Social Support and Chronic Kidney Disease: An Update

Cohen, Scott; Sharma, Tushar; Acquaviva, Kimberly; Peterson, Rolf A.; Patel, Samir S.; Kimmel, Paul L.

doi:10.1053/j.ackd.2007.04.007

Cited by 164 publications

(152 citation statements)

References 66 publications

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“…This relationship was shown in previous studies of patients with a variety of chronic medical illnesses (25)(26)(27)(28)(29)(30)(31); however, there has been limited information regarding the relationship between social support and survival in patients with ESRD (26,(31)(32)(33)(34). In adjusted analyses, we found that dialysis patients with higher MSP scores survived longer than those with lower perceived social support levels.…”

Section: Discussionsupporting

confidence: 54%

“…Recently, we summarized studies that linked psychosocial factors to stressors (31,42), which may activate immune and inflammatory responses that are associated with enhancing the susceptibility to infection or the development of atherosclerosis (42,43). Unfortunately, we do not have information regarding these mediators or the causes of death in the patients in this relatively small pilot study.…”

Section: Discussionmentioning

confidence: 79%

“…Social support may improve patient outcomes through at least five mechanisms in patients with chronic disease, including increased access to health care, increased compliance with physician prescriptions, improvements in nutritional status and overall sense of quality of life, modulation of the immune system, and a decrease in depressive affect (26,31). The correlation coefficient between the religious variables and the social support scores was associated with statistical significance but indicates a modest relationship among these variables.…”

Section: Discussionmentioning

confidence: 90%

“…In adjusted analyses, we found that dialysis patients with higher MSP scores survived longer than those with lower perceived social support levels. Previously, we showed that a 1-SD increase in perceived social support among hemodialysis patients was associated with a 20% decrease in mortality (26,31,35).…”

Section: Discussionmentioning

confidence: 99%

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Spirituality, Social Support, and Survival in Hemodialysis Patients

Spinale

Cohen

Khetpal

et al. 2008

Clinical Journal of the American Society of Nephrology

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Background and objectives:No studies have evaluated the relationship among spirituality, social support, and survival in patients with ESRD. This study assessed whether spirituality was an independent predictor of survival in dialysis patients with ESRD after controlling for age, diabetes, albumin, and social support.Design, setting, participants, & measurements: A total of 166 patients who had ESRD and were treated with hemodialysis completed questionnaires on psychosocial variables, quality of life, and religious and spiritual beliefs. The religious variables were categorized into three scores on a 0 to 20 scale (low to high levels): Spirituality, religious involvement, and religion as coping. Social support was assessed using the Multidimensional Scale for Perceived Social Support. Analyses were also performed including and excluding patients with HIV infection. Religious variables were categorized on the basis of means, medians, and tertiles.Results: In analyses that used religious variables, only the responses on the spirituality scale split at the mean were associated with survival. The association of other religious variables with survival did not reach significance. Social support correlated with spirituality, religion as coping, and religious involvement measures. Only social support and age were associated with survival when controlling for diabetes, albumin concentration, HIV infection, and spirituality.Conclusions: These data suggest that the effects of spirituality may be mediated by social support. Larger, multicenter, prospective studies that use well-validated tools to measure religiosity and spirituality are needed to determine whether there is an independent association of spirituality variables with survival in patients with ESRD.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Spirituality, Social Support, and Survival in Hemodialysis Patients

Spinale

Cohen

Khetpal

et al. 2008

Clinical Journal of the American Society of Nephrology

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“…Psychosocial parameters are acknowledged to be important in decisions to withdraw from dialysis (24,25), and these have the potential to be modified (7). Social support may be important in mediating outcomes, including withdrawal decisions and improved survival (26). Nephrologists may be an important source of social support for dialysis patients, with effects perhaps more influential than those elicited by the more ubiquitously present dialysis nursing and technical staff (27).…”

mentioning

confidence: 99%

Education and End of Life in Chronic Kidney Disease

Cukor¹,

Kimmel²

2010

Clinical Journal of the American Society of Nephrology

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Assessment of Modifiable Factors for the Association of Marital Status With Cancer-Specific Survival

et al. 2021

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Key Points Question What are the associations of cancer stage at time of diagnosis, treatment, and marital status with cancer-specific survival? Findings This cohort study of 1.7 million adults with cancer found that stage at diagnosis mediated the association of marriage with cancer-specific survival in breast, colorectal, and endometrial cancers as well as melanoma; receiving surgery mediated the association in lung, pancreatic, and prostate cancers; and receiving chemotherapy mediated the association in lung and pancreatic cancers. Meaning These findings suggest that promoting the early diagnosis of breast, colorectal, and endometrial cancers and melanoma and providing definitive treatment for lung, pancreatic, and prostate cancers could improve cancer-specific survival among unmarried patients with cancer.

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Social Support and Chronic Kidney Disease: An Update

Cited by 164 publications

References 66 publications

Spirituality, Social Support, and Survival in Hemodialysis Patients

Spirituality, Social Support, and Survival in Hemodialysis Patients

Education and End of Life in Chronic Kidney Disease

Assessment of Modifiable Factors for the Association of Marital Status With Cancer-Specific Survival

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