical University, Xuzhou, China. 1192906605@qq.com.
Xiaoman ZhangSchool of Nursing, Xuzhou Medical University, Xuzhou, China. 13372225241@163.com.
Yuping LiuThe Affiliated Hospital of Xuzhou Medical University, Xuzhou, China. 1647221333@qq.com.
Cui ChenSchool of Nursing, Xuzhou Medical University, Xuzhou, China. 1124939655@qq.com.
Qingya MengThe Affiliated Hospital of Xuzhou Medical University, Xuzhou, China. 376853955@qq.com.
Mingchen JiangThe Affiliated Hospital of Xuzhou Medical University, Xuzhou, China. nicky_525@163.com.
Ren ChengThe Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.

Funding

Scientific Research and Innovation Program for Postgraduate Students of School of Nursing, Xuzhou Medical University. HLYC20255
6 · The paper itself

Abstract

purposeExercise rehabilitation is the preferred strategy for treating frailty in elderly patients on maintenance hemodialysis (MHD). However, the relevant contents are scattered. This study summarizes the best evidence for exercise rehabilitation in frail elderly MHD patients, to provide high-quality evidence-based references for clinical practice.

methodsBy following the "6S" pyramid model, top-down searches were conducted in computerized decision support systems, international guideline websites, websites of chronic kidney disease professional associations, and various databases, with a timeframe from the inception of the database to January 2025. The quality evaluation, extraction, and synthesis of the evidence were conducted independently by 2 researchers.

resultsA total of 19 articles were included, including 6 guidelines, 1 recommended practice, 6 expert consensus, 4 evidence summaries, and 2 systematic reviews. Thirty-nine pieces of best evidence were synthesized into 8 themes, including multidisciplinary team, exercise assessment, exercise procedure, exercise intensity, exercise types, exercise frequency and duration, exercise safety, and exercise support.

conclusionThe best evidence for exercise rehabilitation in frail elderly MHD patients in this study is clinically practical, can provide evidence-based support for medical staff to implement exercise rehabilitation program and improve frailty outcomes in elderly MHD patients.

Indexed as

Exercise TherapyFrail ElderlyRenal DialysisAgedHumansElderlyExercise rehabilitationFrailtyMaintenance hemodialysisSummary of the best evidence

Identifiers

What Socratic holds

Textmetadata
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.