Evidence map›Paper›PMID 29989009›Full record

ArticleKidney international reports2018

Remote Dwelling Location Is a Risk Factor for CKD Among Indigenous Canadians.

Oksana Harasemiw, Shannon Milks, Louise Oakley, Barry Lavallee, Caroline Chartrand, Lorraine McLeod, Michelle Di Nella, Claudio Rigatto, Navdeep Tangri, Thomas Ferguson and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03595267 (Optimal Approaches to Chronic Kidney Disease Case Finding in Indigenous Communities), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% 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.

NCT03595267 recruitingnot on this mapstarted 2019, after this paper: background citation

Optimal Approaches to Chronic Kidney Disease Case Finding in Indigenous Communities

TypeobservationalSponsorUniversity of ManitobaRan2019 to 2025Enrolled2,500ConditionsChronic Kidney Disease, Diabetes, HypertensionArmsPoint-of-care screening
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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  11. Impact of point-of-care screening for hypertension, diabetes and progression of chronic kidney disease in rural Manitoba Indigenous communities.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
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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 1 country.

Oksana HarasemiwChronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Manitoba, Canada.
Shannon MilksNorWest Co-op Community Health Centre, Winnipeg, Manitoba, Canada.
Louise OakleyNorWest Co-op Community Health Centre, Winnipeg, Manitoba, Canada.
Barry LavalleeDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Caroline ChartrandFirst Nations Health and Social Secretariat of Manitoba, Winnipeg, Manitoba, Canada.
Lorraine McLeodFirst Nations Health and Social Secretariat of Manitoba, Winnipeg, Manitoba, Canada.
Michelle Di NellaChronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Manitoba, Canada.
Claudio RigattoChronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Manitoba, Canada.
Navdeep TangriChronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Manitoba, Canada.
Thomas FergusonChronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Manitoba, Canada.
Paul KomendaChronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Manitoba, Canada.
University of Manitoba · CASeven Oaks General Hospital · CAFirst Nations Health and Social Secretariat of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRural and remote indigenous individuals have a high burden of chronic kidney disease (CKD) when compared to the general population. However, it has not been previously explored how these rates compare to urban-dwelling indigenous populations.

methodsIn a recent cross-sectional screening study, 1346 adults 18 to 80 years of age were screened for CKD and diabetes across 11 communities in rural and remote areas in Manitoba, Canada, as part of the First Nations Community Based Screening to Improve Kidney Health and Prevent Dialysis (FINISHED) program. An additional 284 Indigenous adults who resided in low-income areas in the city of Winnipeg, Manitoba, Canada were screened as part of the NorWest Mobile Diabetes and Kidney Disease Screening and Intervention Project.

resultsOur findings indicate that a gradient of CKD and diabetes prevalence exists for Indigenous individuals living in different geographic areas. Compared to urban-dwelling Indigenous individuals, rural-dwelling individuals had more than a 2-fold (2.1, 95% CI = 1.4-3.1) increase in diabetes whereas remote-dwelling individuals had a 4-fold (4.1, 95% CI = 2.8-6.0) increase, and more than a 3-fold (3.1, 95% CI = 2.2-4.5) increase in CKD prevalence.

conclusionAlthough these results highlight the relative importance of geography in determining the prevalence of diabetes and CKD in Indigenous Canadians, geography is but an important surrogate of other determinants, such as poverty and access to care.

Indexed as

chronic kidney diseaseIndigenous Canadiansremotenessruralityscreeningsocial determinants of health

Identifiers

PMID29989009
PMCPMC6035135
OpenAlexW2791869041

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.