Evidence map›Paper›PMID 34401726›Full record

ArticleKidney medicine

CKD Prevalence in the Military Health System: Coded Versus Uncoded CKD.

Jenna M Norton, Lindsay Grunwald, Amanda Banaag, Cara Olsen, Andrew S Narva, Eric Marks, Tracey P Koehlmoos

Open access · goldAbstract read
In one paragraph

Article in Kidney medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-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.

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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Coded and uncoded chronic kidney disease: an explainer.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
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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

7 authors at 3 institutions in 1 country.

Jenna M NortonDepartment of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD.
Lindsay GrunwaldHenry M Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD.
Amanda BanaagHenry M Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD.
Cara OlsenDepartment of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD.
Andrew S NarvaCollege of Agriculture, Urban Sustainability & Environmental Sciences, University of the District of Columbia, Washington, DC.
Eric MarksDepartment of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD.
Tracey P KoehlmoosDepartment of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD.
Uniformed Services University of the Health Sciences · USHenry M. Jackson Foundation · USUniversity of the District of Columbia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RATIONALE &

objectiveChronic kidney disease (CKD) is common but often goes unrecorded. STUDY

designCross-sectional. SETTING &

participantsMilitary Health System (MHS) beneficiaries aged 18 to 64 years who received care during fiscal years 2016 to 2018. PREDICTORS: Age, sex, active duty status, race, diabetes, hypertension, and numbers of kidney test results. OUTCOMES: We defined CKD by ANALYTICAL APPROACH: We compared coded and uncoded populations using 2-tailed

resultsThe MHS population included 3,330,893 beneficiaries. Prevalence of CKD was 3.2%, based on LIMITATIONS: Use of cross-sectional administrative data prevents inferences about causality. The CKD e-phenotype may fail to capture CKD in individuals without laboratory data and may underestimate CKD.

conclusionsThe prevalence of CKD in the MHS is ~3.2%. Beneficiaries with well-known CKD risk factors, such as older age, male sex, Black race, diabetes, and hypertension, were more likely to be coded, suggesting that clinicians may be missing CKD in groups traditionally considered lower risk, potentially resulting in suboptimal care.

Indexed as

Chronic kidney diseasechronic renal diseasechronic renal insufficiencyelectronic health recordelectronic phenotypeestimated glomerular filtration ratemedical recordproteinuria

Identifiers

PMID34401726
PMCPMC8350811
OpenAlexW3173001353

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.