ArticleKidney medicine
Association of Self-Rated Health With Functional Limitations in Patients With CKD.
Article in Kidney medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Baseline characteristics of participants in the NAVKIDSPediatric nephrology (Berlin, Germany) · 2023Trial
- Palliative Care in Shanghai Communities: Needs, Influencing Factors and Preferences Among Older Adults with Chronic Diseases.Healthcare (Basel, Switzerland) · 2025Article
- Relationships between frailty, housing characteristics, and heat-health outcomes in community-dwelling older adults in Hong Kong.Innovation in aging · 2025Article
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- Article
- Trends of healthy and unhealthy working life expectancy in Germany between 2001 and 2020 at ages 50 and 60: a question of educational level?Journal of epidemiology and community health · 2023Article
- The moderating role of neighborhood disadvantage on the link between functional limitations and self-rated health.PloS one · 2023Article
- The association between self-rated health and all-cause mortality and explanatory factors in China's oldest-old population.Journal of global health · 2022Article
- Loneliness and physical function impairment: Perceived health status as an effect modifier in community-dwelling older adults in Ghana.Preventive medicine reports · 2022Article
- Factors associated with poor self-rated health among chronic kidney disease patients and their health care utilization: Insights from LASI wave-1, 2017-18.Frontiers in nephrology · 2022Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
RATIONALE &
objectiveIn patients with chronic kidney disease (CKD), self-rated health ("In general, how do you rate your health?") is associated with mortality. The association of self-rated health with functional status is unknown. We evaluated the association of limitations in activities of daily living (ADLs) with self-rated health and clinical correlates in a cohort of patients with CKD stages 1-5. STUDY
designProspective cohort study. SETTING &
participantsPatients with CKD at a nephrology outpatient clinic in western Pennsylvania. OUTCOME: Patients participated in a survey assessing their self-rated health (5-point Likert scale) and physical (ambulation, dressing, shopping) and cognitive (executive and memory) ADLs. Adjusted analysis was performed using logistic regression models. ANALYTICAL APPROACH: Logistic regression was conducted to examine the adjusted association of 3 dependent variables (sum of total, physical, and cognitive ADL limitations) with self-rated health (independent variable of interest).
resultsThe survey was completed by 1,268 participants (mean age, 60 years; 49% females, and 74% CKD stages 3-5), of which 41% reported poor-to-fair health. Overall, 35.9% had at least 1 physical ADL limitation, 22.1% had at least 1 cognitive ADL limitation, and 12.5% had at least 3 ADL limitations. Ambulation was the most frequently reported limitation and was more common in patients reporting poor-to-fair self-rated health compared with those with good-to-excellent self-rated health (58.1% vs 17.4%, LIMITATIONS: Selection bias due to optional survey completion, residual confounding, and use of abbreviated (as opposed to full) ADL questionnaires.
conclusionsPoor-to-fair self-rated health is strongly associated with physical ADL limitations in patients with CKD. Future studies should evaluate whether self-rated health questions may be useful for identifying patients who can benefit from additional evaluation and treatment of functional limitations to improve patient-centered outcomes.
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