Evidence map›Paper›PMID 36352433›Full record

ArticleBMC health services research2022

Monitoring and management of chronic kidney disease in ambulatory care - analysis of clinical and claims data from a population-based study.

Gesine Weckmann, Janine Wirkner, Elisa Kasbohm, Carolin Zimak, Annekathrin Haase, Jean-François Chenot, Carsten Oliver Schmidt, Sylvia Stracke

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Observational
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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

8 authors.

Gesine Weckmann *Department of General Practice, Institute for Community Medicine, University Medicine Greifswald, Fleischmannstrasse 6, 17475, Greifswald, Germany. allgemeinmedizin@uni-greifswald.de.
Janine Wirkner *Department of Clinical Psychology and Psychotherapy, Institute for Psychology, University of Greifswald, Greifswald, Germany.
Elisa KasbohmDepartment SHIP - Clinical Epidemiological Research, Institute for Community Medicine, University Medicine, Greifswald, Germany.
Carolin ZimakDepartment SHIP - Clinical Epidemiological Research, Institute for Community Medicine, University Medicine, Greifswald, Germany.
Annekathrin HaaseDepartment of General Practice, Institute for Community Medicine, University Medicine Greifswald, Fleischmannstrasse 6, 17475, Greifswald, Germany.
Jean-François ChenotDepartment of General Practice, Institute for Community Medicine, University Medicine Greifswald, Fleischmannstrasse 6, 17475, Greifswald, Germany.
Carsten Oliver SchmidtDepartment SHIP - Clinical Epidemiological Research, Institute for Community Medicine, University Medicine, Greifswald, Germany.
Sylvia StrackeUniversity Medicine Greifswald, Internal Medicine A, Nephrology, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough chronic kidney disease (CKD) is highly prevalent in the general population, little research has been conducted on CKD management in ambulatory care. Objective was to assess management and quality of care by evaluating CKD coding in ambulatory care, patient diagnosis awareness, frequency of monitoring and whether appropriate patients are referred to nephrology.

methodsClinical data from the population-based cohort Study of Health in Pomerania (SHIP-START) were matched with claims data of the Association of Statutory Health Insurance Physicians. Quality of care was evaluated according international and German recommendations.

resultsData from 1778 participants (56% female, mean age 59 years) were analysed. 10% had eGFR < 60 ml/min/1.73m

conclusionCKD coding increased with stage and was performed reliably in stages ≥ G4, while CKD awareness was low. Adherence to monitoring and referral criteria varied, depending on the applicability of monitoring criteria. For assessing quality of care, consent on monitoring, patient education, referral criteria and coordination of care needs to be established, accounting for patient related factors, including age and comorbidity.

trial registrationThis study was prospectively registered as DRKS00009812 in the German Clinical Trials Register (DRKS).

Indexed as

Renal Insufficiency, ChronicAgedAmbulatory CareCohort StudiesCreatinineFemaleGlomerular Filtration RateHumansMaleMiddle AgedCreatinineAmbulatory careChronic kidney diseaseManagementNephrologyPrimary care

Identifiers

PMID36352433
PMCPMC9644486

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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.