Evidence map›Paper›PMID 32157444›Full record

ArticlePediatric nephrology (Berlin, Germany)2020

A longitudinal examination of parent-reported emotional-behavioral functioning of children with mild to moderate chronic kidney disease.

Rebecca J Johnson, Arlene C Gerson, Lyndsay A Harshman, Matthew B Matheson, Shlomo Shinnar, Marc B Lande, Amy Kogon, Debbie S Gipson, Bradley A Warady, Susan L Furth and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00327860 (Chronic Kidney Disease in Children Prospective Cohort Study), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.7field-weighted citation impact, top 4% 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.

NCT00327860 recruitingnot on this map

Chronic Kidney Disease in Children Prospective Cohort Study (CKiD)

TypeobservationalSponsorJohns Hopkins Bloomberg School of Public HealthRan2003 to 2028Enrolled1,300ConditionsChronic Kidney Disease
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 27 citations in OpenAlex.

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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

11 authors at 8 institutions in 1 country.

Rebecca J JohnsonDivision of Developmental and Behavioral Health, Children's Mercy Kansas City, University of Missouri - Kansas City School of Medicine, 2401 Gillham Road, Kansas City, MO, 64108, USA. rejohnson@cmh.edu.ORCID 0000-0002-0084-4727
Arlene C GersonJohns Hopkins Medical Institute, Baltimore, MD, USA.
Lyndsay A HarshmanUniversity of Iowa Stead Family Children's Hospital, Iowa City, IA, USA.
Matthew B MathesonJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Shlomo ShinnarMontefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Marc B LandeUniversity of Rochester Medical Center, Rochester, NY, USA.
Amy KogonChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Debbie S GipsonUniversity of Michigan School of Medicine, Ann Arbor, MI, USA.
Bradley A WaradyDivision of Nephrology, Children's Mercy Kansas City, University of Missouri - Kansas City School of Medicine, 2401 Gillham Road, Kansas City, MO, 64108, USA.
Susan L FurthChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Stephen R HooperSchool of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Children's Hospital of Philadelphia · USChildren's Mercy Hospital · USAlbert Einstein College of Medicine · USJohns Hopkins University · USUniversity of Iowa Stead Family Children’s Hospital · USUniversity of Michigan · USUniversity of North Carolina at Chapel Hill · USUniversity of Rochester Medical Center · US

Funding

Chronic Kidney Disease in Children Study (C-Kid)U01DK066174 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SUSAN L. FURTH · 2003 to 2026
$25.1M
CKiD Cardiovascular Testing Travel SupplementU01DK066143 · NIDDK · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Bradley Alan Warady · 2003 to 2026
$24.2M
The Kidney Disease in Children Data Management and Analysis Center (KIDMAC)U24DK066116 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Derek K Ng · 2018 to 2026
$12.6M
Central Biochemistry Laboratory of the CKID ConsortiumU24DK082194 · NIDDK · UNIVERSITY OF ROCHESTER · PI SCHWARTZ, GEORGE J · 2018 to 2022
$1.7M
Cognitive Profiles and Neuroimaging Correlates in Mild to Moderate Pediatric Chronic Kidney DiseaseK23DK110443 · NIDDK · UNIVERSITY OF IOWA · PI HARSHMAN, LYNDSAY ANNE · 2016 to 2020
$781k
NIDDK NIH HHS K23 DK110443NIDDK NIH HHS U01 DK066143NIDDK NIH HHS U01 DK066174NIDDK NIH HHS U01-DK-66143, U01-DK-66174, U24-DK-082194, U24-DK-66116NIDDK NIH HHS U24 DK066116NIDDK NIH HHS U24 DK082194
6 · The paper itself

Abstract

backgroundChildren with mild to moderate chronic kidney disease (CKD) are at increased risk for deficits in neurocognition. Less is known about how CKD affects emotional-behavioral functioning in this population.

methodsParent ratings of emotional-behavioral functioning at baseline and over time were examined for 845 children with mild to moderate CKD using the Behavior Assessment System for Children, Second Edition Parent Rating Scales (BASC-2 PRS). Associations with demographic and disease-related predictors were also examined.

resultsChildren with mild to moderate CKD had parent-reported emotional-behavioral functioning largely within normal limits, at baseline and over time. The proportion with T-scores at least 1 SD above the mean was 24% for Internalizing Problems and 28% for Attention Problems. A greater proportion of participants scored lower than expected (worse) on scales measuring adaptive skills (25%). Persistent hypertension predicted attention problems (β = 1.59, 95% CI = 0.24 to 2.94, p < 0.02) and suggested worse behavioral symptoms (β = 1.36, 95% CI = - 0.01 to 2.73, p = 0.05). Participants with proteinuria at baseline, but not at follow-up, had fewer attention problems than participants whose proteinuria had not resolved (β = - 3.48, CI = - 6.79 to - 0.17, p < 0.04). Glomerular diagnosis was related to fewer (β = - 2.68, 95% CI = - 4.93 to - 0.42, p < 0.02) internalizing problems.

conclusionsAlthough children with CKD generally have average emotional-behavioral parent ratings, a notable percentage of the population may be at risk for problems with attention and adaptive behavior. Providers working with this population should facilitate psychosocial referrals when indicated.

Indexed as

Adaptation, PsychologicalAttentionAdolescentBehavior Rating ScaleChildChild BehaviorEmotionsFemaleHumansLongitudinal StudiesMaleParentsRenal Insufficiency, ChronicSeverity of Illness IndexAdaptive behaviorBASC-2CKDCKiDEmotional-behavioralPediatric chronic kidney disease

Identifiers

PMID32157444
PMCPMC8210580
OpenAlexW3011335265

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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.