Evidence map›Paper›PMID 31919998›Full record

ArticleJournal of renal care2020

Renal Replacement Knowledge and Preferences for African Americans With Chronic Kidney Disease.

Akilah King, Fanny Y Lopez, Lydia Lissanu, Eric Robinson, Erik Almazan, Gabrielle Metoyer, Jacob Tanumihardjo, Michael Quinn, Monica Peek, Milda Saunders

Open access · greenAbstract read
In one paragraph

Article in Journal of renal care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 1 institution in 1 country.

Akilah KingDepartment of Nephrology, University of Chicago Medical Center, Chicago, Illinois, USA.
Fanny Y LopezDepartment of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.
Lydia LissanuDepartment of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.
Eric RobinsonDepartment of Hospital Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.
Erik AlmazanDepartment of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0001-8625-0083
Gabrielle MetoyerDepartment of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.
Jacob TanumihardjoDepartment of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0002-2365-5021
Michael QuinnDepartment of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.
Monica PeekDepartment of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.
Milda SaundersDepartment of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.
University of Chicago Medical Center · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
Patient Referral and Education Program prior to Renal Replacement Therapy (PREP RRT) - Resubmission 01K23DK103111 · NIDDK · UNIVERSITY OF CHICAGO · PI SAUNDERS, MILDA RENNE · 2015 to 2017
$545k
NIDDK NIH HHS DK103111NIDDK NIH HHS K23 DK103111NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundRenal replacement therapies (RRT) other than in-centre haemodialyses are underutilised by African Americans with end-stage renal disease (ESRD) even though they are associated with reduced costs, morbidity and mortality as well as improved quality of life for patients.

objectivesTo understand African American patients' knowledge of RRT options and how patient, provider and system-factors contribute to knowledge and preferences. Participants' interviews were conducted at the University of Chicago Medical Center with African American patients with chronic kidney disease (CKD). The final analysis included 28 interviews; 22 patients had CKD not yet on dialysis or having received a transplant, while 6 had reached ESRD and were receiving treatment for kidney failure. Approach Transcripts were uploaded into NVivo8 for coding. Thematic analysis was used for data interpretation.

resultsFour themes were identified: (1) limited knowledge of home modalities and deceased donor options, (2) CKD patients gave little thought to choosing RRT options, (3) CKD patients relied on doctors for treatment decisions, and (4) while patients reported knowledge of living kidney donation transplants (LKDT), it did not translate to receiving an LKDT.

conclusionAfrican Americans face significant knowledge and access barriers when deciding on their RRT treatment. Even patients with advanced CKD were still in the early stages of RRT selection. Understanding the knowledge gaps and barriers patients face will inform our subsequent intervention to educate and motivate patients to increase CKD self-care and improve communication between patients, their families and their providers about different RRT treatments.

Indexed as

AdolescentAdultAgedBlack or African AmericanFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansInterviews as TopicMaleMiddle AgedQualitative ResearchRenal Insufficiency, ChronicRenal Replacement TherapyChronic kidney diseaseRacial and ethnic disparitiesSelf-management/self-careTransplantation

Identifiers

PMID31919998
PMCPMC7343610
OpenAlexW2999336049

What OpenQuestion holds

Textmetadata
LicenceTDM
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.