Evidence map›Paper›PMID 20664289›Full record

ArticleNephron. Clinical practice2010

Deficient counseling on physical activity among nephrologists.

Cynthia Delgado, Kirsten L Johansen

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Nephron. Clinical practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 21% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals.International journal of environmental research and public health · 2020
    Pooled it
  3. Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2018
    Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Renal Rehabilitation: Present and Future Perspectives.Journal of clinical medicine · 2024
    Review
  10. Global Policy Barriers and Enablers to Exercise and Physical Activity in Kidney Care.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2022
    Article
  11. Article
  12. Addressing feasibility challenges to delivering intradialytic exercise interventions: a theory-informed qualitative study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Clinical events and patient-reported outcome measures during CKD progression: findings from the Chronic Renal Insufficiency Cohort Study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
    Article
  17. Multicomponent Home-Based Training Program for Chronic Kidney Disease Patients during Movement Restriction.International journal of environmental research and public health · 2021
    Article
  18. Article
  19. Review
  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

2 authors at 2 institutions in 1 country.

Cynthia DelgadoNephrology Section, San Francisco VA Medical Center, University of California, San Francisco, CA 94121, USA. cynthia.delgado@ucsf.edu
Kirsten L Johansen
University of California, San Francisco · USUniversity of California San Francisco Medical Center · US

Funding

Academic Training Program in NephrologyT32DK007219 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, CHI-YUAN · 1986 to 2022
$7.3M
Prevalence and Impact of Frailty among Dialysis PatientsK24DK085153 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHANSEN, KIRSTEN L. · 2010 to 2021
$1.5M
NIDDK NIH HHS K24 DK085153NIDDK NIH HHS T32 DK007219
6 · The paper itself

Abstract

backgroundAn evaluation of exercise counseling practices among nephrologists in 2001 demonstrated few clinicians assessing patients' levels of physical activity (PA) and counseling to increase activity. Recent Kidney Disease Outcomes Quality Initiative (KDOQI) cardiovascular guidelines recommended that nephrologists counsel patients to increase PA. Our objective was to ascertain whether nephrologists' counseling practices have changed.

methodsWe administered a 30-item survey regarding exercise counseling to nephrologists attending the ASN meeting in 2007. Some questions were adapted from a prior survey administered in 2001 to assess differences in practice patterns compared to 6 years earlier.

resultsParticipants answered questions regarding opinions and practices relevant to PA (n = 198), KDOQI guidelines, self-reported PA, and demographic information (n = 173). Participants were 44 ± 11 years of age, 48% practicing in the USA, and 76% male. In multivariate analysis, older nephrologists (OR; 95% CI) (3.3; 1.2-9.0) and those more physically active (5.5; 2.0-14) were more likely to ask and counsel patients about PA. Opinions associated with less counseling behavior included lack of confidence in ability to discuss PA (0.2; 0.05-0.5). Multivariate comparison to previous respondents (n = 503) showed current nephrologists were not asking and counseling more (1.2; 0.81-1.8).

conclusionDespite new guidelines, counseling behavior has not increased. Published guidelines are insufficient to reach younger nephrologists.

Indexed as

Physician's RoleAdultAge FactorsAttitude of Health PersonnelCohort StudiesCounselingCross-Sectional StudiesExerciseFemaleHumansKidney DiseasesMaleMiddle AgedMotor ActivityNephrologyPatient Education as Topic

Identifiers

PMID20664289
PMCPMC4439770
OpenAlexW1996942402

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.