Evidence map›Paper›PMID 41215781›Full record

ArticleClinical kidney journal2025

Lack of physiotherapy resources restricts exercise prescription for patients with chronic kidney disease-the EUropean SUrvey on REnal EXercise (EUSUREX).

Naomi Clyne, Adamasco Cupisti, Clemens Grupp, Evangelia Kouidi, Eva Segura-Ortí, Pasquale Fabio Provenzano, Vicent Esteve-Simó, Giovanni Tripepi, Carmine Zoccali, EUSUREX Working Group

Abstract read
In one paragraph

Article in Clinical kidney journal, 2025. 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
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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.

Naomi ClyneLund University, Skåne University Hospital, Faculty of Medicine, Department of Clinical Sciences Lund, Nephrology, Lund, Sweden.ORCID https://orcid.org/0000-0001-5284-4406
Adamasco CupistiUniversity of Pisa, Department of Clinical and Experimental Medicine, Pisa, Italy.ORCID https://orcid.org/0000-0002-8995-936X
Clemens GruppGeorg-August University, Faculty of Medicine, Department of Nephrology and Rheumatology, Göttingen, Germany.ORCID https://orcid.org/0000-0003-4300-5293
Evangelia KouidiLaboratory of Sports Medicine, Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID https://orcid.org/0000-0002-5023-2542
Eva Segura-OrtíUniversidad Cardenal Herrera-CEU, CEU Universities, Department of Physiotherapy, Valencia, Spain.ORCID https://orcid.org/0000-0002-9172-042X
Pasquale Fabio ProvenzanoNational Research Council, Institute of Clinical Physiology, Reggio Calabria, Italy.
Vicent Esteve-SimóConsorci Sanitari de Terrassa, Spain.ORCID https://orcid.org/0000-0003-1842-3442
Giovanni TripepiNational Research Council, Institute of Clinical Physiology, Reggio Calabria, Italy.
Carmine ZoccaliRenal Research Institute, New York, NY, USA Institute of Molecular Biology and Genetics (Biogem), Ariano Irpino, Italy Associazione Ipertensione Nefrologia Trapianto (IPNET), c/o Nefrologia, Grande Ospedale Metropolitano, Reggio Calabria, Italy.ORCID https://orcid.org/0000-0002-6616-1996
EUSUREX Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We hypothesized that the main barriers to integrating exercise in routine care of patients with chronic kidney disease (CKD) were structural within European healthcare systems rather than due to resistance among healthcare professionals or patients. Materials and methods: This descriptive cross-sectional study used anonymized questionnaires to investigate nurses' and physicians' attitudes and practice towards exercise in patients with CKD, structural support within the healthcare system, and patients' experience of exercise prescriptions. Kidney units were randomly selected in Germany, Greece, Italy, Spain, and Sweden. Results: In total, 352 (35% male) nurses; 143 (54% male) physicians participated; 96% and 98%, respectively, believed exercise was beneficial. Of them, 59% (CI 50%-67%) prescribed exercise 'always or often' ( Conclusions: Physicians and nurses regarded exercise as important for patients with CKD. Physical performance was not assessed. Most patients had not received exercise prescriptions. All countries, except Sweden, lacked physiotherapy resources and reimbursement strategies. Healthcare systems need to recognize the beneficial effects of exercise and provide adequate resources.

Indexed as

chronic kidney diseaseexercisehealthcare systemphysiotherapysurvey

Identifiers

PMID41215781
PMCPMC12596180

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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.