Evidence map›Paper›PMID 23417277›Full record

ArticlePediatric nephrology (Berlin, Germany)2013

The quality of cardiovascular disease care for adolescents with kidney disease: a Midwest Pediatric Nephrology Consortium study.

David K Hooper, Jason C Williams, Adam C Carle, Sandra Amaral, Deepa H Chand, Maria E Ferris, Hiren P Patel, Christoph Licht, Gina-Marie Barletta, Veronica Zitterman and 2 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.4field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Management of dyslipidemia in pediatric renal transplant recipients.Pediatric nephrology (Berlin, Germany) · 2021
    Review
  3. Long-Term Outcomes of Kidney Transplantation in Children.Pediatric clinics of North America · 2019
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Article
  10. 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

12 authors at 10 institutions in 2 countries.

David K HooperDivision of Nephrology & Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Jason C Williams
Adam C Carle
Sandra Amaral
Deepa H Chand
Maria E Ferris
Hiren P Patel
Christoph Licht
Gina-Marie Barletta
Veronica Zitterman
Mark Mitsnefes
Uptal D Patel
Cincinnati Children's Hospital Medical Center · USChildren's Hospital of Philadelphia · USClinical Research Institute · USDuke Children's Hospital & Health Center · USHospital for Sick Children · CANationwide Children's Hospital · USPhoenix Children's Hospital · USRush Children's Hospital · USUniversity of Michigan–Ann Arbor · USUniversity of North Carolina at Chapel Hill · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
Cardiovascular Disease in Children with Chronic Kidney DiseaseK24DK090070 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI MITSNEFES, MARK M. · 2011 to 2015
$839k
Barriers to Optimal Cardiovascular Medication Use in Diabetes and Renal DiseaseK23DK075929 · NIDDK · DUKE UNIVERSITY · PI PATEL, UPTAL D · 2006 to 2010
$677k
NCATS NIH HHS UL1 TR000077NIDDK NIH HHS K23 DK075929NIDDK NIH HHS K24 DK090070
6 · The paper itself

Abstract

backgroundCardiovascular disease is the leading cause of increased mortality for adolescents with advanced kidney disease. The quality of preventive cardiovascular care may impact long-term outcomes for these patients.

methodsWe reviewed the records of 196 consecutive adolescents from eight centers with pre-dialysis chronic kidney disease, on dialysis or with a kidney transplant, who transferred to adult-focused providers. We compared cardiovascular risk assessment and therapy within and across centers. Predictors of care were assessed using multilevel models.

resultsOverall, 58 % (range 44-86 %; p = 0.08 for variance) of five recommended cardiovascular risk assessments were documented. Recommended therapy for six modifiable cardiovascular risk factors was documented 57 % (26-76 %; p = 0.09) of the time. Of these patients, 30 % (n = 59) were reported to go through formal transition which was independently associated with a 21 % increase in composite cardiovascular risk assessment (p < 0.001). Transfer after 2006 and kidney transplant status were also associated with increased cardiovascular risk assessment (p < 0.01 and p = 0.045, respectively).

conclusionsAdolescents with kidney disease receive suboptimal preventive cardiovascular care, that may contribute to their high risk of future cardiovascular mortality. A great opportunity exists to improve outcomes for children with kidney disease by improving the reliability of preventive care that may include formal transition programs.

Indexed as

Quality of Health CareAdolescentAdultCardiovascular DiseasesFemaleHumansKidney DiseasesMaleRisk AssessmentRisk Factors

Identifiers

PMID23417277
PMCPMC3637925
OpenAlexW2060263269

What OpenQuestion holds

Textmetadata
LicenceTDM
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.