Evidence map›Paper›PMID 39425008›Full record

Observational studyBMC nephrology2024

Association between health-related hope and distress from restrictions in chronic kidney disease and dialysis.

Noriaki Kurita, Takafumi Wakita, Shino Fujimoto, Mai Yanagi, Kenichiro Koitabashi, Masahiko Yazawa, Tomo Suzuki, Hiroo Kawarazaki, Yoshitaka Ishibashi, Yugo Shibagaki

Abstract readObservational StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC nephrology, 2024. 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

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

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

10 authors.

Noriaki KuritaDepartment of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima, Japan. kuritanoriaki@gmail.com.
Takafumi WakitaDepartment of Sociology, Kansai University, Osaka, Japan.
Shino FujimotoDepartment of Nephrology, Japanese Red Cross Medical Center, Tokyo, Japan.
Mai YanagiDepartment of Nephrology, Japanese Red Cross Medical Center, Tokyo, Japan.
Kenichiro KoitabashiDepartment of Nephrology, Inagi Municipal Hospital, Tokyo, Japan.
Masahiko YazawaDivision of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.
Tomo SuzukiDepartment of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima, Japan.
Hiroo KawarazakiDepartment of Internal Medicine, Division of Nephrology, Teikyo University Mizonokuchi Hospital, Tokyo, Kanagawa, Japan.
Yoshitaka IshibashiDepartment of Nephrology, Japanese Red Cross Medical Center, Tokyo, Japan.
Yugo ShibagakiDivision of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.

Funding

Japan Society for the Promotion of Science JP16H05216Japan Society for the Promotion of Science JP18K17970
6 · The paper itself

Abstract

backgroundIn chronic kidney disease (CKD), the durability of patient adherence to fluid and dietary restrictions may depend on the degree to which they have hope that they will enjoy life. Previous cross-sectional studies have shown that higher hope was associated with lower distress from fluid and dietary restrictions and better adherence in the short term. In this study, we aimed to examine the long-term relationship of hope with distress from fluid and dietary restrictions.

methodsThis prospective observational cohort study included 444 patients with CKD undergoing dialysis in one of five Japanese nephrology centers. Hope as a predictor was measured using an 18-item health-related hope scale. Outcomes were two-item measures of distress from fluid and dietary intake restrictions using the Japanese version of the Kidney Disease Quality of Life Short Form, Version 1.3 (higher scores indicate lower levels of distress). Multivariate linear mixed models were used to estimate the association of baseline health-related hope with distress from fluid and dietary restrictions at baseline and follow-up.

resultsThe mean age of the participants was 67 years, and 31.1% of them were females. In total, 124, 98, and 222 had non-dialysis CKD, peritoneal dialysis, and hemodialysis, respectively. Higher levels of baseline health-related hope were associated with lower levels of distress from fluid restriction after one year (per 10-point increase, 2.6 points (95% confidence interval, 1.0 to 4.1)); whereas the baseline score was not associated with the distress from fluid restriction at 2 years. Similarly, higher levels of baseline health-related hope were associated with lower levels of distress from dietary restriction after one year (per 10-point increase, 2.0 points (95% confidence interval, 0.3 to 3.6)); whereas the baseline score was not associated with the distress from dietary restriction at 2 years.

conclusionsHealth-related hope, regardless of depression, can potentially mitigate long-term distress from fluid and dietary restrictions in patients with a wide range of CKD severities.

trial registrationUMIN000054710.

Indexed as

HopeRenal DialysisRenal Insufficiency, ChronicAgedCohort StudiesFemaleHumansMaleMiddle AgedPatient ComplianceProspective StudiesPsychological DistressQuality of LifeChronic kidney diseaseDepression scaleDiet restrictionFluid restrictionHealth-related hope

Identifiers

PMID39425008
PMCPMC11488276

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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.