Evidence map›Paper›PMID 30596680›Full record

ArticlePloS one2018

Facing the urban-rural gap in patients with chronic kidney disease: Evidence from inpatients with urban or rural medical insurance in central China.

Rui Min, He Wang, Xiaoyan Zhang, Xia Li, Pengqian Fang, Xue Bai

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Rui MinTongji Medical College, Huazhong University of Science & Technology, Wuhan City, Hubei Province, China.
He WangTongji Medical College, Huazhong University of Science & Technology, Wuhan City, Hubei Province, China.
Xiaoyan ZhangCollege of Politics & Law and Public Administration, Hubei University, Wuhan City, Hubei Province, China.
Xia LiTaihe Hospital of Shiyan City, Shiyan City, Hubei Province, China.
Pengqian FangTongji Medical College, Huazhong University of Science & Technology, Wuhan City, Hubei Province, China.ORCID 0000-0002-8928-1763
Xue BaiTongji Medical College, Huazhong University of Science & Technology, Wuhan City, Hubei Province, China.
Huazhong University of Science and Technology · CNHubei University · CNTaihe Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn view of the irreversible pathology of progressive exacerbation, the societal burden of chronic kidney disease (CKD) is increasing along with the rise in total health expenditure. Meanwhile, disparities remain among urban and rural citizens with different types of health insurance. This study aimed to assess the socioeconomic disparities between hospitalized CKD patients in urban and rural areas.

methodA total of 501 CKD inpatients with urban or rural medical insurance (UMI or RMI, respectively) were selected from the top six tertiary hospitals in Wuhan. Demographic and socioeconomic data were collected as influencing factors. Data evaluation was performed using univariate and multivariate analyses.

resultSocioeconomic characteristics showed differences among hospitalized CKD patients with different health insurances. Patients with RMI were younger, and reported lower education levels, poor domestic economic conditions, shorter duration, and less frequent hospital stays than those with UMI (P<0.05). The predictors revealed varying associations between UMI and RMI. Among the hospitalized CKD patients with UMI, male and low-education individuals presented high hospitalization expenses (βgender = -0.406, βeducation level = 0.357, P<0.05). By contrast, no significant difference in this aspect was found among RMI inpatients.

conclusionsCare delivery and reimbursement models should be re-designed and implemented to improve equity among different CKD patients. The national health education should also be enhanced to prevent CKD and provide early treatment.

Indexed as

Healthcare DisparitiesRural PopulationUrban PopulationAdultAgedChinaCross-Sectional StudiesFemaleHealth ExpendituresHospitalizationHumansInsurance, HealthMaleMiddle AgedQuality of LifeRenal Insufficiency, Chronic

Identifiers

PMID30596680
PMCPMC6312298
OpenAlexW2906751802

What OpenQuestion holds

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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.