Evidence map›Paper›PMID 32147305›Full record

ArticlePatient education and counseling2020

Evaluating provider communication in pediatric chronic kidney disease care using a global coding system.

Shayna S Coburn, Wynne A Callon, Michelle N Eakin, Cozumel S Pruette, Tammy M Brady, Susan R Mendley, Shamir Tuchman, Barbara A Fivush, Kristin A Riekert

Abstract read
In one paragraph

Article in Patient education and counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers.Diabetes spectrum : a publication of the American Diabetes Association · 2021
    Article
  8. 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.

Shayna S CoburnJohns Hopkins University, School of Medicine, Division of Pulmonary and Critical Care Medicine, 5501 Hopkins Bayview Blvd, Baltimore, MD, 21224, United States. Electronic address: scoburn@childrensnational.org.
Wynne A CallonJohns Hopkins University, School of Medicine, Division of Pulmonary and Critical Care Medicine, 5501 Hopkins Bayview Blvd, Baltimore, MD, 21224, United States. Electronic address: wynne.callon@childrens.harvard.edu.
Michelle N EakinJohns Hopkins University, School of Medicine, Division of Pulmonary and Critical Care Medicine, 5501 Hopkins Bayview Blvd, Baltimore, MD, 21224, United States. Electronic address: Meakin1@jhmi.edu.
Cozumel S PruetteJohns Hopkins University, School of Medicine, Division of Pediatric Nephrology, 200 N. Wolfe Street, Baltimore, MD, 21287, United States. Electronic address: csouthe1@jhmi.edu.
Tammy M BradyJohns Hopkins University, School of Medicine, Division of Pediatric Nephrology, 200 N. Wolfe Street, Baltimore, MD, 21287, United States. Electronic address: tbrady8@jhmi.edu.
Susan R MendleyNIH/National Institute for Diabetes and Digestive and Kidney Diseases, Bethesda, MD, United States. Electronic address: susan.mendley@nih.gov.
Shamir TuchmanChildren's National Health System, Washington, DC Division of Nephrology, 111 Michigan Ave NW, Washington, D.C., 20010, United States. Electronic address: tuchman.shamir@gmail.com.
Barbara A FivushJohns Hopkins University, School of Medicine, Division of Pediatric Nephrology, 200 N. Wolfe Street, Baltimore, MD, 21287, United States. Electronic address: bfivush@jhmi.edu.
Kristin A RiekertJohns Hopkins University, School of Medicine, Division of Pulmonary and Critical Care Medicine, 5501 Hopkins Bayview Blvd, Baltimore, MD, 21224, United States. Electronic address: kriekert@jhmi.edu.

Funding

Doctor-Teen Communication & Antihypertensive Adherence in Chronic Kidney DiseaseR01DK092919 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI RIEKERT, KRISTIN A · 2011 to 2016
$2.5M
NIDDK NIH HHS R01 DK092919
6 · The paper itself

Abstract

objectiveAmong adolescents and young adults (AYAs) with chronic illness, effective provider communication is essential for patient-centered care during a sensitive developmental period. However, communication in chronic illness care for AYAs is not well studied. Our objectives were to describe the provider communication skills in pediatric chronic kidney disease (CKD) care visits; and determine if communication skills differ by AYA characteristics.

methodsWe adapted a global consultation rating system for pediatric subspecialty care using audiotaped clinic encounters of 18 pediatric nephrologists with 99 AYAs (age M(SD) = 14.9(2.6)) with CKD stages 1-5 and 96 caregivers. We hypothesized that provider communication skills would differ by AYA characteristics (age, gender, and race).

resultsThe strongest provider skills included initiating the session and developing rapport; lowest rated skills were asking patient's perspective and checking understanding. Communication scores did not consistently differ by AYA age or race, but were rated higher with female AYAs in several domains (ps<0.05).

conclusionsPediatric providers generally had adequate or good communication scores with AYAs, but improvement in certain skills, particularly with male AYAs, may further support patient-centered care. PRACTICE IMPLICATIONS: To achieve consistent, patient-centered communication with AYAs, an observation-based global assessment may identify areas for provider improvement.

Indexed as

CommunicationRenal Insufficiency, ChronicAdolescentCaregiversChildFemaleHumansMalePatient-Centered CareTape RecordingYoung AdultAdherenceAdolescentChildChronic illnessChronic kidney diseaseCodingCompliancePatient-centeredPatient-providerPediatricProvider communicationYoung adult

Identifiers

PMID32147305
PMCPMC8760619

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.