Evidence map›Paper›PMID 33468527›Full record

Observational studyBMJ open2021

Early Chronic Kidney Disease Care Programme delays kidney function deterioration in patients with stage I-IIIa chronic kidney disease: an observational cohort study in Taiwan.

Shu-Fen Niu, Chung-Kuan Wu, Nai-Chen Chuang, Ya-Bei Yang, Tzu-Hao Chang

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. "Kidney international reports · 2025
    Article
  5. Impact of early interruption from pay-for-performance program on progression and medical utilization for patients with early chronic kidney disease.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Frailty, Health Literacy, and Self-Care in Patients with Chronic Kidney Disease in Taiwan.International journal of environmental research and public health · 2022
    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

5 authors at 3 institutions in 1 country.

Shu-Fen NiuDepartment of Nursing, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Chung-Kuan Wu *Division of Nephrology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan m008533@ms.skh.org.tw kevinchang@tmu.edu.tw.ORCID 0000-0003-4446-0167
Nai-Chen ChuangClinical Data Center, Office of Data Science, Taipei Medical University, Taipei, Taiwan.
Ya-Bei YangDivision of Cardiovascular Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Tzu-Hao Chang *Clinical Big Data Research Center, Taipei Medical University Hospital, Taipei, Taiwan m008533@ms.skh.org.tw kevinchang@tmu.edu.tw.
Fu Jen Catholic University · TWTaipei Medical University · TWTaipei Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the effect of the Early Chronic Kidney Disease (CKD) Care Programme on CKD progression in patients with CKD stage I-IIIa.

designObservational cohort study.

settingTaipei Medical University Research Database from three affiliated hospitals.

participantsAdult non-pregnant patients with CKD stage I-IIIa from Taipei Medical University Research Database between 1 January 2012 and 31 August 2017 were recruited. These patients were divided into Early CKD Care Programme participants (case) and non-participants (control). The models were matched by age, sex, estimated glomerular filtration rate and CKD stage with 1:2 propensity score to reduce bias between two groups. OUTCOME MEASURES: The risks of CKD stage I-IIIa progression to IIIb between Early CKD Care Programme participants and non-participants.

resultsCompared with the control group, the case group demonstrated more comorbidities and higher proportions of hypertension, diabetes mellitus, gout, dyslipidaemia, heart disease and cerebrovascular disease, but had lower risk of progression to CKD stage IIIb before and (HR 0.72; 95% CI 0.61 to 0.85) and after (adjusted HR (aHR) 0.67; 95% CI 0.55 to 0.81) adjustments. Moreover, Kaplan-Meier analysis revealed the cumulative incidence of CKD stage IIIb was significantly lower in the case group than in the control group. Finally, the programme was an independent protective factor against progression to stage IIIb, especially in patients with CKD stage IIIa before (HR 0.72; 95% CI 0.61 to 0.85) and after (aHR 0.67; 95% CI 0.55 to 0.81) adjustments.

conclusionsThe Early CKD Care Programme is an independent protective factor against progression of early CKD.

Indexed as

Renal Insufficiency, ChronicAdultCohort StudiesDisease ProgressionGlomerular Filtration RateHumansKidneyRisk FactorsTaiwanchronic renal failurehealth policynephrology

Identifiers

PMID33468527
PMCPMC7817788
OpenAlexW3121789312

What OpenQuestion holds

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LicenceCC BY-NC
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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.