Evidence map›Paper›PMID 28762106›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2018

Depression Symptoms in Haemodialysis Patients Predict All-Cause Mortality but Not Kidney Transplantation: A Cause-Specific Outcome Analysis.

Joseph Chilcot, Ayman Guirguis, Karin Friedli, Michael Almond, Clara Day, Maria Da Silva-Gane, Andrew Davenport, Naomi A Fineberg, Benjamin Spencer, David Wellsted and 1 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Interventions for fatigue in people with kidney failure requiring dialysis.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Pooled it
  5. Mental health and kidney disease.Nature reviews. Nephrology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
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  13. Article
  14. Nature-Based Interventions for Psychological Wellbeing in Long-Term Conditions: A Systematic Review.International journal of environmental research and public health · 2022
    Review
  15. Article
  16. Article
  17. Examining the relationship between nutrition, quality of life, and depression in hemodialysis patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  18. Article
  19. Observational
  20. 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

11 authors at 9 institutions in 1 country.

Joseph ChilcotHealth Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Ayman GuirguisRenal Unit, Lister Hospital, East & North Hertfordshire NHS Trust, Stevenage, UK.
Karin FriedliCentre for Lifespan and Chronic Illness Research, Department of Psychology, School of Life and Medical Sciences, University of Hertfordshire, College Lane Campus, Hatfield, UK.
Michael AlmondSouthend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-On-Sea, Essex, UK.
Clara DayDepartment of Renal Medicine, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Birmingham, UK.
Maria Da Silva-GaneRenal Unit, Lister Hospital, East & North Hertfordshire NHS Trust, Stevenage, UK.
Andrew DavenportUCL Centre for Nephrology, Royal Free Hospital NHS Foundation Trust, London, UK.
Naomi A FinebergHertfordshire Partnership University NHS Foundation Trust, Rosanne House, Welwyn Garden City, UK.
Benjamin SpencerDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Weston Education Centre, London, UK.
David WellstedHertfordshire Partnership University NHS Foundation Trust, Rosanne House, Welwyn Garden City, UK.
Ken FarringtonRenal Unit, Lister Hospital, East & North Hertfordshire NHS Trust, Stevenage, UK.
Lister Hospital · GBUniversity of Hertfordshire · GBCentre for Life · GBHertfordshire Partnership University NHS Foundation Trust · GBKing's College London · GBMaudsley Hospital · GBRoyal Free London NHS Foundation Trust · GBSouthend University Hospital NHS Foundation Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

Department of Health DRF-2014-07-035Department of Health PB-PG-0110-21073
6 · The paper itself

Abstract

Background: Depression is common in haemodialysis (HD) patients and associated with poor outcomes. Purpose: To evaluate whether depression symptoms predict survival and transplantation in a large sample of haemodialysis patients using cause-specific survival models. Methods: Survival data was collected between April 2013 and November 2015, as part of the screening phase of a multicentre randomised placebo-controlled trial of sertraline in HD patients. Depression was measured using the Beck Depression Inventory-II (BDI-II) and the Patient Health Questionnaire-9 (PHQ-9). Demographic and clinical data were collected via a self-report questionnaire and medical records. Competing risk survival analysis involved cause-specific and subdistribution hazard survival models. All models were adjusted for appropriate covariates including co-morbidity and C-reactive protein (CRP) in a subanalysis. Results: Of 707 cases available for analysis, there were 148 deaths. The mean survival time was 787.5 days. Cumulative survival at 12 months was 88.5%. During the study follow-up period, there were 92 transplants. The cumulative transplant event rate at 12 months was 7.8%. In separate adjusted models, depression symptoms predicted mortality (BDI-II HR = 1.03 95% CI 1.01, 1.04; PHQ-9 HR = 1.04 95% CI 1.01, 1.06). With respect to screening cut-off scores, a PHQ-9 ≥ 10 was associated with mortality (HR = 1.51 95% CI 1.01, 2.19) but not a BDI-II ≥ 16. Depression symptoms were not associated with time to transplantation in either cause-specific or subdistribution model. Conclusions: Consistent with past findings in HD patients, depression symptoms predicted survival but were not associated with kidney transplantation. Suitable treatments for depression need further evaluation, and their impact upon quality of life and clinical outcomes determined. Trial Registration Number: (ISRCTN06146268).

Indexed as

Cause of DeathAgedAged, 80 and overComorbidityDepressionDepressive DisorderFemaleFollow-Up StudiesHumansKidney Failure, ChronicKidney TransplantationMaleMiddle AgedOutcome Assessment, Health CarePrognosisRenal Dialysis

Identifiers

PMID28762106
PMCPMC6367894
OpenAlexW2610629099

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.