Evidence mapPaperPMID 31027481Full record

SynthesisBMC nephrology2019

Self-management interventions for chronic kidney disease: a systematic review and meta-analysis.

Suyuan Peng, Jiawei He, Jiasheng Huang, Longwei Lun, Jiahao Zeng, Shan Zeng, La Zhang, Xusheng Liu, Yifan Wu

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 64 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 4 pooled it
7.5field-weighted citation impact, top 2% of its field
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.

NCT01194518 nacompletednot on this map

Exploring Life Experience and Lifestyle Intervention Program Among Patients With Chronic Kidney Disease: A Longitudinal Study

TypeinterventionalSponsorNational Cheng Kung UniversityRan2010 to 2013Enrolled120ConditionsChronic Kidney Diseases, Health Behaviors, Patient EducationArmsLifestyle counseling Program
NCT05707260 phase4completednot on this mapstarted 2022, after this paper: background citation

Effectiveness of the CDK-SMS Nursing Intervention for Adults With Chronic Kidney Disease

TypeinterventionalSponsorJudith Medellin OlayaRan2022 to 2024Enrolled120ConditionsRenal Insufficiency, ChronicArmsCKD SMS
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 4 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Pooled it
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  6. Influence of continuity of care on self-management ability and quality of life in outpatient maintenance hemodialysis patients.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2022
    Trial
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  8. Behavioural Determinants of Dietary Self-Management in Chronic Kidney Disease: A Theory-Informed Analysis to Inform Dietetic Interventions.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Review
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4 more citing papers are in PubMed but not listed here.

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

9 authors at 2 institutions in 2 countries.

Suyuan PengThe Second Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jiawei HeRenal Division, Peking University First Hospital, Beijing, China.
Jiasheng HuangThe Second Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Longwei LunNephrology Department, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jiahao ZengThe Second Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Shan ZengThe Second Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
La ZhangEBM & Clinical Research Service Group, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Xusheng LiuNephrology Department, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Yifan WuChronic Disease Management Department, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, No. 111, Dade Rd, Yuexiu District, Guangzhou, Guangdong Province, China. wuyifan007@gzucm.edu.cn.ORCID 0000-0002-8498-8436
Guangzhou University of Chinese Medicine · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-management intervention aims to facilitate an individual's ability to make lifestyle changes. The effectiveness of this intervention in non-dialysis patients with chronic kidney disease (CKD) is limited. In this study, we applied a systematic review and meta-analysis to investigate whether self-management intervention improves renoprotection for non-dialysis chronic kidney disease.

methodsWe conducted a comprehensive search for randomized controlled trials addressing our objective. We searched for studies up to May 12, 2018. Two reviewers independently evaluated study quality and extracted characteristics and outcomes among patients with CKD within the intervention phase for each trial. Meta-regression and subgroup analyses were conducted to explore heterogeneity.

resultsWe identified 19 studies with a total of 2540 CKD patients and a mean follow-up of 13.44 months. Compared with usual care, self-management intervention did not show a significant difference for risk of all-cause mortality (5 studies, 1662 participants; RR 1.13; 95% CI 0.68 to 1.86; I

conclusionsWe observed that self-management intervention was beneficial for urine protein decline, blood pressure level, exercise capacity and CRP level, compared with the standard treatment, during a follow-up of 13.44 months in patients with CKD non-dialysis. However, it did not provide additional benefits for renal outcomes and all-cause mortality.

Indexed as

Renal Insufficiency, ChronicSelf-ManagementDisease ProgressionHumansOutcome Assessment, Health CareRisk Reduction BehaviorChronic disease managementChronic kidney diseaseSelf-management

Identifiers

PMID31027481
PMCPMC6486699
OpenAlexW2941861793

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.