Evidence map›Paper›PMID 25884409›Full record

ArticleBMC nephrology2015

Comparison of quality-of-care measures in U.S. patients with end-stage renal disease secondary to lupus nephritis vs. other causes.

Laura C Plantinga, Rachel E Patzer, Cristina Drenkard, Stephen O Pastan, Jason Cobb, William McClellan, Sung Sam Lim

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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 2 institutions in 1 country.

Laura C PlantingaDepartment of Medicine, Emory University, Atlanta, Georgia, USA. laura.plantinga@emory.edu.
Rachel E PatzerDepartment of Surgery, Emory University, Atlanta, Georgia, USA. rpatzer@emory.edu.
Cristina DrenkardDepartment of Medicine, Emory University, Atlanta, Georgia, USA. cdrenka@emory.edu.
Stephen O PastanDepartment of Medicine, Emory University, Atlanta, Georgia, USA. Stephen.Pastan@emoryhealthcare.org.
Jason CobbDepartment of Medicine, Emory University, Atlanta, Georgia, USA. jcobb2@emory.edu.
William McClellanDepartment of Epidemiology, Emory University, Atlanta, Georgia, USA. wmcclel@emory.edu.
Sung Sam LimDepartment of Medicine, Emory University, Atlanta, Georgia, USA. sslim@emory.edu.
Emory University · USEmory Healthcare · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
The Georgians Organized Against Lupus (GOAL) Cohort: Advancing Health DisparitiesU01DP005119 · DP · EMORY UNIVERSITY · PI DRENKARD, CRISTINA MARTA, LIM, SUNG SAM · 2014 to 2018
$4.8M
Psychosocial Factors and Lupus Disease Progression Among African American WomenR01AR065493 · NIAMS · UNIV OF MARYLAND, COLLEGE PARK · PI CHAE, H. DAVID, LIM, SUNG SAM · 2014 to 2022
$4.2M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalKL2TR000455 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$2.9M
A regionally coordinated intervention to reduce racial disparities in access to kR24MD008077 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2013 to 2015
$916k
ACL HHS U01DP005119NCATS NIH HHS KL2 TR000455NCATS NIH HHS KL2TR000455NCATS NIH HHS UL1 TR000454NCATS NIH HHS ULL TR000454NCCDPHP CDC HHS U01 DP005119NCCDPHP CDC HHS U01DP005119NIAMS NIH HHS R01 AR065493NIAMS NIH HHS R01AR065493NIMHD NIH HHS R24 MD008077NIMHD NIH HHS R24MD008077-01
6 · The paper itself

Abstract

backgroundPatients with end-stage renal disease (ESRD) due to lupus nephritis (LN-ESRD) may be followed by multiple providers (nephrologists and rheumatologists) and have greater opportunities to receive recommended ESRD-related care. We aimed to examine whether LN-ESRD patients have better quality of ESRD care compared to other ESRD patients.

methodsAmong incident patients (7/05-9/11) with ESRD due to LN (n = 6,594) vs. other causes (n = 617,758), identified using a national surveillance cohort (United States Renal Data System), we determined the association between attributed cause of ESRD and quality-of-care measures (pre-ESRD nephrology care, placement on the deceased donor kidney transplant waitlist, and placement of permanent vascular access). Multivariable logistic and Cox proportional hazards models were used to estimate adjusted odds ratios (ORs) and hazard ratios (HRs).

resultsLN-ESRD patients were more likely than other ESRD patients to receive pre-ESRD care (71% vs. 66%; OR = 1.68, 95% CI 1.57-1.78) and be placed on the transplant waitlist in the first year (206 vs. 86 per 1000 patient-years; HR = 1.42, 95% CI 1.34-1.52). However, only 24% had a permanent vascular access (fistula or graft) in place at dialysis start (vs. 36%; OR = 0.63, 95% CI 0.59-0.67).

conclusionsLN-ESRD patients are more likely to receive pre-ESRD care and have better access to transplant, but are less likely to have a permanent vascular access for dialysis, than other ESRD patients. Further studies are warranted to examine barriers to permanent vascular access placement, as well as morbidity and mortality associated with temporary access, in patients with LN-ESRD.

Indexed as

Quality of Health CareAdultAgedCohort StudiesConfidence IntervalsDatabases, FactualFemaleHumansKidney Failure, ChronicKidney TransplantationLogistic ModelsLupus NephritisMaleMiddle AgedMultivariate AnalysisOdds Ratio

Identifiers

PMID25884409
PMCPMC4389993
OpenAlexW2083000439

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.