Evidence map›Paper›PMID 29070030›Full record

ArticleBMC nephrology2017

Patient's and physician's awareness of kidney disease in coronary heart disease patients - a cross-sectional analysis of the German subset of the EUROASPIRE IV survey.

Martin Wagner, Christoph Wanner, Martin Schich, Kornelia Kotseva, David Wood, Katrin Hartmann, Georg Fette, Viktoria Rücker, Mehmet Oezkur, Stefan Störk and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

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  11. High Unawareness of Chronic Kidney Disease in Germany.International journal of environmental research and public health · 2021
    Article
  12. Article
  13. Preventing CKD in Developed Countries.Kidney international reports · 2020
    Review
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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

11 authors at 3 institutions in 4 countries.

Martin WagnerInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Petrinistr. 33a, 97080, Würzburg, Germany. wagner_m@ukw.de.
Christoph WannerDivision of Nephrology, Department of Medicine I, University Hospital Würzburg, Würzburg, Germany.
Martin SchichInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Petrinistr. 33a, 97080, Würzburg, Germany.
Kornelia KotsevaDepartment of Cardiovascular Medicine, National Heart and Lung Institute, Imperial College London, London, UK.
David WoodDepartment of Cardiovascular Medicine, National Heart and Lung Institute, Imperial College London, London, UK.
Katrin HartmannInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Petrinistr. 33a, 97080, Würzburg, Germany.
Georg FetteComprehensive Heart Failure Center, University of Würzburg, Würzburg, Germany.
Viktoria RückerInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Petrinistr. 33a, 97080, Würzburg, Germany.
Mehmet OezkurComprehensive Heart Failure Center, University of Würzburg, Würzburg, Germany.
Stefan StörkComprehensive Heart Failure Center, University of Würzburg, Würzburg, Germany.
Peter U HeuschmannInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Petrinistr. 33a, 97080, Würzburg, Germany.
University of Würzburg · DEUniversitätsklinikum Würzburg · DEImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is a common comorbid condition in coronary heart disease (CHD). CKD predisposes the patient to acute kidney injury (AKI) during hospitalization. Data on awareness of kidney dysfunction among CHD patients and their treating physicians are lacking. In the current cross-sectional analysis of the German EUROASPIRE IV sample we aimed to investigate the physician's awareness of kidney disease of patients hospitalized for CHD and also the patient's awareness of CKD in a study visit following hospital discharge.

methodsAll serum creatinine (SCr) values measured during the hospital stay were used to describe impaired kidney function (eGFR

resultsOf the 536 patients, 32% had evidence for acute or chronic kidney disease during the index hospital stay. Either condition was mentioned in the discharge letter in 22%, and 72% were correctly coded according to ICD-10. At the study visit in the outpatient setting 35% had impaired kidney function. Of 158 patients with kidney disease, 54 (34%) were aware of CKD. Determinants of patient's awareness were severity of CKD (OR

conclusionsAlthough CKD is frequent in CHD, only one third of patients is aware of this condition. Patient's awareness was associated with kidney disease being mentioned in the hospital discharge letter. Future studies should examine how raising physician's awareness for kidney dysfunction may improve patient's awareness of CKD.

Indexed as

Health Knowledge, Attitudes, PracticePhysician's RoleSurveys and QuestionnairesAgedCoronary DiseaseCross-Sectional StudiesEuropeFemaleGermanyHospitalizationHumansMaleMiddle AgedPatient ParticipationRenal Insufficiency, ChronicChronic kidney diseaseCoronary heart diseaseEUROASPIRE surveyICD-coding of CKDPatients’ awarenessPhysicians’ awareness

Identifiers

PMID29070030
PMCPMC5657122
OpenAlexW2765341114

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Registered trials

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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.