Evidence map›Paper›PMID 31222663›Full record

Observational studyPediatric nephrology (Berlin, Germany)2019

Mental health and psychosocial adjustment in pediatric chronic kidney disease derived from the KNOW-Ped CKD study.

Na Ri Kang, Yo Han Ahn, Eujin Park, Hyun Jin Choi, Seong Heon Kim, Heeyeon Cho, Min Hyun Cho, Jae Il Shin, Joo Hoon Lee, Young Seo Park and 5 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
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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

17 citing papers in PubMed.

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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

15 authors.

Na Ri KangDepartment of Psychiatry, Jeju National University School of Medicine, Jeju, Republic of Korea.
Yo Han AhnDepartment of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Eujin ParkDepartment of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Seoul, Republic of Korea.
Hyun Jin ChoiDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Seong Heon KimDepartment of Pediatrics, Pusan National University Children's Hospital, Yangsan, Republic of Korea.
Heeyeon ChoDepartment of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Min Hyun ChoDepartment of Pediatrics, Kyungpook National University, School of Medicine, Daegu, Republic of Korea.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Severance Children's Hospital, Seoul, Republic of Korea.
Joo Hoon LeeDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Young Seo ParkDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Hae Il CheongDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Hee Gyung KangDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Il-Soo HaDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul, Republic of Korea.
Young Sook KwackDepartment of Psychiatry, Jeju National University School of Medicine, Jeju, Republic of Korea.
Kyoung Hee HanDepartment of Psychiatry, Jeju National University School of Medicine, Jeju, Republic of Korea. hansyang78@gmail.com.ORCID 0000-0002-6830-7311

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychosocial development of pediatric chronic kidney disease (CKD) patients is substantially affected due to growth retardation, frequent school absences, and difficulties engaging in normal peer relationship activities. While many studies focus on specific issues such as depression, anxiety, or neurocognitive function, few evaluate prevalence of various types of mental health and psychosocial adjustment problems among children with CKD. This study aimed to investigate these within the KoreaN cohort study for Outcomes in patients With Pediatric Chronic Kidney Disease (KNOW-Ped CKD).

methodsOne hundred sixty-six subjects who completed the Korean-Child Behavioral Checklist (K-CBCL) were included. The clinical group comprised subjects with scores indicating psychosocial adjustment or mental health problems using the T scores for the 14 subscales of the K-CBCL. We analyzed associations between mental health or adjustment problems in pediatric CKD and each variable.

resultsMean age was 11.1 (± 3.9) years, number of males was 117 (70.5%), and 20.5% and 22.3% of children had significant mental health problems and psychosocial adjustment problems, respectively. Overall, 33.1% were assigned to the clinical group, and exhibited short stature and higher rates of preterm birth history compared to the non-clinical group. Subjects with adjustment problems had higher comorbidities such as CNS disease, developmental delay, cardiovascular disease, and multi-organ involvement. Logistic regression analysis revealed preterm birth and developmental delay correlated highly with clinical group.

conclusionsA significant proportion of children and adolescents with CKD experience mental health and adjustment problems. In particular, patients with developmental delay or preterm birth history require screening and targeted follow-up.

Indexed as

Adjustment DisordersAdolescentBehavior Rating ScaleChildChild Behavior DisordersCohort StudiesComorbidityDevelopmental DisabilitiesFemaleHumansMaleMental HealthPrevalenceProspective StudiesRenal Insufficiency, ChronicRepublic of KoreaChildrenChronic kidney diseaseMental healthPsychosocial adjustment

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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.