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Dialysis more often doesn’t help patients

Rating

5 Star

Dialysis more often doesn’t help patients

Our Review Summary

This was a story about a recent study indicating that at least in the case of dialysis for individuals with acute kidney disease, more is not better.  Although the story could have been clearer about the differences and definitions for chronic and acute kidney disease, it did a good job explaining that at least for the type of patients studied (those with acute kidney disease), additional dialysis failed to prevent death or rate of organ failure.  It also mentioned that the additional dialysis did not improve in recovery of kidney function.

The story then went on to inform the reader that although additional dialysis did not demonstrate benefit in this type of patients, that there may be a specific confluence of medical conditions wherein additional dialysis may be appropriate. 

 

Criteria

Does the story adequately discuss the costs of the intervention?

Not Applicable

There was no cost information provided, but the story was about the results of a study that demonstrated that more dialysis did not provide additional benefit.  

Does the story adequately quantify the benefits of the treatment/test/product/procedure?

Satisfactory

The clinician quote near the end suggested that more dialysis may have benefit for certain patients but did not provide data.  However – the story said that the study reported on did not find additional dialysis to provide benefit, thereby quantifying the benefit as "none"

Does the story adequately explain/quantify the harms of the intervention?

Satisfactory

The story qualified the information about additional dialysis not being beneficial by having a quote from a clinician indicating that there are some specific situations where additional dialysis is warranted. In so doing, the story was able to present a harm of not allowing for additional dialysis.

Does the story seem to grasp the quality of the evidence?

Satisfactory

The evidence presented in this story comes from a study which has not yet been published, though it is available online.  The story mentioned the number of people studied as well as the fact that they were randomly assigned to the different treatment groups. It included both the percentage of people in each group that died as well as the fact that the difference between the groups was found not to differ.

Does the story commit disease-mongering?

Satisfactory

The story did not appear to engage in disease mongering apart from the fact that it seemed to conflate chronic and acute kidney disease.

Does the story use independent sources and identify conflicts of interest?

Satisfactory

The story included quotes from several clinicians with expertise in dialysis.

Does the story compare the new approach with existing alternatives?

Not Applicable

No other treatment options were mentioned, though other than refusal of treatment, there usually aren’t any.  The story is about two commonly used approaches to dialysis in acutely ill patients.  Decision-making is largely physician based; the over-arching decision then is dialysis or no dialysis (which because of the seriousness of the patient condition would likely be fatal).

Does the story establish the availability of the treatment/test/product/procedure?

Satisfactory

It’s clear from the story that more versus less frequent dialysis would be based in normal clinical practice on a variety of clinical indicators (as mentioned by one of the physicians).

Does the story establish the true novelty of the approach?

Satisfactory

The story described the results of a soon-to-be published study and described this clearly.  That said, it also mentioned that there had been previous studies, which were smaller and were based on outcomes from individual institutions with different outcomes from the study reported on.  This provides a context for the reader to understand that the study reported on was not done in a complete vacuum of information.

Does the story appear to rely solely or largely on a news release?

Satisfactory

Does not appear to rely on a press release.

Total Score: 8 of 8 Satisfactory

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