Evidence map›Paper›PMID 39436585›Full record

Observational studyClinical and experimental nephrology2025

Assessment of communication environment and health literacy of patients on chronic hemodialysis: a multicenter observational study (SMEL-HD study).

Chieko Hamada, Junko Kuwamura, Mitsumine Fukui, Isao Ohsawa, Yuuya Nakamura, Shigenobu Suzuki, Fukuji Takeda, Reo Kanda, Atsuko Urita, Yasuhiko Tomino

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical and experimental nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Chieko HamadaDepartment of Basic Education, Faculty of Health Sciences and Nursing, Juntendo University, 3-7-33 Omiya, Mishima, Shizuoka, 411-8787, Japan. chieko@juntendo.ac.jp.ORCID http://orcid.org/0000-0001-6889-6614
Junko KuwamuraDepartment of Basic Education, Faculty of Health Sciences and Nursing, Juntendo University, 3-7-33 Omiya, Mishima, Shizuoka, 411-8787, Japan.
Mitsumine FukuiKitahachiouji Clinic, Medical Corporation SHOWAKAI, Hachiouji, Tokyo, Japan.
Isao OhsawaDepartment of Nephrology, Internal Medicine, Saiyu Soka Hospital, Soka, Saitama, Japan.
Yuuya NakamuraDepartment of Nephrology, Internal Medicine, Saiyu Soka Hospital, Soka, Saitama, Japan.
Shigenobu SuzukiNerima Takanodai Clinic, Medical Corporation SHOWAKAI, Nerima-Ku, Tokyo, Japan.
Fukuji TakedaAnezaki Clinic, Medical Corporation SHOWAKAI, Ichihara, Chiba, Japan.
Reo KandaDepartment of Nephrology, Ikegami General Hospital, Medical Corporation SHOWAKAI, Ohta-Ku, Tokyo, Japan.
Atsuko UritaDepartment of Nephrology, Ikegami General Hospital, Medical Corporation SHOWAKAI, Ohta-Ku, Tokyo, Japan.
Yasuhiko TominoMedical Corporation, SHOWAKAI, Shinjuku-Ku, Tokyo, Japan.

Funding

JSPS KAKENHI 21K10808
6 · The paper itself

Abstract

backgroundThe ability to access health and medical information have implications for prognosis and quality of life. This study investigated the current communication environment and health literacy in chronic hemodialysis (HD) patients and their associations with patients' physical condition and clinical findings.

methodsThis was a cross-sectional, single-arm, multicenter exploratory study. Data were collected from 211 patients (64 males) undergoing chronic HD at five facilities. This included a survey of communication environments, health literacy, dialysis management information, and clinical findings.

resultsAmong the participants, 145 (68.7%) reported using the Internet. They primarily collected health-related as well as everyday life information through the Internet. Health literacy fell within the problematic range. In terms of e-Health literacy, "understanding" and "easy" showed a positive trend, while "accessing," "appraising," and "applying" were perceived as "difficult." Three groups were identified based on Internet usage: good communication environment (CE) group (134 participants), poor-CE group (56 participants), and a group that did not respond (21 participants). Grip strength, serum albumin level, and "information acquisition" were significantly lower in the poor-CE group. Health literacy increases as the duration of dialysis extends, and decreases with advancing age.

conclusionsPatients who used the Internet gained a wide range of information, including health-related information, for their daily lives. The use of ICT is lower among patients with decreased physical activity, and further investigation is desired into how actively encouraging these patients to collect health information via the Internet can enhance their health literacy.

Indexed as

CommunicationHealth Knowledge, Attitudes, PracticeHealth LiteracyRenal DialysisAdultAgedCross-Sectional StudiesFemaleHumansInternetMaleMiddle AgedHealth literacyHemodialysisICT

Identifiers

PMID39436585

What OpenQuestion holds

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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.