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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0008976,
umls-concept:C0017725,
umls-concept:C0031139,
umls-concept:C0031140,
umls-concept:C0034656,
umls-concept:C0037633,
umls-concept:C0439841,
umls-concept:C0538727,
umls-concept:C1257890,
umls-concept:C1261322,
umls-concept:C1423498,
umls-concept:C1547135,
umls-concept:C1547139,
umls-concept:C1561560,
umls-concept:C1561561,
umls-concept:C2290901,
umls-concept:C2603343
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pubmed:issue |
2
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pubmed:dateCreated |
1994-12-12
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pubmed:abstractText |
The osmotic effectiveness of a large molecular weight glucose polymer fraction (Icodextrin) as a novel "colloid" osmotic agent in peritoneal dialysis was established, but the long-term safety remained undetermined. A randomized, controlled multicenter investigation of Icodextrin in ambulatory peritoneal dialysis (MIDAS) was undertaken to evaluate the long-term safety and efficacy by comparing daily overnight (8 to 12 hr dwell) use of isosmolar Icodextrin (282 mOsm/kg) with conventional 1.36% (346 mOsm/kg) and 3.86% (484 mOsm/kg) glucose exchanges over six months. Two hundred and nine patients were randomized from 11 centers, with 106 allocated to receive Icodextrin (D) and 103 to remain on glucose (control group; C); 138 patients completed the six month study (71 C, 67 D). All patients were divided into weak (1.36%) or strong (3.86%) subgroups based on their use of glucose solutions overnight during the pretreatment baseline period. The mean (+/- SEM) overnight ultrafiltration (UF) with D was 3.5 times greater than 1.36% glucose at eight hours [527 +/- 36 vs. 150 +/- 47 ml; 95% confidence interval (CI) for the difference +257 to +497 ml; P < 0.0001] and 5.5 times greater at 12 hours (561 +/- 44 vs. 101 +/- 48 ml, 95% CI for the difference +329 to +590; P < 0.0001) and no different from that of 3.86% glucose at eight hours (510 +/- 48 vs. 448 +/- 60 ml, 95% CI for the difference -102 to +226 ml; P = 0.44) and at 12 hours (552 +/- 44 vs. 414 +/- 78 ml, 95% CI for the difference -47 to +325 ml; P = 0.06).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Dialysis Solutions,
http://linkedlifedata.com/resource/pubmed/chemical/Glucans,
http://linkedlifedata.com/resource/pubmed/chemical/Glucose,
http://linkedlifedata.com/resource/pubmed/chemical/Hypertonic Solutions,
http://linkedlifedata.com/resource/pubmed/chemical/Isotonic Solutions
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0085-2538
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
46
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
496-503
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7967363-Adolescent,
pubmed-meshheading:7967363-Adult,
pubmed-meshheading:7967363-Aged,
pubmed-meshheading:7967363-Aged, 80 and over,
pubmed-meshheading:7967363-Dialysis Solutions,
pubmed-meshheading:7967363-Female,
pubmed-meshheading:7967363-Glucans,
pubmed-meshheading:7967363-Glucose,
pubmed-meshheading:7967363-Humans,
pubmed-meshheading:7967363-Hypertonic Solutions,
pubmed-meshheading:7967363-Isotonic Solutions,
pubmed-meshheading:7967363-Kidney Failure, Chronic,
pubmed-meshheading:7967363-Male,
pubmed-meshheading:7967363-Middle Aged,
pubmed-meshheading:7967363-Osmolar Concentration,
pubmed-meshheading:7967363-Peritoneal Dialysis, Continuous Ambulatory,
pubmed-meshheading:7967363-Ultrafiltration
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pubmed:year |
1994
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pubmed:articleTitle |
A randomized multicenter clinical trial comparing isosmolar icodextrin with hyperosmolar glucose solutions in CAPD. MIDAS Study Group. Multicenter Investigation of Icodextrin in Ambulatory Peritoneal Dialysis.
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pubmed:affiliation |
Institute of Nephrology, Cardiff Royal Infirmary, Wales, United Kingdom.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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