Evidence map›Paper›PMID 33442912›Full record

ArticleNephrology (Carlton, Vic.)2021

Effectiveness of integrated care on delaying chronic kidney disease progression in rural communities of Thailand (ESCORT-2) trials.

Teerawat Thanachayanont, Methee Chanpitakkul, Jukkapong Hengtrakulvenit, Podjanee Watcharakanon, Watcharapong Wisansak, Teerapong Tancharoensukjit, Phosri Kaewsringam, Vinai Leesmidt, Krit Pongpirul, Salyaveth Lekagul and 2 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Nephrology (Carlton, Vic.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Teerawat ThanachayanontBhumirajanagarindra Kidney Institute, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-4801-1094
Methee ChanpitakkulBhumirajanagarindra Kidney Institute, Bangkok, Thailand.
Jukkapong HengtrakulvenitKhlong Lan Hospital, Kamphaeng Phet, Thailand.
Podjanee WatcharakanonPhran Kratai Hospital, Kamphaeng Phet, Thailand.
Watcharapong WisansakSaithong Wattana Hospital, Kamphaeng Phet, Thailand.
Teerapong TancharoensukjitLan Krabue Hospital, Kamphaeng Phet, Thailand.
Phosri KaewsringamKhlong Khlung Hospital, Kamphaeng Phet, Thailand.
Vinai LeesmidtKhlong Khlung Hospital, Kamphaeng Phet, Thailand.
Krit PongpirulDepartment of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand.
Salyaveth LekagulBhumirajanagarindra Kidney Institute, Bangkok, Thailand.
Kriang TungsangaBhumirajanagarindra Kidney Institute, Bangkok, Thailand.
ESCORT-2 Research Team
Kamphaeng Phet Rajabhat University · THRajamangala Institute of kidney disease · THChulalongkorn University · TH

Funding

Bhumirajanagarindra kidney institute hospital
6 · The paper itself

Abstract

aimWe conducted a prospective cohort study to evaluate the effectiveness of an integrated care model on delaying chronic kidney disease (CKD) progression in routine clinical practice in rural primary care setting.

methodsAfter enrolment, patients with stages 3 to 4 CKD patients from five district hospitals in a northern province of Thailand (400 km from Bangkok) received integrated care comprising hospital multidisciplinary care and home visits by community care teams. Clinical characteristics and biochemical data were collected at baseline and every 3-month interval thereafter for 36 months. The primary outcome was the rate of estimated glomerular filtration rate (eGFR) decline.

resultsNine hundred and fourteen stage -3 and - 4 CKD patients were enrolled. The mean age of our cohort was 62 years. Diabetic kidney disease (DKD) was the main cause of CKD (53%) whereas hypertension was the most common co-morbidity (92%). The mean rate of eGFR decline was -0.92 mL/min/1.73 m

conclusionThis integrated care model at the community level was effective in delaying CKD progression in routine clinical practice situation.

Indexed as

Delivery of Health Care, IntegratedAdolescentAdultAgedDisease ProgressionHumansMiddle AgedProspective StudiesRenal Insufficiency, ChronicRural HealthThailandTime FactorsTreatment OutcomeYoung Adultchronic kidney diseasecommunity care networkshealthcare deliveryhypertensionintegrated health care systems

Identifiers

PMID33442912
PMCPMC7986192
OpenAlexW3120270744

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.