Evidence map›Paper›PMID 32797384›Full record

ArticleInternational urology and nephrology2021

Perceived difficulty in activities of daily living and survival in patients receiving maintenance hemodialysis.

Takaaki Watanabe, Toshiki Kutsuna, Yuta Suzuki, Manae Harada, Takahiro Shimoda, Shohei Yamamoto, Yusuke Isobe, Keigo Imamura, Yusuke Matsunaga, Ryota Matsuzawa and 4 more

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In one paragraph

Article in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
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

14 authors at 6 institutions in 1 country.

Takaaki WatanabeDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan.
Toshiki KutsunaDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan.
Yuta SuzukiDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan.
Manae HaradaDepartment of Rehabilitation, Sagami Circulatory Organ Clinic, Sagamihara, Japan.
Takahiro ShimodaDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan.
Shohei YamamotoDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan.
Yusuke IsobeDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan.
Keigo ImamuraDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan.
Yusuke MatsunagaDepartment of Clinical Psychology, Tsurukawa Sanatorium Hospital, Tokyo, Japan.
Ryota MatsuzawaDepartment of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, Kobe, Japan.
Kentaro KamiyaDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan.
Yasuo TakeuchiDepartment of Nephrology in Internal Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Atsushi YoshidaDepartment of Hemodialysis Center, Sagami Circulatory Organ Clinic, Sagamihara, Japan.
Atsuhiko MatsunagaDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0373, Japan. atsuhikonet@gmail.com.ORCID http://orcid.org/0000-0003-0190-707X
Kitasato University · JPHyogo University of Health Sciences · JPNational Center for Global Health and Medicine · JPNational Sagamihara Hospital · JPTokyo University of Technology · JPTsurugi Hospital · JP

Funding

Japan Society for the Promotion of Science 19K11372Japan Society for the Promotion of Science 26350631
6 · The paper itself

Abstract

purposeMost patients receiving hemodialysis have perceived difficulty in mobility tasks, such as basic activities of daily living (ADL), ambulation, and walking up or down stairs, even if they can ambulate independently. Perceived difficulty in performing ADL (ADL difficulty) is reportedly a useful predictor of mortality in older community-dwelling people. However, very few studies have examined the association of ADL difficulty with clinical outcomes in patients receiving hemodialysis. This study aimed to identify the association between ADL difficulty related to mobility tasks of lower limbs and all-cause mortality in patients receiving hemodialysis who are able to ambulate independently.

methodsThis retrospective study analyzed 300 clinically stable outpatients (median age, 65.0 years) receiving hemodialysis. ADL difficulty was evaluated at baseline with a novel questionnaire developed for patients receiving hemodialysis. Lower scores indicated lower ADL, i.e., greater ADL difficulty. The patients were divided into two groups by the median ADL score: a higher ADL group and a lower ADL group. The association between ADL difficulty and all-cause mortality was estimated by Cox regression analyses.

resultsMedian follow-up duration was 58 months. The incident rates were 0.02 per person-year in the higher ADL group and 0.06 per person-year in the lower ADL group (P < 0.001). After adjusting for the effects of clinical characteristics, the hazard ratio for all-cause mortality in the lower ADL group was 2.70 (95% confidence interval 1.57-4.64) compared with that in the higher ADL group.

conclusionsPerceived difficulty in mobility tasks was independently associated with all-cause mortality among ambulatory patients receiving hemodialysis.

Indexed as

Activities of Daily LivingAgedCause of DeathCohort StudiesFemaleHumansLower ExtremityMaleMiddle AgedRenal DialysisRetrospective StudiesSurvival RateActivities of daily livingChronic renal failureDialysisESRDMobility

Identifiers

PMID32797384
OpenAlexW3049543358

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.