Self-rated health, quality of life and appetite as predictors of initiation of dialysis and mortality in patients with chronic kidney disease stages 4–5: a prospective cohort study

Grove, Birgith Engelst; Schougaard, Liv Marit Valen; Hjøllund, Niels Henrik; Ivarsen, Per

doi:10.1186/s13104-018-3472-9

Cited by 19 publications

(19 citation statements)

References 23 publications

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“…An automated threshold mechanism can be activated to identify patients needing clinical attention based on individual responses and symptom severity. [23][24][25] The acceptability and usability of AmbuFlex in the clinical setting is deemed high by both nurses and physician. 22 25 26 Study design This feasibility study covers the first three phases of a complex intervention designed according to the Medical Research Council's (MRC) guidelines 27 : phase 1, development of the intervention; phase 2, feasibility testing and phase 3, evaluation.…”

Section: Study Populationmentioning

confidence: 99%

Electronic symptom monitoring in patients with metastatic lung cancer: a feasibility study

et al. 2020

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ObjectivesTo design an electronic questionnaire for symptom monitoring and to evaluate the feasibility, usability and acceptability when applied to patients with metastatic lung cancer.SettingSingle-centre feasibility study.ParticipantsPatients with stage IV lung cancer in antineoplastic treatment.InterventionsThis study describes the first three phases of a complex intervention design: phase 1, development of the intervention; phase 2, feasibility testing and phase 3, evaluation of the intervention. In phase 1, items were selected for the questionnaire and adjusted following patient interviews. In phase 2, patients completed the electronic questionnaire weekly during a 3-week feasibility test. In case of symptom deterioration, a nurse was notified with the aim to contact the patient. In phase 3, patients evaluated phase 2 by paper questionnaires, and interviews were conducted with the participating nurses.Primary outcome measuresThe study outcomes: phase 1, usability and relevance; phase 2, recruitment rate, compliance and threshold functionality and phase 3, usability, acceptability and relevance.ResultsIn phase 1, a questionnaire was designed and reviewed by patients (n=8). The interviews revealed high usability and relevance of the intervention.For phases 2 and 3, 20 of 29 approached patients (69%) responded to the questionnaire on a weekly basis. Two patients did not complete any questionnaires (compliance 90%). The remaining 18 patients completed 65 of a total of 72 possible questionnaires (7 missed, 93% completed). Reported symptoms led to a phone call from a nurse in 30% of the responses.The patients reported high usability and acceptability of questionnaire and software. The substance of the telephonic conversations was relevant, and the study set-up was logistically acceptable.ConclusionsAn electronic questionnaire designed for symptom monitoring revealed high usability, acceptability and relevance in the target population. In conclusion, the study set-up was considered feasible for a randomised controlled trial.Trial registration numberNCT03529851.

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Section: Study Populationmentioning

confidence: 99%

Electronic symptom monitoring in patients with metastatic lung cancer: a feasibility study

et al. 2020

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“…Self-rated health (SRH) is a widely accepted indicator of overall health. Poor SRH predicts risk of mortality [1,2,3,4,5,6,7,8,9] in both community [10] and clinical [11] settings. For both the general population [10] and patients with a chronic disease [12], SRH reflects long-term risk of mortality.…”

Section: Introductionmentioning

confidence: 99%

“…Although SRH is known to be a valid health measure [1,2,3,4,5,6,7,8,9], SRH may not reflect the same aspects of health across populations distinguished by race, ethnicity, and gender [39]. Although SRH is efficient, cost effective, and time saving [40], poor SRH may not have the same meaning for men as for women [41].…”

Section: Introductionmentioning

confidence: 99%

Depression Fully Mediates the Effect of Multimorbidity on Self-Rated Health for Economically Disadvantaged African American Men but Not Women

Assari

Smith

Bazargan

2019

IJERPH

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Background. Although chronic medical conditions (CMCs), depression, and self-rated health (SRH) are associated, their associations may depend on race, ethnicity, gender, and their intersections. In predominantly White samples, SRH is shown to better reflect the risk of mortality and multimorbidity for men than it is for women, which suggests that poor SRH among women may be caused not only by CMCs, but also by conditions like depression and social relations—a phenomenon known as “the sponge hypothesis.” However, little is known about gender differences in the links between multimorbidity, depression, and SRH among African Americans (AAs). Objective. To study whether depression differently mediates the association between multimorbidity and SRH for economically disadvantaged AA men and women. Methods. This survey was conducted in South Los Angeles between 2015 to 2018. A total number of 740 AA older adults (age ≥ 55 years) were enrolled in this study, of which 266 were AA men and 474 were AA women. The independent variable was the number of CMCs. The dependent variable was SRH. Age and socioeconomic status (educational attainment and marital status) were covariates. Depression was the mediator. Gender was the moderator. Structural Equation Modeling (SEM) was used to analyze the data. Results. In the pooled sample that included both genders, depression partially mediated the effect of multimorbidity on SRH. In gender specific models, depression fully mediated the effects of multimorbidity on SRH for AA men but not AA women. For AA women but not AA men, social isolation was associated with depression. Conclusion. Gender differences exist in the role of depression as an underlying mechanism behind the effect of multimorbidity on the SRH of economically disadvantaged AA older adults. For AA men, depression may be the reason people with multimorbidity report worse SRH. For AA women, depression is only one of the many reasons individuals with multiple CMCs report poor SRH. Prevention of depression may differently influence the SRH of low-income AA men and women with multimorbidity.

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“…Studies such as National Health and Nutrition Examination Survey, 1 Health and Retirement Study 2 , and the Panel Study of Income Dynamics 3 in the United States have used SRH to track the health and wellness of various populations. A growing literature has discovered that poor SRH is a reliable and valid health indicator, [4][5][6][7] both in community 1 and clinical 8,9 settings. This pattern has also been witnessed in multiple prominent cohort and surveys in Europe, 10 Latin America, 11 and Asia.…”

Section: Introductionmentioning

confidence: 99%

Investigation of the Predictors of Self-rated Health of Economically Disadvantaged African American Men and Women: Evidence for Sponge Hypothesis

Cobb

Assari

2020

Int J Epidemiol Res

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Background and aims: According to the sponge hypothesis, compared to men’s self-rated health (SRH), women’s SRH is more likely to reflect conditions other than chronic medical conditions (CMCs) such as psychiatric disorders (PDs). As a result, poor SRH is a weaker predictive factor for mortality risk for women than men. Most of this literature, however, is done in samples that are predominantly middleclass White. To test the sponge hypothesis among economically disadvantaged African Americans (AAs), this study compared low-income AA men and women for the effects of the number of PDs and CMCs on SRH. Materials and Methods: This cross-sectional study recruited a non-random sample (n=150) of economically disadvantaged AA adults with PD(s). Structured face-to-face interviews were used to collect data. SRH was measured using a single-item measure. PDs and CMCs were also self-reported. We applied linear regression models to test the interactions between SRH and the number of PDs and CMC as well as gender. Results: The number of PDs and CMCs were associated with SRH in the pooled sample of low-income AA adults with PD(s). However, we found a significant interaction between the number of PDs and gender. This interaction suggested a stronger association between PDs and SRH for AA women than AA men. Gender did not alter the association between the number of CMCs and SRH. Conclusion: The number of PDs is a determinant of SRH for low-income AA women but not AA men, supporting the sponge hypothesis.

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Self-rated health, quality of life and appetite as predictors of initiation of dialysis and mortality in patients with chronic kidney disease stages 4–5: a prospective cohort study

Cited by 19 publications

References 23 publications

Electronic symptom monitoring in patients with metastatic lung cancer: a feasibility study

Electronic symptom monitoring in patients with metastatic lung cancer: a feasibility study

Depression Fully Mediates the Effect of Multimorbidity on Self-Rated Health for Economically Disadvantaged African American Men but Not Women

Investigation of the Predictors of Self-rated Health of Economically Disadvantaged African American Men and Women: Evidence for Sponge Hypothesis

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