Evidence map›Paper›PMID 26075082›Full record

ArticleCanadian journal of kidney health and disease2015

Patients with chronic kidney disease and their intent to use electronic personal health records.

Tyrone G Harrison, James Wick, Sofia B Ahmed, Min Jun, Braden J Manns, Robert R Quinn, Marcello Tonelli, Brenda R Hemmelgarn

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  11. A Syllabus for Teaching Peritoneal Dialysis to Patients and Caregivers.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
    Review
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

8 authors at 1 institution in 1 country.

Tyrone G HarrisonDepartment of Medicine, University of Calgary, Calgary, AB Canada.
James WickDepartment of Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Calgary, T2N 4Z6 AB Canada.
Sofia B AhmedDepartment of Medicine, University of Calgary, Calgary, AB Canada.
Min JunDepartment of Medicine, University of Calgary, Calgary, AB Canada.
Braden J MannsDepartment of Medicine, University of Calgary, Calgary, AB Canada ; Department of Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Calgary, T2N 4Z6 AB Canada.
Robert R QuinnDepartment of Medicine, University of Calgary, Calgary, AB Canada ; Department of Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Calgary, T2N 4Z6 AB Canada.
Marcello TonelliDepartment of Medicine, University of Calgary, Calgary, AB Canada.
Brenda R HemmelgarnDepartment of Medicine, University of Calgary, Calgary, AB Canada ; Department of Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Calgary, T2N 4Z6 AB Canada.
University of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic personal health records (ePHRs) provide patients with access to their personal health information, aiming to inform them about their health, enhance self-management, and improve outcomes. Although they have been associated with improved health outcomes in several chronic diseases, the potential impact of ePHR use in chronic kidney disease (CKD) is unknown.

objectivesWe sought to understand perceptions of CKD patients about ePHRs, and describe characteristics associated with their expressed intent to use an ePHR.

designSelf-administered paper based survey.

settingThe study was conducted in Calgary, Alberta, Canada at a multidisciplinary CKD clinic from November 2013 to January 2014.

participantsPatients with non-dialysis-dependent CKD. MEASUREMENTS: Demographics, perceived benefits, and drawbacks of ePHRs were obtained. A univariate analysis was used to assess for an association with the expressed intention to use an ePHR.

methodsA patient survey was used to determine perceptions of ePHRs, and to identify factors that were associated with intention to use an ePHR.

resultsOverall 63 patients with CKD (76.2 % male, 55.6 % ≥65 years old) completed the survey. The majority (69.8 %) expressed their intent to use an ePHR. CKD patients over the age of 65 were less likely to intend to use an ePHR as compared to those aged <65 years (OR 0.22, 95 % CI: [0.06, 0.78]). Those with post-secondary education (OR 3.31, 95 % CI: [1.06, 10.41]) and Internet access (OR 5.70, 95 % CI: [1.64, 19.81]) were more likely to express their intent to use an ePHR. Perceived benefits of ePHR use included greater involvement in their own care (50.0 % indicated this), better access to lab results (75.8 %), and access to health information (56.5 %). Although 41.9 % reported concerns about privacy of health information, there was no association between these concerns and the intent to use an ePHR. LIMITATIONS: Our results are limited by small study size and single centre location.

conclusionsWe found that patients with CKD expressed their intention to use ePHRs, and perceive benefits such as personal involvement in their health care and better access to lab results. Studies of CKD patients using ePHRs are needed to determine whether ePHR use improves patient outcomes.

Indexed as

Chronic kidney diseaseElectronic personal health recordePHRPatient-centered carePersonal health recordPHR

Identifiers

PMID26075082
PMCPMC4465011
OpenAlexW1780850753

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.