Evidence map›Paper›PMID 25573515›Full record

ReviewAdvances in chronic kidney disease2015

Chronic kidney disease care in the US safety net.

Delphine S Tuot, Vanessa Grubbs

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Advances in chronic kidney disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Impact of a Primary Care CKD Registry in a US Public Safety-Net Health Care Delivery System: A Pragmatic Randomized Trial.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018
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  13. Border Health: State-Level Variation in Predialysis Nephrology Care.Clinical journal of the American Society of Nephrology : CJASN · 2015
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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.

Delphine S TuotDivision of Nephrology, San Francisco General Hospital, University of California, San Francisco, CA; and Center for Innovation in Access and Quality, San Francisco General Hospital, University of California, San Francisco, CA. Electronic address: delphine.tuot@ucsf.edu.
Vanessa GrubbsDivision of Nephrology, San Francisco General Hospital, University of California, San Francisco, CA; and Center for Innovation in Access and Quality, San Francisco General Hospital, University of California, San Francisco, CA.

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
The Role of Periodontal Disease in Chronic Kidney Disease ProgressionK23DK093710 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRUBBS, VANESSA · 2012 to 2016
$1.0M
CKD awareness and self-management: Interventions for Safety-Net PatientsK23DK094850 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TUOT, DELPHINE · 2012 to 2015
$754k
NCATS NIH HHS UL1 TR000004NIDDK NIH HHS 1K23DK093710-01A1NIDDK NIH HHS 1K23DK094850NIDDK NIH HHS K23 DK093710NIDDK NIH HHS K23 DK094850
6 · The paper itself

Abstract

The US Health Care System provides a patchwork of services, known as the safety net, for the uninsured, underinsured, and indigent populations who would otherwise have little access to health care services. Individuals who rely on safety-net facilities are from racial/ethnic minority groups, have low socioeconomic status, and often have low health literacy and/or limited English proficiency. They shoulder a disproportionate burden of CKD in the United States and experience excess CKD-associated morbidity and mortality. Suboptimal delivery of CKD care may be contributing and is an area of active translational research. Several initiatives that show promise in improving safety-net CKD care delivery include those that enhance diagnostic and management skills of primary care providers, rely on comprehensive care management programs led by nonphysicians, and leverage technology to enhance patient access to virtual nephrology expertise. Uncovering better ways to translate scientific evidence into practice for vulnerable patients with CKD is a formidable challenge that will require national surveillance of CKD quality measures across diverse ambulatory health systems, including safety nets. Only then will the nephrology community be to identify and share best practices to enhance health and mitigate disparities of care among patients with CKD.

Indexed as

Healthcare DisparitiesMedically UninsuredHealth Services AccessibilityHealth Status DisparitiesHumansOutcome Assessment, Health CareQuality Assurance, Health CareRenal Insufficiency, ChronicRisk FactorsSafety-net ProvidersSocioeconomic FactorsUnited StatesCKDKidney diseaseQualitySafety netVulnerable populations

Identifiers

PMID25573515
PMCPMC4291537

What OpenQuestion holds

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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.