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Predictors of patient self-report of chronic kidney disease: baseline analysis of a randomised controlled trial

Overview of attention for article published in BMC Primary Care, November 2014
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Title
Predictors of patient self-report of chronic kidney disease: baseline analysis of a randomised controlled trial
Published in
BMC Primary Care, November 2014
DOI 10.1186/s12875-014-0196-3
Pubmed ID
Authors

Hannah Gaffney, Thomas Blakeman, Christian Blickem, Anne Kennedy, David Reeves, Shoba Dawson, Rahena Mossabir, Peter Bower, Caroline Gardner, Victoria Lee, Anne Rogers

Abstract

BackgroundImproving the quality of care for patients with vascular disease is a priority. Clinical guidance has emphasised the importance of early identification and active management of chronic kidney disease (CKD) in primary care in order to maintain vascular health. However, awareness of stage 3 CKD amongst patients remains limited. We aimed to identify predictors of patient self-report of CKD to inform tailoring of conversations around CKD in primary care for diverse patient populations.MethodsWe conducted a cross-sectional analysis of baseline data from 436 patients with stage 3 CKD from 24 GP practices taking part in a randomised controlled trial (RCT) evaluating a complex self-management intervention, which aimed to support the maintenance of vascular health in patients with stage 3 CKD. Potential predictors of patient self-report of CKD included demographics, stage of CKD, cardiovascular risk, self-reported co-morbidities, health status, self-management ability, and health service utilisation.ResultsAround half (52%, n =227) of patients did not self-report CKD. Self-report rates did not appreciably differ by practice. Multivariate analysis revealed that female patients (p¿=¿0.003), and patients with stage 3b CKD (p¿<¿0.001), and with higher anxiety levels (p¿<¿0.001), were more likely to self-report CKD.ConclusionsSelf-report of kidney problems by patients on CKD registers was variable and patterned by sociodemographic factors. Although it cannot be assumed that failure to self-report indicates a lack of awareness of CKD, our data do suggest the need for greater consistency in discussions around kidney health, with meaningful and relevant clinical dialogue that is aligned with existing clinical encounters to enable shared decision making and minimise anxiety.

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 65 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 65 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 23%
Student > Ph. D. Student 13 20%
Researcher 6 9%
Lecturer 5 8%
Student > Bachelor 4 6%
Other 14 22%
Unknown 8 12%
Readers by discipline Count As %
Medicine and Dentistry 16 25%
Nursing and Health Professions 12 18%
Psychology 5 8%
Social Sciences 5 8%
Unspecified 3 5%
Other 12 18%
Unknown 12 18%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 December 2014.
All research outputs
#14,783,688
of 25,374,647 outputs
Outputs from BMC Primary Care
#1,301
of 2,359 outputs
Outputs of similar age
#187,350
of 369,509 outputs
Outputs of similar age from BMC Primary Care
#16
of 33 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,359 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 369,509 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 33 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.