Evidence map›Paper›PMID 29567848›Full record

ArticleBMJ open2018

Self-management interventions for adults with chronic kidney disease: a scoping review.

Maoliosa Donald, Bhavneet Kaur Kahlon, Heather Beanlands, Sharon Straus, Paul Ronksley, Gwen Herrington, Allison Tong, Allan Grill, Blair Waldvogel, Chantel A Large and 9 more

Registry-linked trialOpen access · goldAbstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05707260 (Effectiveness of the CDK-SMS Nursing Intervention for Adults With Chronic Kidney Disease), which is not on this map. Cited by 66 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 4 pooled it
7.6field-weighted citation impact, top 2% 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.

NCT05707260 phase4completednot on this mapstarted 2022, after this paper: background citation

Effectiveness of the CDK-SMS Nursing Intervention for Adults With Chronic Kidney Disease

TypeinterventionalSponsorJudith Medellin OlayaRan2022 to 2024Enrolled120ConditionsRenal Insufficiency, ChronicArmsCKD SMS
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 4 syntheses or guidelines pooled it, 132 citations in OpenAlex.

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6 more citing papers are in PubMed but not listed here.

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

19 authors at 7 institutions in 2 countries.

Maoliosa DonaldDepartment of Medicine, University of Calgary, Calgary, Canada.
Bhavneet Kaur KahlonDepartment of Community Health Sciences, University of Calgary, Calgary, Canada.
Heather BeanlandsDaphne Cockwell School of Nursing, Ryerson University, Toronto, Canada.
Sharon StrausInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Paul RonksleyInterdisciplinary Chronic Disease Collaboration, Calgary, Canada.
Gwen HerringtonCan-SOLVE CKD Network, Patient Partner, Pouce Coupe, Canada.
Allison TongSydney School of Public Health, The University of Sydney, Sydney, New South Wales.
Allan GrillDepartment of Family and Community Medicine, University of Toronto, Toronto, Canada.
Blair WaldvogelCan-SOLVE CKD Network, Patient Partner, Pouce Coupe, Canada.
Chantel A LargeCan-SOLVE CKD Network, Patient Partner, Pouce Coupe, Canada.
Claire L LargeCan-SOLVE CKD Network, Patient Partner, Pouce Coupe, Canada.
Lori HarwoodLawson Health Research Institute, London, UK.
Marta NovakCentre for Mental Health, University Health Network, Toronto, Canada.
Matthew T JamesDepartment of Medicine, University of Calgary, Calgary, Canada.
Meghan ElliottLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Nicolas FernandezCan-SOLVE CKD Network, Patient Partner, Pouce Coupe, Canada.
Scott BrimbleDepartment of Medicine, McMaster University, Ontario, Canada.
Susan SamuelDepartment of Pediatrics, University of Calgary, Calgary, Canada.
Brenda R HemmelgarnDepartment of Medicine, University of Calgary, Calgary, Canada.
University of Calgary · CAUniversity of Toronto · CAMcMaster University · CASt. Michael's Hospital · CAToronto Metropolitan University · CAUniversity Health Network · CAUniversity of Sydney · AU

Funding

CIHR
6 · The paper itself

Abstract

objectiveTo systematically identify and describe self-management interventions for adult patients with chronic kidney disease (CKD).

settingCommunity-based.

participantsAdults with CKD stages 1-5 (not requiring kidney replacement therapy).

interventionsSelf-management strategies for adults with CKD. PRIMARY AND SECONDARY OUTCOME MEASURES: Using a scoping review, electronic databases and grey literature were searched in October 2016 to identify self-management interventions for adults with CKD stages 1-5 (not requiring kidney replacement therapy). Randomised controlled trials (RCTs), non-RCTs, qualitative and mixed method studies were included and study selection and data extraction were independently performed by two reviewers. Outcomes included behaviours, cognitions, physiological measures, symptoms, health status and healthcare.

resultsFifty studies (19 RCTs, 7 quasi-experimental, 5 observational, 13 pre-post intervention, 1 mixed method and 5 qualitative) reporting 45 interventions were included. The most common intervention topic was diet/nutrition and interventions were regularly delivered face to face. Interventions were administered by a variety of providers, with nursing professionals the most common health professional group. Cognitions (ie, changes in general CKD knowledge, perceived self-management and motivation) were the most frequently reported outcome domain that showed improvement. Less than 1% of the interventions were co-developed with patients and 20% were based on a theory or framework.

conclusionsThere was a wide range of self-management interventions with considerable variability in outcomes for adults with CKD. Major gaps in the literature include lack of patient engagement in the design of the interventions, with the majority of interventions not applying a behavioural change theory to inform their development. This work highlights the need to involve patients to co-developed and evaluate a self-management intervention based on sound theories and clinical evidence.

Indexed as

AdultCognitionHealth StatusHumansQuality of LifeRandomized Controlled Trials as TopicRenal Insufficiency, ChronicSelf-Managementchronic kidney diseaseperson centered-carescoping reviewself-management

Identifiers

PMID29567848
PMCPMC5875600
OpenAlexW2793676571

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.