Evidence map›Paper›PMID 27345185›Full record

ArticleClinical nephrology2016

A diagnosis of chronic kidney disease: despite fears patients want to know early.

Julie Wright Nunes, Meghan Roney, Eve Kerr, Akinlolu Ojo, Angela Fagerlin

Abstract read
In one paragraph

Article in Clinical nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

5 authors.

Julie Wright Nunes
Meghan Roney
Eve Kerr
Akinlolu Ojo
Angela Fagerlin

Funding

Non-Traditional Patient Characteristics and Attainment of Self-Care Goals in CKDK23DK097183 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WRIGHT, JULIE ANNE · 2013 to 2017
$925k
NIDDK NIH HHS K23 DK097183
6 · The paper itself

Abstract

aimsWe elicited input from patients on their experience getting a chronic kidney disease (CKD) diagnosis to use for optimizing current CKD education interventions.

methodsWe performed structured oneon-one patient interviews. Interviews were recorded, transcribed, and coded using modified grounded theory. Participants had CKD, were not on dialysis, and were recruited from general nephrology practices.

results49 patients enrolled from January to October 2014. Interviews revealed four major themes: 1. Reaction to diagnosis - patients described emotional reactions and subsequent behavior changes (152 statements); 2. Timing of diagnosis - patients described how they were told about their diagnosis and expectations of when a person should be told (149 statements); 3. Mediators in diagnosis delivery - patients discussed things that helped or hindered understanding and acceptance of their diagnosis (64 statements), and 4. Perceptions of diagnosis terminology - patients discussed perceptions about diagnostic terms (e.g., "chronic kidney disease") (91 statements). Cross-sectional study design and setting limit interpretation of causality and generalizability.

conclusionsPatients experience fear but prefer early diagnosis communication. More work is needed to define evidence-based guidelines for diagnosis messaging across the spectrum of care.

Indexed as

Early DiagnosisFearCross-Sectional StudiesFemaleHumansInformed ConsentMaleMiddle AgedPerceptionPhysician-Patient RelationsRenal Insufficiency, Chronic

Identifiers

PMID27345185
PMCPMC5012189

What OpenQuestion holds

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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.