Evidence map›Paper›PMID 36645651›Full record

SynthesisJournal of nephrology2023

Associations of health literacy with self-management behaviours and health outcomes in chronic kidney disease: a systematic review.

Roseanne E Billany, Ashnee Thopte, Sherna F Adenwalla, Daniel S March, James O Burton, Matthew P M Graham-Brown

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
20.5field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  12. Knowledge Gaps in Patients Undergoing Thyroid Fine-Needle Aspiration BiopsyEndocrine, metabolic & immune disorders drug targets · 2026
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  17. Hemodialysis Nonattendance: Patient Characteristics and Outcomes in a Single Renal Center in North West England.Hemodialysis international. International Symposium on Home Hemodialysis · 2025
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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

6 authors at 1 institution in 1 country.

Roseanne E BillanyDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK. r.billany@leicester.ac.uk.ORCID http://orcid.org/0000-0001-9610-4717
Ashnee ThopteDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Sherna F AdenwallaDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Daniel S MarchDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
James O BurtonDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Matthew P M Graham-BrownDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
University of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLow health literacy is widely reported in people with chronic kidney disease (CKD) and has been associated with reduced disease self-management, poor health outcomes, increased mortality and poorer quality of life. However, these associations are still not well understood.

methodsElectronic-based systematic searches were performed to identify studies examining associations between health literacy and self-management behaviours and/or health outcomes in patients with CKD. A tabular and narrative synthesis of the data was performed. Meta-analysis was not appropriate due to the heterogeneity of study designs and methods.

resultsSearches identified 48 studies that met the inclusion criteria. A total of 41 published articles, six conference abstracts, and one thesis were included. Of the 48 studies, 11 were cohort and 37 were cross-sectional. In total there were 25,671 patients; 16,952 from cohort studies. Median study sample size was 159 (IQR 92-275). Study quality was high (5), moderate (24) and poor (19). Thirteen measures of health literacy were used. Despite the limitations of the available evidence, there appear to be consistent relationships between higher health literacy and favourable self-management behaviours for patients with CKD. Definitive relationships between health literacy and patient outcomes are far less clear and remain incompletely understood. DISCUSSION: Conclusive evidence describing a causal link between health literacy and patient outcomes remains limited, but for many outcomes, a consistent association is described. In addition to associations with mortality, hospitalisation and clinical events, there were consistent associations between health literacy and favourable self-management behaviours which could support the development of patient education aimed at improving health literacy.

Indexed as

Health LiteracyRenal Insufficiency, ChronicSelf-ManagementHumansOutcome Assessment, Health CareQuality of LifeChronic kidney diseaseEnd-stage kidney diseaseHealth literacySelf-management

Identifiers

PMID36645651
PMCPMC10333418
OpenAlexW4316494441

What OpenQuestion holds

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LicenceCC BY
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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.