Evidence map›Paper›PMID 19711135›Full record

Trial reportJournal of general internal medicine2009

Perceived susceptibility to chronic kidney disease among high-risk patients seen in primary care practices.

L Ebony Boulware, Kathryn A Carson, Misty U Troll, Neil R Powe, Lisa A Cooper

Open access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 111 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Are your kidneys okay? Detect early to protect kidney health.Kidney research and clinical practice · 2026
    Article
  5. Article
  6. Are your kidneys ok? Detect early to protect kidney health.Clinical and experimental nephrology · 2025
    Article
  7. Are Your Kidneys Ok? Detect Early to Protect Kidney Health.American journal of hypertension · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Are Your Kidneys Ok? Detect Early to Protect Kidney Health.Canadian journal of kidney health and disease · 2025
    Article
  12. Article
  13. Article
  14. Diabetic Kidney Disease Prevention Care Model Development.Clinical diabetes : a publication of the American Diabetes Association · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

L Ebony BoulwareDivision of General Internal Medicine, Department of Medicine, Johns Hopkins School of Medicine, Welch Center for Prevention, Epidemiology and Clinical Research, 2024 E. Monument Street, Baltimore, MD 21205, USA. lboulwa@jhmi.edu
Kathryn A Carson
Misty U Troll
Neil R Powe
Lisa A Cooper
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Patient-Physician Partnership to Improve HBP AdherenceR01HL069403 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2001 to 2004
$2.5M
Patient-Oriented Research in Cardiovascular DisparitiesK24HL083113 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2006 to 2015
$2.0M
Information and Financial Interventions for Kidney Donation in African AmericansR01DK079682 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BOULWARE, LEIGH E · 2007 to 2011
$1.3M
Clinical and Behavioral Determinants of CKD DisparitiesK23DK070757 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BOULWARE, LEIGH E · 2006 to 2010
$724k
NHLBI NIH HHS K24 HL083113NHLBI NIH HHS K24HL083113NHLBI NIH HHS R01 HL069403NHLBI NIH HHS R01HL69403NIDDK NIH HHS 1K23DK070757NIDDK NIH HHS K23 DK070757NIDDK NIH HHS R01 DK079682PHS HHS K240502643
6 · The paper itself

Abstract

backgroundPatients' views of their risk for the development or progression of chronic kidney disease (CKD) are poorly characterized.

objectiveTo assess perceived risk and concern regarding CKD development or progression among high-risk patients seen in primary care, identify predictors of perceptions, and correlate perceptions with adherence to high blood pressure management. DESIGN AND

participantsCross-sectional study of 195 patients enrolled in a randomized controlled trial on hypertension management in 40 Maryland primary care practices. MEASUREMENTS: We assessed independent predictors (sociodemographics, health literacy, clinical presence of CKD, co-morbid conditions, and health behaviors) of perceived susceptibility (assessed via questionnaire) and adherence (assessed via Hill-Bone blood pressure adherence scale) in multivariable analyses. MAIN

resultsIn this hypertensive majority African American (63%) population, many participants had uncontrolled blood pressure (44%) or diabetes (42%). Few (20%) felt "very likely" to develop CKD and one third (33%) were "very concerned" about developing CKD. Participants who were female and had low health literacy had lower perceived susceptibility to CKD compared to males and those with higher health literacy. Race and diabetes were also associated with perceived susceptibility. Greater perceived susceptibility was associated with poorer blood pressure management adherence scores.

conclusionsMany high-risk patients have low perceived susceptibility to CKD. Poor blood pressure therapy adherence scores among those with greatest perceived susceptibility suggest fatalistic attitudes about CKD. If our findings are confirmed in larger studies, interventions targeting patient perceptions of CKD risk and other attitudes associated with these perceptions could impact adherence to therapies and health outcomes.

Indexed as

Health Knowledge, Attitudes, PracticePrimary Health CareSelf ConceptAdultCross-Sectional StudiesDisease SusceptibilityFemaleFollow-Up StudiesHumansKidney Failure, ChronicMaleMiddle AgedRisk Factors

Identifiers

PMID19711135
PMCPMC2762510
OpenAlexW1984567285

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.