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Association between medical insurance type and survival in patients undergoing peritoneal dialysis

Overview of attention for article published in BMC Nephrology, March 2015
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (54th percentile)
  • Good Attention Score compared to outputs of the same age and source (66th percentile)

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Title
Association between medical insurance type and survival in patients undergoing peritoneal dialysis
Published in
BMC Nephrology, March 2015
DOI 10.1186/s12882-015-0023-7
Pubmed ID
Authors

Zengsi Wang, Yanmin Zhang, Fei Xiong, Hongbo Li, Yanqiong Ding, Yihua Gao, Li Zhao, Sheng Wan

Abstract

Socioeconomic characteristics may affect the outcomes of patients treated with peritoneal dialysis (PD). There are two major medical insurances in China: the New Cooperative Medical Scheme (NCMS), mainly for rural residents, and the Urban Employees' Medical Insurance (UEMI). The aim of the present study was to assess the effect of medical insurance type on survival of patient undergoing PD. This was a prospective study in adult patients who underwent PD at the Wuhan No.1 Hospital between January 2008 and December 2013. Patients had received continuous ambulatory PD for >3 months. Patients were divided according to their medical insurance. Demographic and socioeconomic data, biochemical parameters and primary clinical outcomes including all-cause mortality, switch to hemodialysis and kidney transplantation were analyzed. There were 415 patients with UEMI and 149 with NCMS. Compared with UEMI, patients with NCMS were younger, and had shorter dialysis duration, smaller proportion of diabetic nephropathy, more severe anemia, and more frequent hyperphosphatemia and hyperuricemia. Total Kt/V, creatinine clearance and residual renal function were not different. There was no difference in technique survival (P > 0.05) between the two groups, but rural patients showed lower overall survival (P < 0.05). Multivariate analysis showed that NCMS was independently associated with lower survival (RR = 1.49; 95% CI = 1.04-2.15). Medical insurance model is independently associated with PD patient survival.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 3%
Unknown 29 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 4 13%
Researcher 4 13%
Other 3 10%
Student > Doctoral Student 3 10%
Student > Ph. D. Student 3 10%
Other 5 17%
Unknown 8 27%
Readers by discipline Count As %
Medicine and Dentistry 10 33%
Nursing and Health Professions 6 20%
Psychology 3 10%
Social Sciences 2 7%
Biochemistry, Genetics and Molecular Biology 1 3%
Other 0 0%
Unknown 8 27%
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 08 April 2015.
All research outputs
#12,859,012
of 22,796,179 outputs
Outputs from BMC Nephrology
#937
of 2,465 outputs
Outputs of similar age
#119,087
of 262,851 outputs
Outputs of similar age from BMC Nephrology
#19
of 57 outputs
Altmetric has tracked 22,796,179 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,465 research outputs from this source. They receive a mean Attention Score of 4.7. This one has gotten more attention than average, scoring higher than 61% of its peers.
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 262,851 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.
We're also able to compare this research output to 57 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 66% of its contemporaries.