Evidence map›Paper›PMID 32728779›Full record

ArticleJournal of patient-reported outcomes2020

Symptoms and impacts in anemia of chronic kidney disease.

Susan D Mathias, Steven I Blum, Vanja Sikirica, Kirsten L Johansen, Hilary H Colwell, Tony Okoro

Open access · goldAbstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Understanding data visualization techniques in qualitative studies used to develop and validate patient-reported outcome measures: a targeted literature review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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

6 authors at 4 institutions in 2 countries.

Susan D MathiasHealth Outcomes Solutions, PO Box 2343, Winter Park, FL, 32790, USA.
Steven I BlumGlaxoSmithKline, 1250 S. Collegeville Road, Collegeville, PA, 19426, USA.
Vanja SikiricaGlaxoSmithKline, 1250 S. Collegeville Road, Collegeville, PA, 19426, USA.
Kirsten L JohansenHennepin Healthcare, University of Minnesota, 730 South 8th Street, Minneapolis, MN, 55415, USA.
Hilary H ColwellHealth Outcomes Solutions, PO Box 2343, Winter Park, FL, 32790, USA.
Tony OkoroGlaxoSmithKline, 1250 S. Collegeville Road, Collegeville, PA, 19426, USA. tony.x.okoro@gsk.com.ORCID http://orcid.org/0000-0002-7158-730X
GlaxoSmithKline (United States) · USHealth Outcomes Solutions (United States) · USPfizer (United States) · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnemia is a frequent complication of chronic kidney disease (CKD) that negatively affects patients' health-related quality of life.

methodsWe conducted qualitative concept elicitation (CE) and cognitive debriefing (CD) interviews to assess the frequency, duration, and severity of symptoms and impacts associated with anemia of CKD and to facilitate the development of a new patient-reported outcome (PRO) measure. We interviewed 36 patients with CKD and hemoglobin levels ≥8.0 to <12.0 g/dL using a semi-structured interview guide developed specifically for this study until saturation was reached. We used MAXQDA to perform qualitative analysis of interview transcripts to determine the most relevant symptoms and impacts (based on the frequency of concept mentions) experienced by participants.

resultsMost participants had stage 4/5 CKD (81%) and were being treated with an erythropoietin stimulating agent (69%). Spontaneously reported symptoms included feeling tired (79%), shortness of breath (39%), and weak/lacking strength (36%). We developed the Chronic Kidney Disease and Anemia Questionnaire (CKD-AQ), which includes 23 items assessing frequency and severity of the most relevant symptoms and impacts identified by patients with anemia of CKD. The CD interviews confirmed the clarity and relevance of the concepts identified in the CE phase.

conclusionThe CKD-AQ is a novel PRO measure that captures the frequency and severity of the most relevant symptoms and impacts associated with anemia of CKD. Future studies will evaluate its psychometric properties and its potential utility in anemia management.

Indexed as

AnemiaChronic kidney diseaseCognitive debriefingConcept elicitationPatient-reported outcomesSemi-structured interview

Identifiers

PMID32728779
PMCPMC7391458
OpenAlexW3045941188

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.