Evidence map›Paper›PMID 41526848›Full record

ReviewBMC nephrology2026

Clinical rationale behind glucose-sparing strategies in peritoneal dialysis: a narrative review.

Bengt Lindholm, Antoine Barbari, Jennifer Allen, Inès Dufour, Donald Fraser, Annette Heider, Rumeyza Kazancioglu, Monika Lichodziejewska-Niemierko, Anabela Malho-Guedes, Loris Neri and 4 more

Abstract readReview
In one paragraph

Review in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

14 authors.

Bengt LindholmRenal Medicine, Karolinska Institutet, M99 Karolinska University Hospital Huddinge, Stockholm, 14186, Sweden. bengt.lindholm@ki.se.ORCID 0000-0003-4269-4293
Antoine BarbariFaculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Jennifer AllenRenal and Transplant Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Inès DufourDivision of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Donald FraserWales Kidney Research Unit, School of Medicine, College of Biological and Life Sciences, Cardiff University, Cardiff, UK.
Annette HeiderDepartment of Nephrology, Klinikum Neumarkt and KfH Neumarkt, Neumarkt, Germany.
Rumeyza KazanciogluDivision of Nephrology, Bezmialem Vakif University Faculty of Medicine, Istanbul, Türkiye.ORCID 0000-0003-1217-588X
Monika Lichodziejewska-NiemierkoDepartment of Nephrology Transplantology and Internal Medicine, Medical University Hospital of Gdańsk, Gdańsk, Poland.
Anabela Malho-GuedesServiço de Nefrologia, Unidade Local de Saúde do Algarve, Faro, Portugal.ORCID 0000-0002-9627-908X
Loris NeriRenal and Dialysis Unit, Michele e Pietro Ferrero Hospital, Verduno, CN, Italy.
Alena ParikovaDepartment of Nephrology, Transplant Center, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Juan Carlos Quevedo-ReinaServicio de Nefrología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas, Spain.
Adonay Santana-QuintanaServicio de Nefrología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas, Spain.
Udaya UdayarajOxford Kidney Unit, Churchill Hospital, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effectiveness of peritoneal dialysis (PD) relies on dialysate-induced solute and water transport across the peritoneal membrane, facilitated by concentration and type of osmotic agents. Standard PD solutions predominantly use glucose as an osmotic agent due to its well-known metabolism, effective ultrafiltration during shorter dwells, and low cost. However, glucose exposure may damage the structure and function of the peritoneal membrane and cause systemic metabolic complications, including insulin resistance and cardiovascular disease, underscoring the need for glucose-sparing strategies with alternative solutions, such as solutions with icodextrin and amino acids as osmotic agents, and glucose-based, less bioincompatible fluids with physiological pH and reduced glucose degradation products. This brief narrative review examines the unwanted effects of glucose-based solutions and the clinical rationales behind glucose-sparing strategies that may reduce these effects and potentially improve clinical outcomes.

Indexed as

Dialysis SolutionsGlucosePeritoneal DialysisAmino AcidsGlucansHumansIcodextrinKidney Failure, ChronicPeritoneumAmino AcidsDialysis SolutionsGlucansGlucoseIcodextrinAdverse eventsClinical outcomesGlucose sparingPD solutionsPeritoneal dialysis

Identifiers

PMID41526848
PMCPMC12849473

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.