Evidence map›Paper›PMID 38049703›Full record

ArticlePediatric nephrology (Berlin, Germany)2024

Longitudinal associations between socioeconomic position and overall health of children with chronic kidney disease and their carers.

Rashmi Shingde, Chandana Guha, Anita van Zwieten, Siah Kim, Amanda Walker, Anna Francis, Madeleine Didsbury, Armando Teixeira-Pinto, Chanel Prestidge, Emily Lancsar and 13 more

Abstract read
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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

23 authors at 9 institutions in 3 countries.

Rashmi ShingdeCentre for Kidney Research, Kids Research Institute, The Children's Hospital at Westmead, Sydney, NSW, Australia. rshingde@hotmail.com.ORCID 0000-0002-2016-6361
Chandana GuhaSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Anita van ZwietenSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Siah KimSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Amanda WalkerRoyal Children's Hospital, Melbourne, Australia.
Anna FrancisSchool of Medicine, University of Queensland, Brisbane, Australia.
Madeleine DidsburySydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Armando Teixeira-PintoSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Chanel PrestidgeStarship Children's Hospital, Auckland, New Zealand.
Emily LancsarDepartment of Health Services Research and Policy, Australian National University, Canberra, Australia.
Fiona MackieSydney Children's Hospital, Randwick, Australia.
Joseph KwonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
Kirsten HowardSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Martin HowellSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Allison JaureSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Alison HayesSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Rakhee RaghunandanSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Stavros PetrouNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.
Suncica LahSchool of Psychology, University of Sydney, Sydney, NSW, Australia.
Steven McTaggartSchool of Medicine, University of Queensland, Brisbane, Australia.
Jonathan C CraigCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
Kylie-Ann MallittSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Germaine WongSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
The University of Sydney · AUThe University of Queensland · AUUniversity of Oxford · GBAustralian National University · AUChildren's Hospital at Westmead · AUFlinders University · AURoyal Children's Hospital · AUStarship Children's Health · NZUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisadvantaged socioeconomic position (SEP) is an important predictor of poor health in children with chronic kidney disease (CKD). The time course over which SEP influences the health of children with CKD and their carers is unknown.

methodsThis prospective longitudinal study included 377 children, aged 6-18 years with CKD (stages I-V, dialysis, and transplant), and their primary carers. Mixed effects ordinal regression was performed to assess the association between SEP and carer-rated child health and carer self-rated health over a 4-year follow-up.

resultsAdjusted for CKD stage, higher family household income (adjusted odds ratio (OR) (95% CI) 3.3, 1.8-6.0), employed status of primary carers (1.7, 0.9-3.0), higher carer-perceived financial status (2.6, 1.4-4.8), and carer home ownership (2.2, 1.2-4.0) were associated with better carer-rated child health. Household income also had a differential effect on the carer's self-rated health over time (p = 0.005). The predicted probabilities for carers' overall health being 'very good' among lower income groups at 0, 2, and 4 years were 0.43 (0.28-0.60), 0.34 (0.20-0.51), and 0.25 (0.12-0.44), respectively, and 0.81 (0.69-0.88), 0.84 (0.74-0.91), and 0.88 (0.76-0.94) for carers within the higher income group.

conclusionsCarers and their children with CKD in higher SEP report better overall child and carer health compared with those in lower SEP. Carers of children with CKD in low-income households had poorer self-rated health compared with carers in higher-income households at baseline, and this worsened over time. These cumulative effects may contribute to health inequities between higher and lower SEP groups over time. Graphical abstract A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

CaregiversRenal Insufficiency, ChronicChildHealth StatusHumansLongitudinal StudiesPovertyProspective StudiesRenal DialysisChronic kidney diseaseLongitudinal studyPaediatricSocioeconomic status

Identifiers

PMID38049703
OpenAlexW4389322519

What OpenQuestion holds

Textmetadata
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.