Evidence map›Paper›PMID 27881093›Full record

SynthesisBMC nephrology2016

Continuous quality improvement in nephrology: a systematic review.

Julie Wright Nunes, F Jacob Seagull, Panduranga Rao, Jonathan H Segal, Nandita S Mani, Michael Heung

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Quality Improvement in Stroke Rehabilitation: A Scoping Review.Journal of multidisciplinary healthcare · 2022
    Article
  5. Article
  6. Article
  7. 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

6 authors.

Julie Wright NunesDepartment of Internal Medicine, Division of Nephrology, University of Michigan Health System, Ann Arbor, MI, USA. juwright@med.umich.edu.ORCID 0000-0001-8399-5442
F Jacob SeagullDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, USA.
Panduranga RaoDepartment of Internal Medicine, Division of Nephrology, University of Michigan Health System, Ann Arbor, MI, USA.
Jonathan H SegalDepartment of Internal Medicine, Division of Nephrology, University of Michigan Health System, Ann Arbor, MI, USA.
Nandita S ManiTaubman Health Sciences Library, University of Michigan, Ann Arbor, MI, USA.
Michael HeungDepartment of Internal Medicine, Division of Nephrology, University of Michigan Health System, Ann Arbor, MI, USA.

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

backgroundContinuous quality improvement (CQI) has been successfully applied in business and engineering for over 60 years. While using CQI techniques within nephrology has received increased attention, little is known about where, and with what measure of success, CQI can be attributed to improving outcomes within nephrology care. This is particularly important as payors' focus on value-based healthcare and reimbursement is tied to achieving quality improvement thresholds. We conducted a systematic review of CQI applications in nephrology.

methodsStudies were identified from PubMed, MEDLINE, Scopus, Web of Science, CINAHL, Google Scholar, ProQuest Dissertation Abstracts and sources of grey literature (i.e., available in print/electronic format but not controlled by commercial publishers) between January 1, 2004 and October 13, 2014. We developed a systematic evaluation protocol and pre-defined criteria for review. All citations were reviewed by two reviewers with disagreements resolved by consensus.

resultsWe initially identified 468 publications; 40 were excluded as duplicates or not available/not in English. An additional 352 did not meet criteria for full review due to: 1. Not meeting criteria for inclusion = 196 (e.g., reviews, news articles, editorials) 2. Not nephrology-specific = 153, 3. Only available as abstracts = 3. Of 76 publications meeting criteria for full review, the majority [45 (61%)] focused on ESRD care. 74% explicitly stated use of specific CQI tools in their methods. The highest number of publications in a given year occurred in 2011 with 12 (16%) articles. 89% of studies were found in biomedical and allied health journals and most studies were performed in North America (52%). Only one was randomized and controlled although not blinded.

conclusionsDespite calls for healthcare reform and funding to inspire innovative research, we found few high quality studies either rigorously evaluating the use of CQI in nephrology or reporting best practices. More rigorous research is needed to assess the mechanisms and attributes by which CQI impacts outcomes before there is further promotion of its use for improvement and reimbursement purposes.

Indexed as

BibliometricsQuality ImprovementTotal Quality ManagementHumansKidney Failure, ChronicNephrologyContinuous quality improvementKidney diseaseSystematic review

Identifiers

PMID27881093
PMCPMC5121952

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.