ArticleClinical journal of the American Society of Nephrology : CJASN2014
Self-rated health and adverse events in CKD.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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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.
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Who cites it
16 citing papers in PubMed, 35 citations in OpenAlex.
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- Clinical Considerations and Practical Advice for People Living With Type 2 Diabetes Who Undertake Regular Exercise or Aim to Exercise Competitively.Diabetes spectrum : a publication of the American Diabetes Association · 2023Article
- Self-rated health and the risk of incident chronic kidney disease: a community-based Korean study.Journal of nephrology · 2023Article
- Self-rated health, socioeconomic status and all-cause mortality in Chinese middle-aged and elderly adults.Scientific reports · 2022Article
- Use of Single-Item Self-Rated Health Measure to Identify Frailty and Geriatric Assessment-Identified Impairments Among Older Adults with Cancer.The oncologist · 2022Article
- The Surprise Question and Self-Rated Health Are Useful Screens for Frailty and Disability in Older Adults with Chronic Kidney Disease.Journal of palliative medicine · 2019Article
- Smokeless tobacco mortality risks: an analysis of two contemporary nationally representative longitudinal mortality studies.Harm reduction journal · 2019Article
- Health Outcome Priorities of Older Adults with Advanced CKD and Concordance with Their Nephrology Providers' Perceptions.Journal of the American Society of Nephrology : JASN · 2018Article
- Self-rated health, quality of life and appetite as predictors of initiation of dialysis and mortality in patients with chronic kidney disease stages 4-5: a prospective cohort study.BMC research notes · 2018Article
- Self-rated Health and Mortality due to Kidney Diseases: Racial Differences in the United States.Advanced biomedical research · 2018Article
- Relationship between Self-Rated Health and Lifestyle and Food Habits in Japanese High School Students.Behavioral sciences (Basel, Switzerland) · 2017Article
- Reliability and Utility of the Surprise Question in CKD Stages 4 to 5.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2017Observational
- Participant-Reported Health Status Predicts Cardiovascular and All-Cause Mortality Independent of Established and Nontraditional Biomarkers: Evidence From a Representative US Sample.Journal of the American Heart Association · 2016Observational
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
BACKGROUND AND
objectivesLittle is known about the utility of self-rated general health assessments in persons with moderate-to-severe CKD. This study examined the ability of a single self-rated health measure to predict all-cause mortality and kidney disease progression in a cohort of 443 patients with stages 3-4 CKD, recruited between 2005 and 2011, and followed until the end of 2012. The performance of models incorporating self-rated health measures was compared with previously published predictive models and more complex models comprising a multibiomarker panel. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Participants were asked "In general, would you say your health is excellent, very good, good, fair, or poor?" Outcomes examined were time to all-cause mortality, kidney disease progression (initiation of RRT or 30% loss of eGFR), and a composite of these events. Model performances were compared using a nonparametric area under the curve (AUC) analysis.
resultsOver a median follow-up of 3.3 years, 118 (27%) participants died and 138 (31%) had progression of kidney disease. Fair-to-poor self-rated health status was associated with significantly greater risks of mortality (fully adjusted hazard ratio [HR] for relative to good-to-excellent self-rated health, 2.76; 95% confidence interval [95% CI], 1.28 to 5.89), kidney disease progression (HR, 1.94; 95% CI, 1.49 to 2.56), and the combined end point (HR, 2.21; 95% CI, 1.66 to 2.96). For 3-year mortality prediction, the self-rated health model (AUC, 0.80; 95% CI, 0.76 to 0.85) had significantly higher AUCs than the base model (AUC, 0.71; 95% CI, 0.66 to 0.76) and the multibiomarker panel model (AUC, 0.74; 95% CI, 0.68 to 0.80) (P=0.03 and P=0.04, respectively).
conclusionsA single, easily obtained measure of self-rated health helps identify patients with CKD at high risk of mortality and kidney disease progression. Routine evaluation of self-rated health may help target individuals who might benefit from more intensive monitoring strategies.
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