Evidence map›Paper›PMID 33123362›Full record

ArticleClinical kidney journal2020

Home run-results of a chronic kidney disease Telemedicine Patient Education Study.

Andrea M Easom, Ashutosh M Shukla, Dumitru Rotaru, Songthip Ounpraseuth, Sudhir V Shah, John M Arthur, Manisha Singh

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05138419 (A Pragmatic Approach to Chronic Kidney Disease Patient Education in the Delta), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT05138419 naterminatednot on this mapstarted 2023, after this paper: background citation

A Pragmatic Approach to Chronic Kidney Disease Patient Education in the Delta

TypeinterventionalSponsorUniversity of ArkansasRan2023 to 2024Enrolled1ConditionsChronic Kidney Disease stage3, Chronic Kidney Disease stage4, Chronic Kidney Disease Stage 5, Patient EngagementArmsCKD "What You Need To Know" Workbook System, CKD Action Plan, CKD Web-based Resource List, Food Label reading exercise
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Patient Education in Chronic Kidney Disease: A Position Statement of the Polish Society of Nephrology.International journal of nephrology and renovascular disease · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Feasibility and First Experiences from an Online Kidney School for Patients with Chronic Kidney Disease.International journal of environmental research and public health · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Home Blood Pressure and Telemedicine: A Modern Approach for Managing Hypertension During and After COVID-19 Pandemic.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2022
    Review
  13. Supporting Shared Decision-Making and Home Dialysis in End-Stage Kidney Disease.International journal of nephrology and renovascular disease · 2022
    Article
  14. Article
  15. Article
  16. Advancing American Kidney Health: Perspective from Fresenius Medical Care.Clinical journal of the American Society of Nephrology : CJASN · 2019
    Article
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

7 authors at 3 institutions in 1 country.

Andrea M EasomDivision of Nephrology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Ashutosh M ShuklaDivision of Nephrology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
Dumitru RotaruDivision of Nephrology, Department of Internal Medicine, Mercy Clinic Fort Smith, Fort Smith, AR, USA.
Songthip OunpraseuthDivision of Nephrology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Sudhir V ShahDivision of Nephrology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
John M ArthurDivision of Nephrology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Manisha SinghDivision of Nephrology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID 0000-0002-6014-1337
University of Arkansas for Medical Sciences · USSmith Clinic · USUniversity of Florida · US

Funding

Expanding Translational Research in ArkansasU54TR001629 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2017 to 2017
$3.5M
NCATS NIH HHS U54 TR001629
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) incidence is increasing and associated mortality and morbidity are high. Educating patients is effective in delaying progression and establishing optimal renal replacement therapy (RRT). Tele-education/telemedicine (TM) can be an effective tool to provide such education, but there are no available data quantifying its effectiveness. We attempted to establish such evidence correlating the effect of education in patient choices and with the start of actual RRT. We present results from a 3-year pilot study evaluating the effectiveness of comprehensive predialysis education (CPE) through TM for CKD patients compared with a standard care group [face to face (FTF)]. The patient's ability to choose RRT was the primary endpoint.

methodsThis was a randomized controlled study providing CPE over three classes at nine sites (one FTF and eight TM). Three assessment tools were utilized to compare groups: CKD knowledge, literacy and quality of life.

resultsA total of 47.1% of FTF and 52.2% of TM patients reported not having enough information to choose a modality. This decreased by the third visit (FTF 7.4%, TM 13.2%). Home modality choices more than doubled in both groups (FTF 25.8-67.7%, TM 22.2-50.1%). In patients that completed one visit and needed to start RRT, 47% started on a home modality or received a pre-emptive transplant (home hemodialysis 6%, peritoneal dialysis 38%, transplant 3%).

conclusionsResults show almost 90% (TM 87%, FTF 95%) of the attendees could choose a modality after education. Home modality choices doubled. Patients were able to make an informed choice regardless of the modality of education.

Indexed as

awarenessCKDhome dialysispatient educationtele-education

Identifiers

PMID33123362
PMCPMC7577756
OpenAlexW2969906867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.