Evidence map›Paper›PMID 41536569›Full record

ArticleClinical kidney journal2026

Glycaemic control and complications in haemodialysis patients: the TURK-HEMODIAB Study.

Ozkan Gungor, Berfu Korucu, Ebru Gok Oguz, Necmi Eren, Zeynep Ural, Hamad Dheir, Erhan Tatar, Ayca Inci, Ismail Kocyigit, Zeki Aydin and 99 more

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Article in Clinical kidney journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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5 · Who and what money

Authors and funding

109 authors.

Ozkan GungorKahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Nephrology, Kahramanmaras, Turkey.ORCID https://orcid.org/0000-0003-1861-5452
Berfu KorucuOsmaniye State Hospital, Department of Nephrology, Osmaniye, Turkey.ORCID https://orcid.org/0000-0002-0597-5822
Ebru Gok OguzUniversity of Health Sciences, Etlik City Hospital, Department of Nephrology, Ankara, Turkey.
Necmi ErenKocaeli University, Faculty of Medicine, Department of Nephrology, Kocaeli, Turkey.
Zeynep UralKırıkkale Yüksek Ihtisas Hospital, Department of Nephrology, Kırıkkale, Turkey.ORCID https://orcid.org/0000-0002-3162-8760
Hamad DheirSakarya University Faculty of Medicine, Department of Nephrology, Sakarya, Turkey.
Erhan TatarIzmir Ekonomi University, Medikalpoint Hospital, Department of Nephrology, Izmir, Turkey.
Ayca InciUniversity of Health Sciences, Antalya Training and Research Hospital, Department of Nephrology, Antalya, Turkey.
Ismail KocyigitErciyes University Faculty of Medicine, Department of Nephrology, Kayseri, Turkey.ORCID https://orcid.org/0000-0002-6654-4727
Zeki AydinUniversity of Health Sciences, Darica Farabi Training and Research Hospital, Department of Nephrology, Darica, Turkey.
Ozkan UlutasInonu University, Faculty of Medicine, Department of Nephrology, Malatya, Turkey.
Ekrem KaraRecep Tayyip Erdoğan University, Faculty of Medicine, Department of Nephrology, Rize, Turkey.
Orcun AltunorenKahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Nephrology, Kahramanmaras, Turkey.
Zulfukar YilmazDicle University, Faculty of Medicine, Department of Nephrology, Diyarbakir, Turkey.
Mustafa SevincManchester University NHS Trust, Manchester Royal Infirmary, Department of Nephrology, Manchester, UK.
Can SevincAtatürk University, Faculty of Medicine, Department of Nephrology, Erzurum, Turkey.
Atalay SurardamarMinistry of Health Beykoz State Hospital, Department of Internal Medicine Beykoz, Istanbul, Turkey.
Mahmud IslamSakarya University Faculty of Medicine, Department of Nephrology, Sakarya, Turkey.
Cuneyt AkgolBurdur State Hospital, Department of Nephrology, Burdur, Turkey.
Halil Zeki TonbulNecmettin Erbakan University, Faculty of Medicine, Department of Nephrology, Konya, Turkey.
Tuba Elif OzlerYeni Yüzyıl University, Gaziosmanpaşa Hospital, Nephrology Department, Istanbul, Turkey.
Ibrahim GuneyKonya City Hospital, Department of Nephrology, Konya, Turkey.
Simal Koksal CevherMinistry of Health Ankara Bilkent City Hospital, Department of Nephrology, Ankara, Turkey.
Cihan UysalErciyes University Faculty of Medicine, Department of Nephrology, Kayseri, Turkey.
Fatma Betul GuzelKahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Nephrology, Kahramanmaras, Turkey.
Ruya MutluayEskişehir Osmangazi University, Faculty of Medicine, Department of Nephrology, Eskişehir, Turkey.
Zafer ErcanSakarya University Faculty of Medicine, Department of Nephrology, Sakarya, Turkey.
Semahat Karahisar SiraliUfuk University Faculty of Medicine, Department of Nephrology, Ankara, Turkey.
Emre CankayaMinistry of Health Ankara Bilkent City Hospital, Department of Nephrology, Ankara, Turkey.
Engin OnanAdana City Hospital, Department of Nephrology, Adana, Turkey.
Ferhan CandanSivas Cumhuriyet University, Faculty of Medicine, Department of Nephrology, Sivas, Turkey.
Eray ErogluKilis State Hospital, Department of Nephrology, Kilis, Turkey.
Neslihan TezcanKütahya University of Health Sciences, Department of Nephrology, Kütahya, Turkey.
Mehmet PolatNevşehir State Hospital, Department of Nephrology, Nevşehir, Turkey.
Can HuzmeliHatay Training and Research Hospital, Department of Nephrology, Hatay, Turkey.
Sultan OzkurtEskişehir Osmangazi University, Faculty of Medicine, Department of Nephrology, Eskişehir, Turkey.
Tulin AkagunGiresun University, Faculty of Medicine, Department of Nephrology, Giresun, Turkey.
Pinar AlpUniversity of Health Sciences, Ankara Training and Research Hospital, Department of Nephrology, Ankara, Turkey.
Ruya OzelsancakBaşkent University, Adana Dr Turgut Noyan Training and Research Hospital, Adana, Turkey.
Gurkan YurteriRentek Dialysis Center, Ankara, Turkey.
Mehmet TanrisevUniversity of Health Sciences, Tepecik Training and Research Hospital, Department of Nephrology, Izmir, Turkey.
Ali IlterKartal Dr Lutfi Kırdar City Hospital, Department of Nephrology, Istanbul, Turkey.
Beyhan GuvercinKanuni Training and Research Hospital, Department of Nephrology, Trabzon, Turkey.
Mehmet Emin DemirAtilim University, Faculty of Medicine, Department of Nephrology, Ankara, Turkey.
Ozdem Kavraz TomarGiresun University, Faculty of Medicine, Department of Nephrology, Giresun, Turkey.
Alper AzakSağlık Bilimleri University, Balıkesir Atatürk City Hospital, Department of Nephrology, Balıkesir, Turkey.
Faruk Hilmi TurgutMustafa Kemal University, Faculty of Medicine, Department of Nephrology, Hatay, Turkey.
Mehmet TuncayDr Ersin Arslan Hospital, Department of Nephrology, Gaziantep, Turkey.
Hakan AkdamAdnan Menderes University, Faculty of Medicine, Department of Nephrology, Aydın, Turkey.
Tamer SelenDüzce Atatürk State Hospital, Department of Nephrology, Düzce, Turkey.
Fatih YilmazAntalya Atatürk State Hospital, Department of Nephrology, Antalya, Turkey.
Ramazan DanisGazi Yasargil Training and Research Hospital, Department of Nephrology, Diyarbakır, Turkey.
Sahin EyupogluAğrı State Hospital, Department of Nephrology, Ağrı, Turkey.
Gizem KumruAnkara University, Faculty of Medicine, Department of Nephrology, Ankara, Turkey.
Simge Bardak DemirYenimahalle Training and Research Hospital, Department of Nephrology, Ankara, Turkey.
Selma AlagozBağcılar Training and Research Hospital, Department of Nephrology, Istanbul, Turkey.
Sami UzunHaseki Training and Research Hospital, Department of Nephrology, Istanbul, Turkey.
Orhan OzdemirŞanlıurfa Training and Research Hospital, Department of Nephrology, Şanlıurfa, Turkey.
Zelal AdibelliUsak University, Faculty of Medicine, Department of Nephrology, Usak, Turkey.
Mehmet PolatKarabuk Training and Research Hospital, Department of Nephrology, Karabük, Turkey.
Ramazan UluAdıyaman University, Faculty of Medicine, Department of Nephrology, Adıyaman, Turkey.
Ahmet MurtBingöl State Hospital, Department of Nephrology, Bingöl, Turkey.
Murside Esra DolarslanMersin City Training and Research Hospital, Department of Nephrology, Mersin, Turkey.
Ayse Zeynep BalUniversity of Health Sciences, Ankara Training and Research Hospital, Department of Nephrology, Ankara, Turkey.
Yavuz AyarUniversity of Health Sciences, Bursa Faculty of Medicine, Bursa City Hospital, Bursa, Turkey.
Nazife Nur Ozer SensoyUniversity of Health Sciences, Bursa Faculty of Medicine, Bursa City Hospital, Bursa, Turkey.
Mehmet SezenUniversity of Health Sciences, Bursa Faculty of Medicine, Bursa City Hospital, Bursa, Turkey.
Tuncay SahutogluMehmet Akif Inan Training and Research Hospital, Department of Nephrology, Şanlıurfa, Turkey.
Ali Veysel KaraErzincan Binali Yıldırım University, Faculty of Medicine, Department of Nephrology, Erzincan, Turkey.
Ercan TurkmenOndokuz Mayıs University, Faculty of Medicine, Department of Nephrology, Samsun, Turkey.
Hasan KayabasiUniversity of Health Sciences, Umraniye Training and Research Hospital, Department of Nephrology, Istanbul, Turkey.
Numan GorguluBağcılar Training and Research Hospital, Department of Nephrology, Istanbul, Turkey.
Ender HurUsak University, Faculty of Medicine, Department of Nephrology, Usak, Turkey.
Fatma Sibel Kocak YucelUniversity of Health Sciences, Istanbul Bakirköy Sadi Konuk Education and Research Hospital, Istanbul, Turkey.
Zehra ErenAlaaddin Keykubat University, Department of Nephrology, Antalya, Turkey.
Garip SahinEskişehir Osmangazi University, Faculty of Medicine, Department of Nephrology, Eskişehir, Turkey.
Umut KasapogluUniversity of Health Sciences, Istanbul Bakirköy Sadi Konuk Education and Research Hospital, Istanbul, Turkey.
Zeynep BiyikSelcuk University Faculty of Medicine, Deparment of Nephrology, Konya, Turkey.
Sumeyra KoyuncuKayseri City Hospital, Department of Nephrology, Kayseri, Turkey.
Mehmet Fetullah AydinSağlık Bilimleri University, Balıkesir Atatürk City Hospital, Department of Nephrology, Balıkesir, Turkey.
Tolga YildirimHacettepe University, Faculty of Medicine, Department of Nephrology, Ankara, Turkey.
Gulsah Sasak KuzgunProf. Dr Süleyman Yalçın City Hospital, Department of Nephrology, Istanbul, Turkey.
Sedat UstundagTrakya University, Faculty of Medicine, Department of Nephrology, Edirne, Turkey.
Abdulkadir CelikHaseki Training and Research Hospital, Department of Nephrology, Istanbul, Turkey.
Esra AkcaliTarsus State Hospital, Department of Nephrology, Mersin, Turkey.
Ozlem UsalanGaziantep University, Faculty of Medicine, Department of Nephrology, Gaziantep, Turkey.
Bulent KayaÇukurova University, Faculty of Medicine, Department of Nephrology, Adana, Turkey.
Mehmet Riza AltiparmakIstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Nephrology, Istanbul, Turkey.
Murat TugcuMarmara University, Faculty of Medicine, Department of Nephrology, Istanbul, Turkey.
Refik OlmazMersin City Training and Research Hospital, Department of Nephrology, Mersin, Turkey.
Edip ErkusErzurum City Hospital, Department of Nephrology, Erzurum, Turkey.
Zeki SoypacaciIzmir Katip Celebi University, Atatürk Training and Research Hospital, Department of Nephrology, Izmir, Turkey.
Belma Gokcen ZorbaManisa Merkezefendi State Hospital, Department of Nephrology, Manisa, Turkey.
Demet YavuzSamsun University, Faculty of Medicine, Department of Nephrology, Samsun, Turkey.
Kenan Evren OztopSakarya University Faculty of Medicine, Department of Nephrology, Sakarya, Turkey.
Melike Betul OgutmenUniversity of Health Sciences, Haydarpaşa Numune Education and Research Hospital, Department of Nephrology, Istanbul, Turkey.
Ozlem HarmankayaBiruni University, Faculty of Health Sciences, Department of Nephrology, Istanbul, Turkey.
Dilek Guven TaymezKocaeli City Hospital, Department of Nephrology, Kocaeli, Turkey.
Hakan KaptanogullariBiruni University, Faculty of Health Sciences, Department of Nephrology, Istanbul, Turkey.
Kemal MagdenGebze Fatih State Hospital, Department of Nephrology, Kocaeli, Turkey.
Neslihan SeyrekÇukurova University, Faculty of Medicine, Department of Nephrology, Adana, Turkey.
Haci Bayram BerktasInonu University, Faculty of Medicine, Department of Nephrology, Malatya, Turkey.
Mehmet ErdemYüzüncü Yıl University, Faculty of Medicine, Department of Internal Medicine, Van, Turkey.
Savas OzturkIstanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Istanbul, Türkiye.
Izzet Hakki ArikanMarmara University, Faculty of Medicine, Department of Nephrology, Istanbul, Turkey.
Sim KutlayAnkara University, Faculty of Medicine, Department of Nephrology, Ankara, Turkey.
Bulent AltunHacettepe University, Faculty of Medicine, Department of Nephrology, Ankara, Turkey.
Kenan AtesAnkara University, Faculty of Medicine, Department of Nephrology, Ankara, Turkey.
Mustafa AriciHacettepe University, Faculty of Medicine, Department of Nephrology, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The most common cause of end-stage kidney disease is diabetes mellitus (DM). The most commonly used renal replacement therapy in Turkey and in many countries around the world is haemodialysis (HD). Glycaemia control is important in these populations. In this study we aimed to screen for glycaemic control and complications in a large population of diabetic HD patients in Turkey. Methods: A total of 16 043 patients were screened in 253 dialysis centres in Turkey and 5038 diabetic HD patients were included in the study. At participating centres, patients' diabetes history, complications, medications, haemoglobin A1c (HbA1c) and other laboratory data were reviewed and recorded by nephrologists. Results: The average age of the patients was 64.0 ± 11.2 years and 56% were male. The mean HbA1c was 7.4 ± 1.5%. Patients were divided into three groups according to the HbA1c level (<6.5%, 6.5-8% and >8%). As the HbA1c levels increased, the mean systolic blood pressure and diastolic blood pressure increased significantly. In addition, as the HbA1c levels increased, the number of patients with coronary artery disease, patients undergoing coronary artery bypass graft surgery and the rate of patients with diabetic retinopathy and vision loss increased. Diabetic foot disease and amputation rates were also higher in the group with poor glycaemic control. The number of patients using intensive or mixed insulin was also higher in the group with high HbA1c levels. In ordinal logistic regression analysis, age significantly decreased and higher body mass index slightly increased the risk of a higher HbA1c. Also, the need for a diabetic diet was greater in those with high HbA1c levels. Conclusion: Our study highlights that the target values for diabetic HD patients in Turkey are partially compatible with the 2022 Kidney Disease: Improving Global Outcomes guidelines for diabetes management. Nevertheless, more effort and teamwork are needed to improve patient outcomes.

Indexed as

complicationdiabeticglycaemic controlhaemodialysisHbA1c

Identifiers

PMID41536569
PMCPMC12798723

What Socratic holds

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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.