Evidence map›Paper›PMID 30454062›Full record

ArticleHealth and quality of life outcomes2018

Patient reported barriers are associated with low physical and mental well-being in patients with co-morbid diabetes and chronic kidney disease.

Edward Zimbudzi, Clement Lo, Sanjeeva Ranasinha, Gregory Fulcher, Martin Gallagher, Stephen Jan, Peter G Kerr, Helena J Teede, Kevan R Polkinghorne, Grant Russell and 2 more

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. A codesigned integrated kidney and diabetes model of care improves patient activation among patients from culturally and linguistically diverse backgrounds.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  5. Health care access and health-related quality of life among people with diabetes in the Southern Cone of Latin America-a cross-sectional analysis of data of the CESCAS I study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    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

12 authors at 6 institutions in 1 country.

Edward ZimbudziSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Clement LoSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Sanjeeva RanasinhaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Gregory FulcherDepartment of Diabetes and Endocrinology, Royal North Shore Hospital, Sydney, NSW, Australia.
Martin GallagherThe George Institute for Global Health, University of NSW, Sydney, NSW, Australia.
Stephen JanThe George Institute for Global Health, University of NSW, Sydney, NSW, Australia.
Peter G KerrDepartment of Nephrology, Monash Health, Melbourne, VIC, Australia.
Helena J TeedeSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Kevan R PolkinghorneDepartment of Nephrology, Monash Health, Melbourne, VIC, Australia.
Grant RussellSchool of Primary Health and Allied Health Care, Monash University, Melbourne, VIC, Australia.
Rowan G WalkerDepartment of Renal Medicine, Alfred Hospital, Melbourne, VIC, Australia.
Sophia ZoungasSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia. sophia.zoungas@monash.edu.
Monash University · AUMonash Health · AUUniversity of Sydney · AURoyal North Shore Hospital · AUThe Alfred Hospital · AUThe George Institute for Global Health · AU

Funding

National Health and Medical Research Council, Australia (NHMRC) Partnership Grant ID 1055175
6 · The paper itself

Abstract

backgroundLittle is known about how patient reported barriers to health care impact the quality of life (HRQoL) of patients with comorbid disease. We investigated patient reported barriers to health care and low physical and mental well-being among people with diabetes and chronic kidney disease (CKD).

methodsAdults with diabetes and CKD (estimated Glomerular Filtration Rate < 60 ml/min/1.73m

resultsThree hundred eight participants (mean age 66.9 ± 11 years) were studied. Patient reported 'impact of the disease on family and friends' (OR 2.07; 95% CI 1.14 to 3.78), 'feeling unwell' (OR 4.23; 95% CI 1.45 to 12.3) and 'having other life stressors that make self-care a low priority' (OR 2.59; 95% CI 1.20 to 5.61), were all associated with higher odds of low physical health status. Patient reported 'feeling unwell' (OR 2.92; 95% CI 1.07 to 8.01), 'low mood' (OR 2.82; 95% CI 1.64 to 4.87) and 'unavailability of home help' (OR 1.91; 95% CI 1.57 to 2.33) were all associated with higher odds of low mental health status. The greater the number of patient reported barriers the higher the odds of low mental health but not physical health status.

conclusionsPatient reported barriers to health care were associated with lower physical and mental well-being. Interventions addressing these barriers may improve HRQoL among people with comorbid diabetes and CKD.

Indexed as

Health Services AccessibilityHealth StatusQuality of LifeAdultAgedDiabetes MellitusFemaleHumansLogistic ModelsMaleMiddle AgedRenal Insufficiency, ChronicSurveys and QuestionnairesChronic kidney diseaseDiabetesHealth related quality of lifeMental well-beingPatient reported barriersPhysical well-being

Identifiers

PMID30454062
PMCPMC6245917
OpenAlexW2900466056

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.