Evidence map›Paper›PMID 34292492›Full record

ArticleInternational urology and nephrology2022

Effectiveness and acceptability of a multidisciplinary approach in improving the care of patients with advanced chronic kidney disease: a pilot study.

Jia Liang Kwek, Konstadina Griva, Navreen Kaur, Kay Yuan Chong, Zi Yang Chua, Gim Hong Andy Sim, Li Choo Ng, Pay Wen Yong, Yu-Tzu Tung, Lydia Wei Wei Lim and 4 more

Abstract read
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In one paragraph

Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Jia Liang KwekDepartment of Renal Medicine, Singapore General Hospital, Academia Level 3, 20 College Road, Singapore, 169856, Singapore. kwek.jia.liang@singhealth.com.sg.ORCID http://orcid.org/0000-0001-8161-1679
Konstadina GrivaHealth Psychology/Behavioural Medicine, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Navreen KaurDivision of Medicine, Singapore General Hospital, Singapore, Singapore.
Kay Yuan ChongDivision of Medicine, Singapore General Hospital, Singapore, Singapore.
Zi Yang ChuaHealth Psychology/Behavioural Medicine, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Gim Hong Andy SimDepartment of Medical Social Services, Singapore General Hospital, Singapore, Singapore.
Li Choo NgNursing Division, Singapore General Hospital, Singapore, Singapore.
Pay Wen YongDepartment of Dietetics, Singapore General Hospital, Singapore, Singapore.
Yu-Tzu TungDepartment of Pharmacy, Singapore General Hospital, Singapore, Singapore.
Lydia Wei Wei LimDepartment of Renal Medicine, Singapore General Hospital, Academia Level 3, 20 College Road, Singapore, 169856, Singapore.
Su Hooi TeoDepartment of Renal Medicine, Singapore General Hospital, Academia Level 3, 20 College Road, Singapore, 169856, Singapore.
Jason Chon Jun ChooDepartment of Renal Medicine, Singapore General Hospital, Academia Level 3, 20 College Road, Singapore, 169856, Singapore.
Marjorie Wai Yin FooDepartment of Renal Medicine, Singapore General Hospital, Academia Level 3, 20 College Road, Singapore, 169856, Singapore.
Tazeen Hasan JafarDuke-NUS Medical School, Health Services and Systems Research, Singapore, Singapore.

Funding

Singhealth Foundation Research Grant SHF/HSRHO006/2016
6 · The paper itself

Abstract

objectiveThis study aimed at determining the feasibility of conducting a large-scale pragmatic effectiveness study on the implementation of multidisciplinary care (MDC) program for patients with advanced chronic kidney disease (CKD).

methodsThis is a single-arm pre-post intervention design pilot study over 12 months. Participants with an estimated glomerular filtration rate (eGFR) between 11 and 20 ml/min/1.73m

resultsThe study enrolment and completion rates were 43.1% (50/116 screened) and 66.0% (33/50 recruited) respectively. The participants had a mean age of 68.5 years (SD9.0) and a mean eGFR of 15.4 ml/min/1.73m

conclusionOur pilot data suggest increased adherence to CKD interventions and good acceptability to MDC program, albeit no difference in eGFR decline probably because of the small sample size. However, reasons for overall low enrolment and completion rates need to be explored and addressed while designing a future large-scale randomised controlled trial.

Indexed as

Quality of LifeRenal Insufficiency, ChronicAgedGlomerular Filtration RateHumansPilot ProjectsAcceptabilityAdvanced chronic kidney diseaseEffectivenessImplementationMultidisciplinary care

Identifiers

What OpenQuestion holds

Textmetadata
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.