Evidence map›Paper›PMID 39487949›Full record

ArticleJournal of nephrology2024

Premature mortality and disparities in kidney healthcare for people with chronic kidney disease and severe mental health difficulties.

Clodagh Cogley, Mimi Smith-Jones, Elizabeth R Ralston, Jessica Bramham, Joseph Chilcot, Paul D'Alton, Claire Carswell, Chun Chiang Sin Fai Lam, Ashutosh Ratnam, Mohammad Al-Agil and 3 more

Abstract read
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In one paragraph

Article in Journal of 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. Mental health and kidney disease.Nature reviews. Nephrology · 2026
    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

13 authors.

Clodagh CogleySchool of Psychology, University College Dublin, Newman Building, Dublin 4, Ireland.ORCID 0000-0003-1801-6230
Mimi Smith-JonesDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Elizabeth R RalstonDepartment of Women and Children's Health, King's College London, London, UK.
Jessica BramhamSchool of Psychology, University College Dublin, Newman Building, Dublin 4, Ireland.
Joseph ChilcotDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Paul D'AltonSchool of Psychology, University College Dublin, Newman Building, Dublin 4, Ireland.
Claire CarswellDepartment of Health Sciences, University of York, Heslington, York, UK. claire.carswell@york.ac.uk.
Chun Chiang Sin Fai LamKing's College Hospital NHS Trust, London, UK.
Ashutosh RatnamKing's College Hospital NHS Trust, London, UK.
Mohammad Al-AgilKing's College Hospital NHS Trust, London, UK.
Hugh CairnsKing's College Hospital NHS Trust, London, UK.
Kufreabasi Imo EtukKing's College Hospital NHS Trust, London, UK.
Kate BramhamDepartment of Women and Children's Health, King's College London, London, UK.

Funding

Irish Research Council (IE) GOIPG/2021/474
6 · The paper itself

Abstract

backgroundPeople with severe mental health difficulties, including schizophrenia, bipolar disorder and psychosis, have higher risk of chronic kidney disease (CKD). Little was known regarding clinical outcomes and utilisation of kidney care for people with CKD and severe mental health difficulties.

methodsWe conducted a retrospective cohort analysis of individuals with CKD attending a tertiary renal unit in London, between 2006 and 2019. Individuals with severe mental health difficulty diagnoses were identified, and differences between those with and without severe mental health difficulties were analysed.

resultsOf the 5105 individuals with CKD, 112 (2.2%) had a recorded severe mental health difficulty diagnosis. The mean lifespan of those with severe mental health difficulties was 13.1 years shorter than those without severe mental health difficulties, t(1269) = 5.752, p < 0.001. People with severe mental health difficulties had more advanced CKD at their first nephrology appointment. There were no statistically significant differences between groups in the rates of kidney failure, age at onset of kidney failure, or time elapsed between first appointment and death/kidney failure. The number of inpatient admissions was similar between groups, but those with severe mental health difficulties had higher rates of emergency and ICU admissions. Among individuals on renal replacement therapy (RRT), those with severe mental health difficulties were less likely to receive a kidney transplant and peritoneal dialysis. For patients receiving haemodialysis, those with severe mental health difficulties had a higher proportion of shortened sessions, greater mean weight loss during sessions, and a higher proportion of serum potassium and phosphate levels outside normal ranges.

conclusionsFindings illustrate a number of disparities in kidney healthcare between people with and without severe mental health difficulties, underscoring the need for interventions which prevent premature mortality and improve kidney care for this population.

Indexed as

Healthcare DisparitiesMortality, PrematureRenal Insufficiency, ChronicAdultAgedFemaleHumansKidney TransplantationLondonMaleMental DisordersMiddle AgedRenal Replacement TherapyRetrospective StudiesHealthcare accessKidney diseaseMental healthSevere mental illness

Identifiers

PMID39487949
PMCPMC11663822

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LicenceCC BY
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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.