SynthesisClinical journal of the American Society of Nephrology : CJASN2017
A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD.
Synthesis in Clinical journal of the American Society of Nephrology : CJASN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
100 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Impact of Digital Health Interventions on Psychological Health, Self-Efficacy, and Quality of Life in Patients With End-Stage Kidney Disease: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Lifestyle behaviour change for preventing the progression of chronic kidney disease: a systematic review.BMJ open · 2019Pooled it
- Assessment Tools for Health Literacy among the General Population: A Systematic Review.International journal of environmental research and public health · 2018Pooled it
- Implementation of Hospital-to-Home Model for Nutritional Nursing Management of Patients with Chronic Kidney Disease Using Artificial Intelligence Algorithm Combined with CT Internet.Contrast media & molecular imaging · 2022Trial
- First assessment of the eHealth Literacy Questionnaire (eHLQ) among French people with chronic kidney disease.BMC nephrology · 2026Article
- Randomized clinical trial of the KH4L self-management program.Clinical kidney journal · 2026Article
- Article
- ESCP best practice: development, implementation and evaluation of sick day guidance in primary care in the Netherlands.International journal of clinical pharmacy · 2026Article
- Supporting dialysis patients' self-management through a nurse-led program: a single-group pre- and post-test intervention.BMC nephrology · 2026Article
- Patient Referral and Education Program Prior to Renal Replacement Therapy (PREP-RRT): A Pilot Study.Journal of general internal medicine · 2026Article
- Addressing Unmet Needs in the Management of Chronic Kidney Disease.International journal of general medicine · 2026Review
- Kidney-therapy decision-making among older adults and caregivers: treatment beliefs, prognostic information, and health priorities.BMC nephrology · 2025Article
- Article
- How do older patients with advanced kidney disease, and their family members, understand kidney function and failure? A qualitative study.BMC nephrology · 2025Article
- Self-Management of Medications During Sick Days for Chronic Conditions: A Scoping Review.Medicina (Kaunas, Lithuania) · 2025Article
- Factors associated with self-care in people with advanced chronic kidney disease and their experience of care in Catalonia: an application of Leventhal's self-regulatory model.BMC nephrology · 2025Article
- A clinical trial evaluating pharmacist-guided self-management of hypertension among veterans with CKD, rationale and study design.Contemporary clinical trials · 2025Article
- Health literacy and self-care among patients with chronic kidney disease in a primary care setting.Singapore medical journal · 2025Article
- Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations for cancer prevention in adolescent and young adult (AYA) cancer survivors: results from the SURVAYA study.Journal of cancer survivorship : research and practice · 2025Article
- Identifying Kidney Stone Risk Factors Through Patient Experiences With a Large Language Model: Text Analysis and Empirical Study.Journal of medical Internet research · 2025Article
40 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
BACKGROUND AND
objectivesThe self-management and decision-making skills required to manage CKD successfully may be diminished in those with low health literacy. A 2012 review identified five papers reporting the prevalence of limited health literacy in CKD, largely from United States dialysis populations. The literature has expanded considerably since. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We used systematic review, pooled prevalence analysis, metaregression, and exploration of heterogeneity in studies of patients with CKD (all stages).
resultsFrom 433 studies, 15 new studies met the inclusion criteria and were analyzed together with five studies from the 2012 review. These included 13 cross-sectional surveys, five cohort studies (using baseline data), and two using baseline clinical trial data. Most (19 of 20) were from the United States. In total, 12,324 patients were studied (3529 nondialysis CKD, 5289 dialysis, 2560 transplant, and 946 with unspecified CKD; median =198.5; IQR, 128.5-260 per study). Median prevalence of limited health literacy within studies was 23% (IQR, 16%-33%), and pooled prevalence was 25% (95% confidence interval, 20% to 30%) with significant between-study heterogeneity (
conclusionsLimited health literacy is common in CKD, especially among individuals with low socioeconomic status and nonwhite ethnicity. This has implications for the design of self-management and decision-making initiatives to promote equity of care and improve quality. Lower prevalence among patients with transplants may reflect selection of patients with higher health literacy for transplantation either because of less comorbidity in this group or as a direct effect of health literacy on access to transplantation.
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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.