Gap finder

Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

2,434 questions in 139 reviews · Kidney and Transplant

current versions
No studies 504 · 20.7%Ungraded 40 · 1.6%Very low 611 · 25.1%Low 790 · 32.5%Moderate 414 · 17%High 75 · 3.1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Tight glycaemic control vs non‐tight control
Onset microalbuminuria 5.4 years · patients with diabetes
Glucose targets for preventing diabetic kidney disease and its progression (2017) · Cochrane
RR 0.85 [0.77, 0.94]4 studies · 19933 participantsModerate
Tight glycaemic control vs non‐tight control
Progression of microalbuminuria 5.8 years · patients with diabetes
Glucose targets for preventing diabetic kidney disease and its progression (2017) · Cochrane
RR 0.59 [0.38, 0.93]5 studies · 13266 participantsModerate
Intravesical bacterial interference vs placebo
Symptomatic UTI · people with neuropathic bladder
Probiotics for preventing urinary tract infection in people with neuropathic bladder (2017) · Cochrane
RR 0.32 [0.08, 1.19]3 studies · 110 participantsVery low
Intervention NR
Serum creatinine: day 1 · patients undergoing a surgical intervention that induces kidney injury
Ischaemic preconditioning for the reduction of renal ischaemia reperfusion injury (2017) · Cochrane
no estimate extractedNRHigh
Intervention NR
Serum creatinine: day 2 · patients undergoing a surgical intervention that induces kidney injury
Ischaemic preconditioning for the reduction of renal ischaemia reperfusion injury (2017) · Cochrane
no estimate extractedNRHigh
Intervention NR
Serum creatinine: day 3 · patients undergoing a surgical intervention that induces kidney injury
Ischaemic preconditioning for the reduction of renal ischaemia reperfusion injury (2017) · Cochrane
no estimate extractedNRHigh
Intervention NR
Adverse events related to RIPC · patients undergoing a surgical intervention that induces kidney injury
Ischaemic preconditioning for the reduction of renal ischaemia reperfusion injury (2017) · Cochrane
RR 3.47 [0.55, 21.76]NRHigh
Intervention NR
Need for dialysis · patients undergoing a surgical intervention that induces kidney injury
Ischaemic preconditioning for the reduction of renal ischaemia reperfusion injury (2017) · Cochrane
RR 0.85 [0.37, 1.94]NRModerate
Intervention NR
Acute kidney injury defined by AKIN · patients undergoing a surgical intervention that induces kidney injury
Ischaemic preconditioning for the reduction of renal ischaemia reperfusion injury (2017) · Cochrane
RR 0.76 [0.57, 1]NRHigh
Intervention NR
Mortality · patients undergoing a surgical intervention that induces kidney injury
Ischaemic preconditioning for the reduction of renal ischaemia reperfusion injury (2017) · Cochrane
RR 0.86 [0.54, 1.37]NRHigh
Direct oral anticoagulants (DOAC) vs warfarin
All strokes and systemic embolic events · atrial fibrillation patients with CKD
Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial… (2017) · Cochrane
RR 0.81 [0.65, 1]5 studies · 12545 participantsModerate
Direct oral anticoagulants (DOAC) vs warfarin
Major bleeding · atrial fibrillation patients with CKD
Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial… (2017) · Cochrane
RR 0.79 [0.59, 1.04]5 studies · 12521 participantsLow
Direct oral anticoagulants (DOAC) vs warfarin
Myocardial infarction · atrial fibrillation patients with CKD
Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial… (2017) · Cochrane
RR 0.92 [0.45, 1.9]1 study · 2740 participantsUngraded
Direct oral anticoagulants (DOAC) vs warfarin
Minor bleeding · atrial fibrillation patients with CKD
Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial… (2017) · Cochrane
RR 0.97 [0.58, 1.61]2 studies · 3012 participantsLow
Direct oral anticoagulants (DOAC) vs warfarin
Gastrointestinal bleeding · atrial fibrillation patients with CKD
Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial… (2017) · Cochrane
RR 1.4 [0.97, 2.01]2 studies · 5678 participantsModerate
Direct oral anticoagulants (DOAC) vs warfarin
Intracranial haemorrhage · atrial fibrillation patients with CKD
Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial… (2017) · Cochrane
RR 0.43 [0.27, 0.69]5 studies · 12521 participantsModerate
Direct oral anticoagulants (DOAC) vs warfarin
All‐cause mortality · atrial fibrillation patients with CKD
Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial… (2017) · Cochrane
RR 0.91 [0.78, 1.05]4 studies · 9595 participantsModerate
Peritoneal dialysis vs haemodialysis
All‐cause mortality · patients with acute kidney injury
Peritoneal dialysis for acute kidney injury (2017) · Cochrane
RR 1.12 [0.81, 1.55]4 studies · 383 participantsModerate
Peritoneal dialysis vs haemodialysis
Recovery of kidney function · patients with acute kidney injury
Peritoneal dialysis for acute kidney injury (2017) · Cochrane
RR 1.42 [0.74, 2.75]3 studies · 333 participantsModerate
Peritoneal dialysis vs haemodialysis
Weekly delivered Kt/V · patients with acute kidney injury
Peritoneal dialysis for acute kidney injury (2017) · Cochrane
no estimate extracted2 studies · 263 participantsVery low
Peritoneal dialysis vs haemodialysis
Correction of acidosis · patients with acute kidney injury
Peritoneal dialysis for acute kidney injury (2017) · Cochrane
RR 1.32 [0.1, 13.6]2 studies · 120 participantsVery low
Peritoneal dialysis vs haemodialysis
Fluid removal (L/d) · patients with acute kidney injury
Peritoneal dialysis for acute kidney injury (2017) · Cochrane
no estimate extracted3 studies · 313 participantsLow
Peritoneal dialysis vs haemodialysis
Duration of dialysis (hours) · patients with acute kidney injury
Peritoneal dialysis for acute kidney injury (2017) · Cochrane
no estimate extracted2 studies · 170 participantsVery low
Peritoneal dialysis vs haemodialysis
Infectious complications · patients with acute kidney injury
Peritoneal dialysis for acute kidney injury (2017) · Cochrane
RR 1.03 [0.6, 1.78]2 studies · 263 participantsLow
Epoetin alpha every 2 weeks vs to weekly
Change in Hb level · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
no estimate extracted4 studies · 798 participantsLow
Epoetin alfa every four weeks vs with every two weeks
Adverse events: RBC transfusions · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 1.26 [0.53, 2.98]2 studies · 470 participantsLow
Epoetin alfa every four weeks vs with every two weeks
Adverse events: hypertension · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 1.02 [0.62, 1.69]3 studies · 724 participantsModerate
Epoetin alfa every four weeks vs with every two weeks
Adverse events: arteriovenous complications · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 1.02 [0.39, 2.68]3 studies · 724 participantsLow
Epoetin theta vs epoetin beta
Final Hb · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
no estimate extracted1 study · 288 participantsModerate
Epoetin theta vs epoetin beta
Mean weekly epoetin dose · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
no estimate extracted1 study · 288 participantsLow
Epoetin theta vs epoetin beta
Deaths · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 2.46 [0.29, 20.77]1 study · 288 participantsLow
Epoetin theta vs epoetin beta
Adverse events: hypertension · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 0.35 [0.11, 1.08]1 study · 288 participantsModerate
Epoetin theta vs epoetin beta
Adverse events: RBC transfusions · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 1.48 [0.06, 36.1]1 study · 288 participantsLow
Epoetin theta vs epoetin beta
Adverse events: discontinuation of therapy · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 1.77 [0.68, 4.63]1 study · 288 participantsLow
Epoetin alpha every 2 weeks vs to weekly
Number reaching target Hb · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 0.96 [0.93, 0.99]4 studies · 798 participantsLow
Epoetin alpha every 2 weeks vs to weekly
Number of deaths · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 0.89 [0.38, 2.07]4 studies · 838 participantsLow
Epoetin alpha every 2 weeks vs to weekly
Adverse events: RBC transfusions · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 1.56 [0.71, 3.45]3 studies · 580 participantsLow
Epoetin alpha every 2 weeks vs to weekly
Adverse events: hypertension · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 0.85 [0.55, 1.32]4 studies · 838 participantsModerate
Epoetin alpha every 2 weeks vs to weekly
Adverse events: thrombovascular events · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 1.41 [0.67, 3]4 studies · 838 participantsLow
Epoetin alfa every four weeks vs with every two weeks
Change in Hb level · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
no estimate extracted3 studies · 671 participantsVery low
Epoetin alfa every four weeks vs with every two weeks
Number reaching target Hb · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 0.95 [0.84, 1.07]3 studies · 687 participantsVery low
Epoetin alfa every four weeks vs with every two weeks
Number of deaths · anaemia in predialysis patients
Short‐acting erythropoiesis‐stimulating agents for anaemia in predialysis patients (2017) · Cochrane
RR 0.95 [0.33, 2.75]3 studies · 724 participantsLow
Dietary modifications (counselling or dietary change) vs control
Death · people with CKD
Dietary interventions for adults with chronic kidney disease (2017) · Cochrane
no estimate extracted5 studies · 539 participantsVery low
Dietary modifications (counselling or dietary change) vs control
Major cardiovascular event · people with CKD
Dietary interventions for adults with chronic kidney disease (2017) · Cochrane
no estimate extractedNRNo studies
Dietary modifications (counselling or dietary change) vs control
Progression to ESKD Measured as requiring dialysis treatment in people with CKD · people with CKD
Dietary interventions for adults with chronic kidney disease (2017) · Cochrane
RR 0.53 [0.26, 1.07]2 studies · 242 participantsVery low
Dietary modifications (counselling or dietary change) vs control
Health‐related quality of life Measured using the Short Form‐36 scale from 0 to 100 · people with CKD
Dietary interventions for adults with chronic kidney disease (2017) · Cochrane
no estimate extracted2 studies · 119 participantsLow
Antidepressant therapy vs placebo
Dizziness or hypotension · dialysis patients with depression
Antidepressants for treating depression in adults with end‐stage kidney disease treated with dialysis (2016) · Cochrane
no estimate extracted3 studies · 114 participantsVery low
Antidepressant therapy vs placebo
Nausea · dialysis patients with depression
Antidepressants for treating depression in adults with end‐stage kidney disease treated with dialysis (2016) · Cochrane
no estimate extracted3 studies · 114 participantsModerate
Antidepressant therapy vs placebo
Sexual dysfunction · dialysis patients with depression
Antidepressants for treating depression in adults with end‐stage kidney disease treated with dialysis (2016) · Cochrane
no estimate extracted2 studies · 101 participantsVery low
Antidepressant therapy vs placebo
All‐cause mortality · dialysis patients with depression
Antidepressants for treating depression in adults with end‐stage kidney disease treated with dialysis (2016) · Cochrane
no estimate extracted1 study · 50 participantsVery low