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. 2015 May 20;2015(5):CD006258. doi: 10.1002/14651858.CD006258.pub2

Noris 1998.

Methods
  • Study design: cross‐over RCT

  • Study time frame: not stated

  • Duration of follow‐up: 1 week

Participants
  • Country: Italy

  • Setting: single centre

  • Patients on regular bicarbonate HD for at least 12 months

  • Number: 5

  • Mean age ± SD: 57.6 ± 9.6 years

  • Sex (M/F): 3/2

  • Exclusion criteria: history or clinical evidence of unstable angina, MI, stroke or TIA; uncontrolled hypertension (diastolic BP > 100 mm Hg); severe systemic disease; on drugs known to affect haemostasis; fever or signs of acute infection, inactive immunological processes; hypersensitivity to dialysis membrane material

Interventions Treatment group
  • AFB with AN69 (polyacrylonitrile) membrane, 3 times/wk

    • QB: 250 to 300 mL/min

    • QD: 500 mL/min

    • Buffer infusion rate: 2.2 L/h


Control group
  • Acetate and bicarbonate HD with AN69 (Polyacrylonitrile) membrane

    • QB: 250 to 300 mL/min

    • QD: 500 mL/min


Co‐interventions: not stated
Outcomes
  • Pre‐ and post‐dialysis systolic BP

  • Difference between in pre‐ and post‐dialysis systolic BP

  • Pre‐ and post‐dialysis diastolic BP

  • Difference between pre‐ and post‐dialysis BP

  • Pre‐ and post‐dialysis body weight

  • Difference between pre‐ and post‐dialysis body weight

  • Kt/V

Notes
  • Exclusions post randomisation but pre‐intervention: not stated

  • Stop or end point/s: not stated

  • Additional data requested from authors: method of randomisation; details regarding blinding

  • Funding: not stated

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated
Allocation concealment (selection bias) Unclear risk Not stated
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not stated
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not stated
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Missing outcome data balanced across groups; 0/5 lost to follow‐up
Selective reporting (reporting bias) High risk Data for end of first phase of treatment not available; no protocol of the study available
Other bias High risk Carry over effect present because of the cross‐over design; data not extractable for meta‐analysis and interventions not matched