Evidence map›Paper›PMID 31720962›Full record

Trial reportJournal of general internal medicine2020

Awareness and Discussions About Chronic Kidney Disease Among African-Americans with Chronic Kidney Disease and Hypertension: a Mixed Methods Study.

Karly A Murphy, Raquel C Greer, Debra L Roter, Deidra C Crews, Patti L Ephraim, Kathryn A Carson, Lisa A Cooper, Michael C Albert, L Ebony Boulware

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01902719 (Family and Community Intervention to Address Hypertension Disparities), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 11% 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.

NCT01902719 nacompletednot on this map

Family and Community Intervention to Address Hypertension Disparities

TypeinterventionalSponsorJohns Hopkins UniversityRan2013 to 2015Enrolled159ConditionsHypertensionArmsCommunity Health Worker (CHW) Intervention, Communication Skills Training, Problem Solving Skills Training
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Supporting Shared Decision-Making and Home Dialysis in End-Stage Kidney Disease.International journal of nephrology and renovascular disease · 2022
    Article
  4. Review
  5. Use of Do-Not-Resuscitate Orders for Critically Ill Patients with ESKD.Journal of the American Society of Nephrology : JASN · 2020
    Article
  6. Preventing CKD in Developed Countries.Kidney international reports · 2020
    Review
  7. 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

9 authors at 3 institutions in 1 country.

Karly A MurphyDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Raquel C GreerDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. rgreer@jhmi.edu.
Debra L RoterDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Deidra C CrewsWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Patti L EphraimWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Kathryn A CarsonDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lisa A CooperDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Michael C AlbertDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
L Ebony BoulwareDivision of General Internal Medicine, Duke University, Durham, NC, USA.
Johns Hopkins Medicine · USJohns Hopkins University · USDuke University · US

Funding

BEHAVIORAL RESEARCH IN HEART &VASCULAR DISEASET32HL007180 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MARUTHUR, NISA M · 1985 to 2020
$11.4M
TRAINING COREP50HL105187 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2010 to 2014
$9.8M
Improving Primary Care to Narrow Racial Disparities in Chronic Kidney DiseaseK23DK094975 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI GREER, RAQUEL CHARLES · 2012 to 2015
$722k
Patient-Oriented Research Addressing Disparities in Hypertension and Kidney DiseaseK24HL148181 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CREWS, DEIDRA CANDICE · 2019 to 2023
$541k
NHLBI NIH HHS K24 HL148181NHLBI NIH HHS P50 HL105187NHLBI NIH HHS T32 HL007180NIDDK NIH HHS K23 DK094975
6 · The paper itself

Abstract

backgroundRoutine primary care visits provide an educational opportunity for African-Americans with chronic kidney disease (CKD) and CKD risk factors such as hypertension. The nature of patient-physician discussions about CKD and their impact on CKD awareness in this population have not been well explored.

objectiveTo characterize patient CKD awareness and discussions about CKD between patients and primary care physicians (PCPs).

designMixed methods study. PATIENTS: African-American patients with uncontrolled hypertension (≥ 140/90 mmHg) and CKD (albuminuria or eGFR < 60 ml/min/1.73 m MAIN MEASURES: We assessed patient CKD awareness with questionnaires and audio-recorded patients-PCP discussions during a routine visit. We characterized discussions and used multivariate regression analysis to identify independent patient and visit predictors of CKD awareness or CKD discussions.

resultsAmong 48 African-American patients with uncontrolled hypertension and CKD, 29% were aware of their CKD. After adjustment, CKD awareness was associated with moderate-severe CKD (stages 3-4) (vs. mild CKD [stages 1-2]) (prevalence ratio [PR] 2.82; 95% CI 1.18-6.78) and inversely associated with diabetes (vs. without diabetes) (PR 0.28; 95% CI 0.10-0.75). CKD discussions occurred in 30 (63%) visits; most focused on laboratory assessment (n = 23, 77%) or risk factor management to delay CKD progression (n = 19, 63%). CKD discussions were associated with moderate-severe CKD (vs. mild CKD) (PR 1.57; 95% CI 1.04-2.36) and diabetes (vs. without diabetes) (PR 1.42; 95% CI 1.09-1.85), and inversely associated with uncontrolled hypertension (vs. controlled) (PR 0.58; 95% CI 0.92-0.89). In subgroup analysis, follow-up CKD awareness did not change by presence or absence of CKD discussion (10.5% vs. 7.7%, p = 0.8).

conclusionsIn patients at risk of CKD progression, few were aware of CKD, and CKD discussions were not associated with CKD awareness. More resources may be needed to enhance the clarity of clinical messages regarding CKD and its significance for patients' health.

trial registrationClinicalTrials.gov Identifier: NCT01902719.

Indexed as

Diabetes MellitusHypertensionRenal Insufficiency, ChronicBlack or African AmericanGlomerular Filtration RateHumansRisk Factorsawarenesschronic diseasechronic kidney diseasehypertensionprimary care

Identifiers

PMID31720962
PMCPMC6957584
OpenAlexW2984366207

What OpenQuestion holds

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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.