Evidence map›Paper›PMID 34926313›Full record

ArticleJournal of multimorbidity and comorbidity

Providing diabetes education to patients with chronic kidney disease: A survey of diabetes educators in Ontario, Canada.

Kristin K Clemens, Alexandra M Ouédraogo, Selina L Liu, Paulina Bleah, Amanda Mikalachki, Tamara Spaic

Abstract read
In one paragraph

Article in Journal of multimorbidity and comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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. Review
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

6 authors.

Kristin K ClemensDepartment of Medicine, Division of Endocrinology and Metabolism, Western University, London, ON, Canada.ORCID 0000-0001-9636-5597
Alexandra M OuédraogoICES Western, London, ON, Canada.
Selina L LiuDepartment of Medicine, Division of Endocrinology and Metabolism, Western University, London, ON, Canada.ORCID 0000-0002-0261-0385
Paulina BleahUniversity Health Network, Division of Nephrology, Toronto General Hospital, Toronto, ON, Canada.
Amanda MikalachkiPrimary Care Diabetes Support Program, London, ON, Canada.
Tamara SpaicDepartment of Medicine, Division of Endocrinology and Metabolism, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with diabetes and chronic kidney disease (CKD) have complex diabetes care needs. Diabetes educators can play an important role in their clinical care.

aimTo understand diabetes educators' experience providing diabetes support to patients with CKD and elicit their view on the additional care needs of this population.

methodsWe conducted a quantitative online survey of diabetes educators between May 2019 and May 2020. We surveyed English-speaking educators actively practicing in Ontario, Canada for at least 1 year. We recruited them through provincial Diabetes Education Programs and Diabetes Education Section Chairs of Diabetes Canada.

resultsWe made email contact with 219/233 (94%) Diabetes Education Programs and 11/12 (92%) provincial Diabetes Canada Section Chairs. 122 unique diabetes educators submitted complete surveys (survey participation rate ∼79%). Most worked in community education programs (91%). Almost half were registered nurses (48%), and 39% had practiced for more than 15 years. Respondents noted difficulty helping patients balance complex medical conditions (19%), faced socioeconomic barriers (17%), and struggled to provide dietary advice (16%). One-third were uncertain of how to support those receiving dialysis. Eighty-five percent felt they needed more training and education to care for this high-risk group. When asked about the care needs of patients with CKD, almost all (90%) felt that patients needed more diabetes support in general. Improvement in care coordination was most commonly suggested (38%).

conclusionsIn this study of the diabetes educators' experience treating patients with diabetes and CKD, respondents noted numerous challenges. There may be opportunities to better support both diabetes care professionals, and patients who live with multiple medical comorbidities.

Indexed as

challengeschronic kidney diseaseDiabetes educatordieteducationself-managementsurvey

Identifiers

PMID34926313
PMCPMC8671669

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