Evidence map›Paper›PMID 32734251›Full record

ArticleKidney medicine

Group-Based Care in Adults and Adolescents With Hypertension and CKD: A Feasibility Study.

Tanya S Johns, Denver D Brown, Alain H Litwin, Georgette Goldson, Rupinder S Buttar, Jacqueline Kreimerman, Yungtai Lo, Kimberly J Reidy, Laurie Bauman, Frederick Kaskel and 1 more

2 registry-linked trialsOpen access · goldAbstract read
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 2 registered trials, which are not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 30% 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.

NCT02467894 nacompletednot on this map

Group-based Chronic Kidney Disease Care

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2014 to 2017Enrolled60ConditionsChronic Kidney Disease, HypertensionArmsGroup-based Care
NCT05504850 nacompletednot on this map

The Feasibility and Acceptability of a Multicultural Healthy Diet (Anti-inflammatory Dietary Pattern) in Racial/Ethnic Minorities With Chronic Kidney Disease

TypeinterventionalSponsorMontefiore Medical CenterRan2022 to 2024Enrolled18ConditionsChronic Kidney DiseaseArmsMulticultural Health Diet
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
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 3 institutions in 1 country.

Tanya S JohnsAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Denver D BrownAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Alain H LitwinUniversity of South Carolina School of Medicine-Greenville, Greenville, SC.
Georgette GoldsonMontefiore Care Management Organization, Yonkers, NY.
Rupinder S ButtarAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Jacqueline KreimermanAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Yungtai LoAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Kimberly J ReidyAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Laurie BaumanAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Frederick KaskelAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Michal L MelamedAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Albert Einstein College of Medicine · USMontefiore Medical Center · USPrisma Health · US

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025750 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$20.5M
DEVELOPMENTAL RENAL AND ELECTROLYTE PHYSIOLOGYT32DK007110 · NIDDK · YESHIVA UNIVERSITY · PI KASKEL, FREDERICK JEFFREY, MELAMED, MICHAL L · 1986 to 2021
$5.6M
Institutional Career Development CoreKL2TR002558 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MARANTZ, PAUL R · 2018 to 2022
$2.7M
Clinical and Translational Science Award-K12KL2RR025749 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$991k
Group-based Chronic Kidney Disease CareR34DK102174 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MELAMED, MICHAL L · 2014 to 2015
$752k
Clinical and Translational Science Award-T32 (TL1)TL1RR025748 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$385k
NCATS NIH HHS KL2 TR002558NCATS NIH HHS UL1 TR001073NCRR NIH HHS KL2 RR025749NCRR NIH HHS TL1 RR025748NCRR NIH HHS UL1 RR025750NIDDK NIH HHS R34 DK102174NIDDK NIH HHS T32 DK007110
6 · The paper itself

Abstract

RATIONALE &

objectiveGroup-based care provides an opportunity to increase patient access to providers without increasing physician time and is effective in the management of chronic diseases in the general population. This model of care has not been investigated in chronic kidney disease (CKD). STUDY

designRandomized controlled trial in adults (n = 50); observational study in adolescents (n = 10). SETTING &

participantsAdults and adolescents with CKD and hypertension in the Bronx, NY.

interventionGroup-based care (monthly sessions over 6 months) versus usual care in adults. All adolescents received group-based care and were analyzed separately. OUTCOMES: Participant attendance and satisfaction with group-based care were used to evaluate intervention feasibility. The primary clinical outcome was change in mean 24-hour ambulatory blood pressure. Secondary outcomes included physical activity, medication adherence, quality of life, and sodium intake as assessed by 24-hour urinary sodium excretion and food frequency questionnaires.

resultsAmong adults randomly assigned to group-based care, attendance was high (77% of participants attended ≥3 sessions) and most reported higher satisfaction. Mean 24-hour ambulatory systolic blood pressure decreased by -4.2 (95% CI, -13.3 to 5.8) mm Hg in group-based care patients compared with usual care at 6 months but this was not statistically significant. Similarly, we did not detect significant differences in health-related behaviors (such as medication adherence, sodium intake, and physical activity) or quality-of-life measures between the 2 groups. Among the adolescents, attendance was very poor; self-reported satisfaction, although high, did not change from baseline compared with the 6-month follow-up. LIMITATIONS: Small study size, missing data.

conclusionsGroup-based care is feasible and acceptable among adults with hypertension and CKD. However, a larger trial is needed to determine the effect on blood pressure and health-related behaviors. Patient participation may limit the effectiveness of group-based care models in adolescents.

fundingNational Institutes of Health R34 DK102174.

trial registrationhttps://clinicaltrials.gov/show/NCT02467894.

Indexed as

adolescentsChronic kidney diseaseclinical trialgroup-based carehypertension

Identifiers

PMID32734251
PMCPMC7380347
OpenAlexW3017380939

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.