Evidence map›Paper›PMID 31958294›Full record

ArticleBMJ open diabetes research & care2020

Health-related quality of life among patients with comorbid diabetes and kidney disease attending a codesigned integrated model of care: a longitudinal study.

Edward Zimbudzi, Clement Lo, Sanjeeva Ranasinha, Helena Teede, Tim Usherwood, Kevan R Polkinghorne, Greg Fulcher, Martin Gallagher, Steven Jan, Alan Cass and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open diabetes research & care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-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.

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

9 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  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. Article
  6. Article
  7. Article
  8. Observational
  9. 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

15 authors at 7 institutions in 1 country.

Edward ZimbudziSchool of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.ORCID http://orcid.org/0000-0002-2423-9193
Clement LoSchool of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.
Sanjeeva RanasinhaSchool of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.
Helena TeedeSchool of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.
Tim UsherwoodThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Kevan R PolkinghorneDepartment of Nephrology, Monash Health, Clayton, Victoria, Australia.
Greg FulcherDepartment of Diabetes, Endocrinology and Metabolism, Royal North Shore Hospital School, St Leonards, New South Wales, Australia.
Martin GallagherThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Steven JanThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Alan CassThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Rowan WalkerDepartment of Renal Medicine, Alfred Health, Melbourne, Victoria, Australia.
Grant RussellSouthern Academic Primary Care Research Unit, Department of General Practice, Monash University, Clayton, Victoria, Australia.
Greg JohnsonDiabetes Australia, Canberra, Australian Capital Territory, Australia.
Peter G KerrDepartment of Nephrology, Monash Health, Clayton, Victoria, Australia.
Sophia ZoungasSchool of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia sophia.zoungas@monash.edu.
Monash Health · AUThe University of Sydney · AUMonash University · AUAlfred Health · AUCharles Darwin University · AUDiabetes Australia · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of an integrated diabetes and kidney disease model of care on health-related quality of life (HRQOL) of patients with comorbid diabetes and chronic kidney disease (CKD). RESEARCH DESIGN AND

methodsA longitudinal study of adult patients (over 18 years) with comorbid diabetes and CKD (stage 3a or worse) who attended a new diabetes kidney disease service was conducted at a tertiary hospital. A questionnaire consisting of demographics, clinical data, and the Kidney Disease Quality of Life (KDQOL-36) was administered at baseline and after 12 months. Paired t-tests were used to compare baseline and 12-month scores. A subgroup analysis examined the effects by patient gender. Multiple regression analysis examined the factors associated with changes in scores.

results179 patients, 36% of whom were female, with baseline mean±SD age of 65.9±11.3 years, were studied. Across all subscales, HRQOL did not significantly change over time (p value for all mean differences >0.05). However, on subgroup analysis, symptom problem list and physical composite summary scores increased among women (MD=9.0, 95% CI 1.25 to 16.67; p=0.02 and MD=4.5, 95% CI 0.57 to 8.42; p=0.03 respectively) and physical composite scores decreased among men (MD=-3.35, 95% CI -6.26 to -0.44; p=0.03).

conclusionThe HRQOL of patients with comorbid diabetes and CKD attending a new codesigned, integrated diabetes and kidney disease model of care was maintained over 12 months. Given that HRQOL is known to deteriorate over time in this high-risk population, the impact of these findings on clinical outcomes warrants further investigation.

Indexed as

Quality of LifeAgedAustraliaComorbidityDelivery of Health Care, IntegratedDiabetes MellitusFemaleFollow-Up StudiesHumansIncidenceLongitudinal StudiesMalePrognosisQuality of Health CareRenal Insufficiency, ChronicSurveys and Questionnaireschronic kidney diseasequality of Lifetype 2 diabetes

Identifiers

PMID31958294
PMCPMC6954749
OpenAlexW3000096425

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.