Evidence map›Paper›PMID 32734204›Full record

ArticleKidney medicine

Interventions to Improve Blood Pressure Control Among Socioeconomically Disadvantaged Patients With CKD: Kidney Awareness Registry and Education Pilot Randomized Controlled Trial.

Delphine S Tuot, Anna D Rubinsky, Alexandra Velasquez, Charles E McCulloch, Dean Schillinger, Margaret A Handley, Chi-Yuan Hsu, Neil R Powe

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Kidney medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01530958 (The Kidney Awareness Registry and Education Study), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 24% 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.

NCT01530958 nacompletednot on this map

The Kidney Awareness Registry and Education Study

TypeinterventionalSponsorUniversity of California, San FranciscoRan2013 to 2020Enrolled375ConditionsChronic Kidney Disease (CKD)ArmsCKD Registry, ATSM + Health Coach, Usual care
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  12. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Delphine S TuotDivision of Nephrology, University of California, San Francisco, CA.
Anna D RubinskyKidney Health Research Collaborative, University of California, San Francisco, CA.
Alexandra VelasquezDivision of Nephrology, University of California, San Francisco, CA.
Charles E McCullochDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA.
Dean SchillingerCenter for Vulnerable Populations at Priscilla Chan and Mark Zuckerberg San Francisco General Hospital, University of California, San Francisco, CA.
Margaret A HandleyCenter for Vulnerable Populations at Priscilla Chan and Mark Zuckerberg San Francisco General Hospital, University of California, San Francisco, CA.
Chi-Yuan HsuDivision of Nephrology, University of California, San Francisco, CA.
Neil R PoweCenter for Vulnerable Populations at Priscilla Chan and Mark Zuckerberg San Francisco General Hospital, University of California, San Francisco, CA.
University of California, San Francisco · USSan Francisco General Hospital · US

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Social Interventions to address disparities In young adult tobacco useP60MD006902 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BIBBINS-DOMINGO, KIRSTEN · 2012 to 2016
$6.4M
Kidney Awareness Registry and Education-2R01DK104130 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TUOT, DELPHINE · 2015 to 2019
$2.8M
Patient Oriented Research in Kidney DiseaseK24DK092291 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, CHI-YUAN · 2011 to 2020
$1.2M
CKD awareness and self-management: Interventions for Safety-Net PatientsK23DK094850 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TUOT, DELPHINE · 2012 to 2015
$754k
Health IT Enhanced for CKD in Safety-Net Primary CareR34DK093992 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POWE, NEIL R. · 2011 to 2013
$686k
NIDDK NIH HHS K23 DK094850NIDDK NIH HHS K24 DK092291NIDDK NIH HHS P30 DK092924NIDDK NIH HHS R01 DK104130NIDDK NIH HHS R34 DK093992NIMHD NIH HHS P60 MD006902
6 · The paper itself

Abstract

RATIONALE &

objectiveSustainable interventions that enhance chronic kidney disease (CKD) management are not often studied in safety-net primary care, in which populations bear a disproportionate burden of disease and experience translational gaps between research and practice. We tested the feasibility of implementing and the impact of 2 technology-enhanced interventions designed to enhance CKD care delivery. STUDY

designA 2×2 randomized controlled pilot trial. SETTING &

participantsPrimary care provider teams (n = 6) and 137 patients with CKD aged 18 to 75 years from 2 safety-net primary care clinics, 2013 to 2015.

interventionsPrimary care provider teams were randomly assigned to access a CKD registry with point-of-care notifications and quarterly feedback or a usual-care registry for 12 months. Patients within provider teams were randomly assigned to participate in a CKD self-management support program or usual care for 12 months. OUTCOMES: We examined recruitment, randomization, and participation in each intervention. We also examined the impact of each intervention and their combination on change in systolic blood pressure (SBP), albuminuria, and patient self-reported behavioral measures after 12 months.

resultsAmong potentially eligible patients identified using the electronic health record, 24% were eligible for study participation, of whom 35% (n = 137) were enrolled. Mean age was 55 years, 41% were non-English speaking, and 93% were of racial/ethnic minority. Mean baseline estimated glomerular filtration rate was 70.5 (SD = 30.3) mL/min/1.73 m LIMITATIONS: Single health system.

conclusionsPatient and provider interventions to improve CKD care are feasible to implement in low-income settings with promising results among those with uncontrolled blood pressure.

fundingNational Institute of Diabetes and Digestive and Kidney Diseases.

trial registrationClinicalTrials.gov, number: NCT01530958.

Indexed as

blood pressurechronic care modelChronic kidney diseaserandomized controlled trialregistryself-management support

Identifiers

PMID32734204
PMCPMC7380406
OpenAlexW2970157515

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.