Evidence map›Paper›PMID 21338846›Full record

ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2011

Comparison of CKD awareness in a screening population using the Modification of Diet in Renal Disease (MDRD) study and CKD Epidemiology Collaboration (CKD-EPI) equations.

Manjula Kurella Tamura, Shuchi Anand, Suying Li, Shu-Cheng Chen, Adam T Whaley-Connell, Lesley A Stevens, Keith C Norris

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
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  8. Review
  9. Article
  10. State-Level Awareness of Chronic Kidney Disease in the U.S.American journal of preventive medicine · 2017
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Treatment needs and diagnosis awareness in primary care patients with chronic kidney disease.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Article
  16. Associations between access to care and awareness of CKD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2012
    Article
  17. Physician utilization, risk-factor control, and CKD progression among participants in the Kidney Early Evaluation Program (KEEP).American journal of kidney diseases : the official journal of the National Kidney Foundation · 2012
    Article
  18. Article
  19. Robot-assisted laparoscopic partial nephrectomy: Early single Canadian institution experience.Canadian Urological Association journal = Journal de l'Association des urologues du Canada
    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

7 authors at 6 institutions in 1 country.

Manjula Kurella TamuraDepartment of Medicine, Division of Nephrology, Stanford University, Palo Alto, CA 94304, USA. mktamura@stanford.edu
Shuchi Anand
Suying Li
Shu-Cheng Chen
Adam T Whaley-Connell
Lesley A Stevens
Keith C Norris
Orthopaedic Research Foundation · USCharles R. Drew University of Medicine and Science · USHarry S. Truman Memorial Veterans' Hospital · USStanford Medicine · USStanford University · USTufts Medical Center · US

Funding

TRAINING PROGRAM IN ACADEMIC NEPHROLOGYT32DK007357 · NIDDK · STANFORD UNIVERSITY · PI CHERTOW, GLENN MATTHEW · 1986 to 2022
$4.8M
Mechanisms of Cognitive Impairment in Chronic Kidney DiseaseK23AG028952 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KURELLA TAMURA, MANJULA · 2007 to 2011
$860k
NIA NIH HHS K23 AG028952NIA NIH HHS K23AG028952NIDDK NIH HHS T32 DK007357
6 · The paper itself

Abstract

backgroundLow awareness of chronic kidney disease (CKD) may reflect uncertainty about the accuracy or significance of a CKD diagnosis in individuals otherwise perceived to be low risk. Whether reclassification of CKD severity using the CKD Epidemiology Collaboration (CKD-EPI) equation to estimate glomerular filtration rate (GFR) modifies estimates of CKD awareness is unknown.

methodsIn this cross-sectional study, we used data collected from 2000-2009 for 26,213 participants in the Kidney Early Evaluation Program (KEEP), a community-based screening program, with CKD based on GFR estimated using the 4-variable Modification of Diet in Renal Disease (MDRD) Study equation and measurement of albuminuria. We assessed CKD awareness after CKD stage was reclassified using the CKD-EPI equation.

resultsOf 26,213 participants with CKD based on GFR estimated using the MRDR equation (eGFR(MDRD)), 23,572 (90%) also were classified with CKD based on eGFR(CKD-EPI). Based on eGFR(MDRD), 9.5% of participants overall were aware of CKD, as were 4.9%, 6.3%, 9.2%, 41.9%, and 59.2% with stages 1-5, respectively. Based on eGFR(CKD-EPI), 10.0% of participants overall were aware of CKD, as were 5.1%, 6.6%, 10.0%, 39.3%, and 59.4% with stages 1-5, respectively. Reclassification to a less advanced CKD stage using eGFR(CKD-EPI) was associated with lower odds for awareness (OR, 0.58; 95% CI, 0.50-0.67); reclassification to a more advanced stage was associated with higher odds for awareness (OR, 1.50; 95% CI, 1.05-2.13) after adjustment for confounding factors. Of participants unaware of CKD, 10.6% were reclassified as not having CKD using eGFR(CKD-EPI).

conclusionsUsing eGFR(CKD-EPI) led to a modest increase in overall awareness rates, primarily due to reclassification of low-risk unaware participants.

Indexed as

AwarenessFeeding BehaviorAdolescentAdultAgedCooperative BehaviorCross-Sectional StudiesFemaleGlomerular Filtration RateHumansKidney Failure, ChronicMaleMass ScreeningMiddle AgedPopulation SurveillanceProgram Evaluationawarenesschronic kidney diseaseCKD-EPIestimated glomerular filtration rate

Identifiers

PMID21338846
PMCPMC3075598
OpenAlexW2166519507

What OpenQuestion holds

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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.