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María Auxiliadora BajoAuthorGloria Del Peso GilsanzAuthorRafael Selgas GutiérrezAuthor

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January 31, 2022
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Prurito en pacientes en diálisis: Revisión de la literatura y nuevas perspectivas

Publicated to:NEFROLOGIA. 42 (1): 15-21 - 2022-01-01 42(1), DOI: 10.1016/j.nefro.2020.12.010

Authors: Santos Alonso, Carlos; Maldonado Martín, María; Sánchez Villanueva, Rafael; Álvarez, Laura; Vaca Gallardo, Marco Antonio; Bajo, María Auxiliadora; Peso Gilsanz, Gloria del; Ossorio González, Marta; Selgas Gutiérrez, Rafael

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Abstract

El prurito es uno de los síntomas más incómodos y que más impacta en la calidad de vida de los pacientes en diálisis. Su prevalencia es bastante elevada en pacientes en diálisis (28- 70%). La fisiopatología del prurito urémico es desconocida, y este síntoma a menudo pasa desapercibido para el personal sanitario, siendo infradiagnosticado en más del 65% de los centros. Esta falta de reconocimiento deriva en un abordaje terapéutico ineficaz del prurito urémico. Por otro lado, la mayoría de los ensayos farmacológicos para el tratamiento del prurito urémico han sido realizados en poblaciones reducidas y están sujetos a la subjetiva medición del propio síntoma. Por este motivo, hemos propuesto algoritmos de tratamiento, teniendo en cuenta la evidencia que avala a cada fármaco y a la vez la pluripatología y la polifarmacia de cada paciente, con el fin de evitar efectos adversos

Keywords

chronic kidney diseasediálisisdialysisdifelikefalinenfermedad renal crónicagabapentingabapentinapregabalinpregabalinapruritoPruritus

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal NEFROLOGIA, and although the journal is classified in the quartile Q3 (Agencia WoS (JCR)), its regional focus and specialization in Urology & Nephrology, give it significant recognition in a specific niche of scientific knowledge at an international level.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 2.34. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 4.41 (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-20, the following number of citations:

  • WoS: 7

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-20:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 32.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 80 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.