Trial reportClinical journal of the American Society of Nephrology : CJASN2011
Prevalence and demographic and clinical associations of health literacy in patients on maintenance hemodialysis.
Trial report in Clinical journal of the American Society of Nephrology : CJASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00692419 (Pain, Sexual Dysfunction and Depression in Hemodialysis Patients), which is not on this map. Cited by 54 papers, 7 of them syntheses that pooled 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.
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.
Pain, Sexual Dysfunction and Depression in Hemodialysis Patients
Who cites it
54 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Associations of health literacy with self-management behaviours and health outcomes in chronic kidney disease: a systematic review.Journal of nephrology · 2023Pooled it
- Interventions for improving health literacy in people with chronic kidney disease.The Cochrane database of systematic reviews · 2022Pooled it
- Psychosocial interventions for preventing and treating depression in dialysis patients.The Cochrane database of systematic reviews · 2019Pooled it
- eHealth interventions for people with chronic kidney disease.The Cochrane database of systematic reviews · 2019Pooled it
- A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD.Clinical journal of the American Society of Nephrology : CJASN · 2017Pooled it
- Antidepressants for treating depression in adults with end-stage kidney disease treated with dialysis.The Cochrane database of systematic reviews · 2016Pooled it
- Aging and Functional Health Literacy: A Systematic Review and Meta-Analysis.The journals of gerontology. Series B, Psychological sciences and social sciences · 2016Pooled it
- Trial
- Health literacy and complementary and alternative medicine use among underserved inpatients in a safety net hospital.Journal of health communication · 2013Trial
- Health Literacy and Emotional Management in Patients on Renal Replacement Therapy: A Mixed-Method Study Protocol.Healthcare (Basel, Switzerland) · 2025Article
- Role of Educational Level in Kidney Transplant Outcomes.Biomedicines · 2025Article
- Exploring Health Literacy and Vascular Access Decision Making: A Scoping Review.Journal of clinical medicine · 2024Article
- The role of low health literacy in shared treatment decision-making in patients with kidney failure.Clinical kidney journal · 2023Review
- Exploring the influencing factors of unmet palliative care needs in Chinese patients with end-stage renal disease undergoing maintenance hemodialysis: a cross-sectional study.BMC palliative care · 2023Article
- Low Health Literacy Is Associated with Poorer Physical and Mental Health-Related Quality of Life in Dialysed Patients.International journal of environmental research and public health · 2022Article
- Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients.International journal of environmental research and public health · 2022Article
- Social and Cultural Challenges in Caring for Latinx Individuals With Kidney Failure in Urban Settings.JAMA network open · 2021Article
- Missing In-Center Hemodialysis Sessions among Patients with End Stage Renal Disease in Banda Aceh, Indonesia.International journal of environmental research and public health · 2021Article
- Health literacy level in a various nephrology population from Québec: predialysis clinic, in-centre hemodialysis and home dialysis; a transversal monocentric observational study.BMC nephrology · 2021Observational
- How to tackle health literacy problems in chronic kidney disease patients? A systematic review to identify promising intervention targets and strategies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesAlthough limited health literacy is estimated to affect over 90 million Americans and is recognized as an important public health concern, there have been few studies examining this issue in patients with chronic kidney disease. We sought to characterize the prevalence of and associations of demographic and clinical characteristics with limited health literacy in patients receiving maintenance hemodialysis. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: As part of a prospective clinical trial of symptom management strategies in 288 patients treated with chronic hemodialysis, we assessed health literacy using the Rapid Estimate of Adult Literacy in Medicine (REALM). We defined limited health literacy as a REALM score ≤60 and evaluated independent associations of demographic and baseline clinical characteristics with limited health literacy using multivariable logistic regression.
resultsOf the 260 patients who completed the REALM, 41 demonstrated limited health literacy. African-American race, lower educational level, and veteran status were independently associated with limited health literacy. There was no association of limited health literacy with age, gender, serologic values, dialysis adequacy, overall symptom burden, quality of life, or depression.
conclusionsLimited health literacy is common among patients receiving chronic hemodialysis. African-American race and socioeconomic factors are strong independent predictors of limited health literacy. These findings can help inform the design and implementation of interventions to improve health literacy in the hemodialysis population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.