Evidence map›Paper›PMID 28934951›Full record

ArticleBMC medical informatics and decision making2017

Communicating projected survival with treatments for chronic kidney disease: patient comprehension and perspectives on visual aids.

Frances Dowen, Karishma Sidhu, Elizabeth Broadbent, Helen Pilmore

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 78% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. 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

4 authors at 2 institutions in 1 country.

Frances DowenDepartment of Nephrology, Auckland City Hospital, 2 Park Road, Grafton, Auckland, 1023, New Zealand. francesdowen@doctors.org.uk.ORCID http://orcid.org/0000-0001-6218-0498
Karishma SidhuDepartment of Physiology, Auckland City Hospital, Auckland, New Zealand.
Elizabeth BroadbentSchool of Medicine, University of Auckland, Auckland, New Zealand.
Helen PilmoreDepartment of Nephrology, Auckland City Hospital, 2 Park Road, Grafton, Auckland, 1023, New Zealand.
Auckland City Hospital · NZUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMortality in end stage renal disease (ESRD) is higher than many malignancies. There is no data about the optimal way to present information about projected survival to patients with ESRD. In other areas, graphs have been shown to be more easily understood than narrative. We examined patient comprehension and perspectives on graphs in communicating projected survival in chronic kidney disease (CKD).

methodsOne hundred seventy-seven patients with CKD were shown 4 different graphs presenting post transplantation survival data. Patients were asked to interpret a Kaplan Meier curve, pie chart, histogram and pictograph and answer a multi-choice question to determine understanding.

resultsWe measured interpretation, usefulness and preference for the graphs. Most patients correctly interpreted the graphs. There was asignificant difference in the percentage of correct answers when comparing different graph types (p = 0.0439). The pictograph was correctly interpreted by 81% of participants, the histogram by 79%, pie chart by 77% and Kaplan Meier by 69%. Correct interpretation of the histogram was associated with educational level (p = 0.008) and inversely associated with age > 65 (p = 0.008). Of those who interpreted all four graphs correctly, there was an association with employment (p = 0.001) and New Zealand European ethnicity (p = 0.002). 87% of patients found the graphs useful. The pie chart was the most preferred graph (p 0.002). The readability of the graphs may have been improved with an alternative colour choice, especially in the setting of visual impairment.

conclusionVisual aids, can be beneficial adjuncts to discussing survival in CKD.

Indexed as

Audiovisual AidsCommunicationComprehensionAdultAgedFemaleHumansKidney Failure, ChronicMaleMiddle AgedRenal DialysisRenal Insufficiency, ChronicRisk AssessmentSurvival AnalysisYoung AdultCommunicating riskGraphsSurvivalVisual aids

Identifiers

PMID28934951
PMCPMC5607842
OpenAlexW2756927263

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.