Evidence map›Paper›PMID 29221625›Full record

ReviewAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2018

Population Health for CKD and Diabetes: Lessons From the Indian Health Service.

Andrew Narva

Open access · bronzeAbstract readReview
In one paragraph

Review in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Chronic kidney disease.Nature reviews. Disease primers · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Overcoming barriers to implementing new guideline-directed therapies for chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

1 author at 1 institution in 1 country.

Andrew NarvaNational Kidney Disease Education Program, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD. Electronic address: narvaa@niddk.nih.gov.
National Institutes of Health · US

Funding

Intramural NIH HHS Z99 DK999999
6 · The paper itself

Abstract

Despite extensive clinical guidelines, innovative efforts to improve care, and well-funded efforts to raise awareness, limited progress has been made in reducing the burden of kidney disease in the United States, and the prevalence continues to increase worldwide. The Indian Health Service and the Centers for Disease Control and Prevention recently reported a 54% decrease in the incidence of kidney failure among American Indian and Alaska Native people with diabetes. This decrease in end-stage renal disease incidence was associated with a population health approach to diabetes care based in the community and the primary clinical setting. The effort focused on integrating better care for kidney disease within the context of routine diabetes care. Although the American Indian population and the Indian Health Service may be unfamiliar to many clinicians and health system administrators, the demonstration that simple evidence-based interventions implemented in a comprehensive and consistent way can reduce the burden of end-stage renal disease suggests that population-based approaches to chronic disease offer significant potential benefits. Large pragmatic trials may offer the best way to rigorously test this hypothesis.

Indexed as

Outcome Assessment, Health CarePopulation HealthDiabetes MellitusFemaleHealth PolicyHumansIndians, North AmericanKidney Failure, ChronicMaleOrganizational InnovationPolicy MakingRisk AssessmentUnited StatesUnited States Indian Health ServiceAI/ANAlaska NativesAmerican Indianschronic disease managementchronic kidney disease (CKD)diabetesdisease progressionend-stage renal disease (ESRD)health care deliveryindigenous peopleNative AmericansPopulation healthprevention

Identifiers

PMID29221625
PMCPMC5828878
OpenAlexW2775276164

What OpenQuestion holds

Textmetadata
LicenceTDM
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.