{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:12:37Z","timestamp":1787163157261,"version":"build-2736575974"},"reference-count":64,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Kidney Inequalities: Needs, Data, Experiences, Response","award":["HIPS\/23\/17"],"award-info":[{"award-number":["HIPS\/23\/17"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Existing population research has evaluated inequities in health outcomes for people in deprived communities who have early kidney disease, but not the differences in their self-reported overall health and ability to manage daily life activities when they first present, or the additional burden for people of working age. Using their responses to the national Census in Scotland, we studied the self-reported overall health and impact on day-to-day life of people in deprived and affluent households who newly presented with evidence of kidney disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Of 458\u2009897 adult North Scotland residents, we included all 24\u2009775 individuals who presented with new onset kidney disease (eGFR &amp;lt;60\u00a0ml\/min\/1.72 m2) in 2011\u20132014. We measured deprivation based on household (Census) and resident neighbourhood (index of multiple deprivation). We fitted proportional odds regression models that accounted for age, sex, comorbidities, and additional impairments (e.g. vision, hearing, learning difficulties). We further adjusted for self-reported mental health and living alone as potential mediators, and tested for interactions with working age (18\u201365 years), sex, and mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 24\u2009775 people newly presenting with kidney disease, already 11\u2009115 (45%) reported limitations in their daily lives. People in the most deprived (vs least) neighbourhoods and households experienced 2-fold greater odds of worse self-reported health (adjusted odds ratio, OR 2.05, 1.81\u20132.32 neighbourhood; OR 1.93, 1.64\u20132.26 household); and greater limitation in day-to-day activities (OR 1.70, 1.49\u20131.95 neighbourhood; OR 1.65, 1.39\u20131.96 household). This pattern of inequity was even more pronounced (3-fold) among those of working age (interaction P\u00a0&amp;lt;\u00a0.0001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The association of deprivation with health and daily life represents an additional dimension of health inequity that is substantial, and evident from the earliest stages for people with kidney disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ckj\/sfaf397","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T13:01:55Z","timestamp":1765976515000},"source":"Crossref","is-referenced-by-count":2,"title":["Deprivation and limitations in daily life in new onset kidney disease: a population study"],"prefix":"10.1093","volume":"19","author":[{"given":"Eilidh","family":"Cowan","sequence":"first","affiliation":[{"name":"Aberdeen Centre for Health Data Science, University of Aberdeen , Aberdeen ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samira","family":"Bell","sequence":"additional","affiliation":[{"name":"Division of Population Health and Genomics, School of Medicine, University of Dundee , Dundee ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corri","family":"Black","sequence":"additional","affiliation":[{"name":"Renal Unit, Aberdeen Royal Infirmary, NHS Grampian , Aberdeen ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Blakeman","sequence":"additional","affiliation":[{"name":"Centre for Primary Care, Institute of Population Health, University of Manchester , Manchester ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4172-4406","authenticated-orcid":false,"given":"Simon","family":"Fraser","sequence":"additional","affiliation":[{"name":"School of Primary Care, Population Sciences and Medical Education, University of Southampton , Southampton ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Hughes","sequence":"additional","affiliation":[{"name":"Grampian Kidney Patient Association , Aberdeen ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Buse","family":"Keskindag","sequence":"additional","affiliation":[{"name":"Aberdeen Centre for Evaluation, University of Aberdeen , Aberdeen ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shona","family":"Methven","sequence":"additional","affiliation":[{"name":"Renal Unit, Aberdeen Royal Infirmary, NHS Grampian , Aberdeen ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mintu","family":"Nath","sequence":"additional","affiliation":[{"name":"Aberdeen Centre for Health Data Science, University of Aberdeen , Aberdeen ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5767-248X","authenticated-orcid":false,"given":"Dorothea","family":"Nitsch","sequence":"additional","affiliation":[{"name":"UK Kidney Association , Bristol ,","place":["UK"]},{"name":"Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Rzewuska Diaz","sequence":"additional","affiliation":[{"name":"Aberdeen Centre for Evaluation, University of Aberdeen , Aberdeen ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8260-0453","authenticated-orcid":false,"given":"Nicole","family":"Scholes-Robertson","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, University of Sydney , Sydney ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Sawhney","sequence":"additional","affiliation":[{"name":"Aberdeen Centre for Health Data Science, University of Aberdeen , Aberdeen ,","place":["UK"]},{"name":"Renal Unit, Aberdeen Royal Infirmary, NHS Grampian , Aberdeen ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"2026012303282019600_bib1","article-title":"Chronic Kidney Disease: Assessment and Management","author":"National Institute for Health and Care Excellence","year":"2021"},{"key":"2026012303282019600_bib2","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.socscimed.2015.02.035","article-title":"Non-disclosure of chronic kidney disease in primary care and the limits of instrumental rationality in chronic illness self-management","volume":"131","author":"Daker-White","year":"2015","journal-title":"Soc Sci Med"},{"key":"2026012303282019600_bib3","article-title":"Chronic kidney disease.","author":"NHS England"},{"key":"2026012303282019600_bib4","article-title":"10 signs you may have kidney disease","author":"Kidney Care UK"},{"key":"2026012303282019600_bib5","doi-asserted-by":"publisher","first-page":"e040286","DOI":"10.1136\/bmjopen-2020-040286","article-title":"Health-related quality of life, functional impairment and comorbidity in people with mild-to-moderate chronic kidney disease: a cross-sectional study","volume":"10","author":"Fraser","year":"2020","journal-title":"BMJ Open"},{"key":"2026012303282019600_bib6","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1186\/s12882-022-02826-3","article-title":"Understanding the patient experience of chronic kidney disease stages 2-3b: a qualitative interview study with kidney disease quality of life (KDQOL-36) debrief","volume":"23","author":"Ryden","year":"2022","journal-title":"BMC Nephrol"},{"key":"2026012303282019600_bib7","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1186\/s12882-021-02355-5","article-title":"Differences in physical symptoms between those with and without kidney disease: a comparative study across disease stages in a UK population","volume":"22","author":"Wilkinson","year":"2021","journal-title":"BMC Nephrol"},{"key":"2026012303282019600_bib8","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1093\/ckj\/sfx057","article-title":"Symptom burden in patients with chronic kidney disease not requiring renal replacement therapy","volume":"10","author":"Brown","year":"2017","journal-title":"Clin Kidney J"},{"key":"2026012303282019600_bib9","doi-asserted-by":"publisher","first-page":"656","DOI":"10.1053\/j.ajkd.2017.05.019","article-title":"Patients' experiences after CKD diagnosis: a meta-ethnographic study and systematic review","volume":"70","author":"Teasdale","year":"2017","journal-title":"Am J Kidney Dis"},{"key":"2026012303282019600_bib10","doi-asserted-by":"publisher","first-page":"1228","DOI":"10.1016\/j.pec.2019.02.023","article-title":"Development of the concept of patient-centredness\u2014a systematic review","volume":"102","author":"Langberg","year":"2019","journal-title":"Patient Educ Couns"},{"key":"2026012303282019600_bib11","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1038\/s41581-023-00745-6","article-title":"Inequities in kidney health and kidney care","volume":"19","author":"Vanholder","year":"2023","journal-title":"Nat Rev Nephrol"},{"key":"2026012303282019600_bib12","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1053\/j.ajkd.2006.02.179","article-title":"The association of poverty with the prevalence of albuminuria: data from the third national health and nutrition examination survey (NHANES III)","volume":"47","author":"Martins","year":"2006","journal-title":"Am J Kidney Dis"},{"key":"2026012303282019600_bib13","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1001\/archinte.161.9.1207","article-title":"Prevalence of high blood pressure and elevated serum creatinine level in the united states: findings from the third national health and nutrition examination survey (1988-1994)","volume":"161","author":"Coresh","year":"2001","journal-title":"Arch Intern Med"},{"key":"2026012303282019600_bib14","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1016\/j.kint.2024.07.021","article-title":"Individual and neighborhood-level social and deprivation factors impact kidney health in the GLOMMS-CORE study","volume":"106","author":"Sawhney","year":"2024","journal-title":"Kidney Int"},{"key":"2026012303282019600_bib15","doi-asserted-by":"publisher","first-page":"1170","DOI":"10.1093\/ndt\/gfac224","article-title":"Care processes and outcomes of deprivation across the clinical course of kidney disease: findings from a high-income country with universal healthcare","volume":"38","author":"Sawhney","year":"2023","journal-title":"Nephrol Dial Transplant"},{"key":"2026012303282019600_bib16","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1053\/j.ajkd.2021.12.008","article-title":"The relationship between neighborhood disadvantage and kidney disease progression in the chronic kidney disease in children (CKiD) cohort","volume":"80","author":"Boynton","year":"2022","journal-title":"Am J Kidney Dis"},{"key":"2026012303282019600_bib17","doi-asserted-by":"publisher","first-page":"1311","DOI":"10.1016\/j.socscimed.2008.06.007","article-title":"Kidney disease and the cumulative burden of life course socioeconomic conditions: the atherosclerosis risk in communities (ARIC) study","volume":"67","author":"Shoham","year":"2008","journal-title":"Soc Sci Med"},{"key":"2026012303282019600_bib18","doi-asserted-by":"publisher","first-page":"1685","DOI":"10.2215\/CJN.12521212","article-title":"Socioeconomic measures and CKD in the United States and the Netherlands","volume":"8","author":"Vart","year":"2013","journal-title":"Clin J Am Soc Nephrol"},{"key":"2026012303282019600_bib19","doi-asserted-by":"publisher","first-page":"A6","DOI":"10.1053\/j.ajkd.2019.09.003","article-title":"US Renal Data System 2019 Annual Data Report: epidemiology of kidney disease in the United States","volume":"75","author":"Saran","year":"2020","journal-title":"Am J Kidney Dis"},{"key":"2026012303282019600_bib20","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1093\/ckj\/sfz113","article-title":"The association of socioeconomic status with incidence and outcomes of acute kidney injury","volume":"13","author":"Hounkpatin","year":"2020","journal-title":"Clin Kidney J"},{"key":"2026012303282019600_bib21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12882-020-01852-3","article-title":"Ethnic minority disparities in progression and mortality of pre-dialysis chronic kidney disease: a systematic scoping review","volume":"21","author":"Hounkpatin","year":"2020","journal-title":"BMC Nephrol"},{"key":"2026012303282019600_bib22","doi-asserted-by":"publisher","first-page":"830","DOI":"10.2215\/CJN.11460919","article-title":"Inequity in access to transplantation in the united kingdom","volume":"15","author":"Pruthi","year":"2020","journal-title":"Clin J Am Soc N"},{"key":"2026012303282019600_bib23","doi-asserted-by":"publisher","first-page":"890","DOI":"10.1093\/ndt\/gfx036","article-title":"Barriers to living donor kidney transplantation in the united kingdom: a national observational study","volume":"32","author":"Wu","year":"2017","journal-title":"Nephrol Dial Transplant"},{"key":"2026012303282019600_bib24","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1245\/s10434-022-12506-z","article-title":"Area deprivation index is associated with variation in quality of life and psychosocial well-being following breast cancer surgery","volume":"30","author":"Hassan","year":"2023","journal-title":"Ann Surg Oncol"},{"key":"2026012303282019600_bib25","doi-asserted-by":"publisher","first-page":"101830","DOI":"10.1016\/j.canep.2020.101830","article-title":"Influence of deprivation and rurality on patient-reported outcomes of men living with and beyond prostate cancer diagnosis in the UK: a population-based study","volume":"69","author":"Smith","year":"2020","journal-title":"Cancer Epidemiol"},{"key":"2026012303282019600_bib26","doi-asserted-by":"publisher","first-page":"101475","DOI":"10.1016\/j.ssmph.2023.101475","article-title":"Distinct moderating pathways for psychosocial risk and resilience in the association of neighborhood disadvantage with incident heart failure among black persons","volume":"24","author":"Bey","year":"2023","journal-title":"SSM\u2014Population Health"},{"key":"2026012303282019600_bib27","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1080\/09638288.2020.1783375","article-title":"Social environment and quality of life among older people with diabetes and multiple chronic illnesses in new zealand: intermediary effects of psychosocial support and constraints","volume":"44","author":"Yeung","year":"2022","journal-title":"Disabil Rehabil"},{"key":"2026012303282019600_bib28","doi-asserted-by":"crossref","DOI":"10.1053\/j.ajkd.2024.10.013","article-title":"A core outcome set for trials in CKD: report of the standardized outcomes in nephrology-chronic kidney disease (SONG-CKD) stakeholder workshops","author":"Matus Gonzalez","year":"2025","journal-title":"Am J Kidney Dis"},{"key":"2026012303282019600_bib29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.12968\/hmed.2020.0069","article-title":"Helping people to live well with chronic kidney disease","volume":"81","author":"Fraser","year":"2020","journal-title":"Br J Hosp Med"},{"key":"2026012303282019600_bib30","doi-asserted-by":"publisher","first-page":"356","DOI":"10.3399\/bjgp18X697997","article-title":"The national CKD audit: a primary care condition that deserves more attention","volume":"68","author":"Hull","year":"2018","journal-title":"Br J Gen Pract"},{"key":"2026012303282019600_bib31","article-title":"life expectancy in Scotland 2019\u20132021","author":"National Records of Scotland"},{"key":"2026012303282019600_bib32","article-title":"life expectancy in scotland 2020\u20132022 provisional figures","author":"National Records of Scotland"},{"key":"2026012303282019600_bib33","article-title":"Scotland\u2019s Census 2011 paper questionnaire","author":"Scottish Government","year":"2021"},{"key":"2026012303282019600_bib34","article-title":"The National Statistics Socio-Economic Classification (NS-SEC)","author":"Office for National Statistics","year":"2024"},{"key":"2026012303282019600_bib35","article-title":"Scottish Index of Multiple Deprivation 2016: introductory booklet, 2016","author":"Scottish Government"},{"key":"2026012303282019600_bib36","article-title":"Scotland\u2019s Census. At a glance, health","author":"Public Health Scotland","year":"2025"},{"key":"2026012303282019600_bib37","article-title":"Scotland\u2019s Census: metadata A to Z","author":"Scottish Government","year":"2021"},{"key":"2026012303282019600_bib38","article-title":"Scottish Government Urban Rural Classification 2016","author":"Scottish Government","year":"2018"},{"key":"2026012303282019600_bib39","article-title":"MASS: support functions and datasets for Venables and Ripley\u2019s MASS. R package version 7.3-61","author":"Ripley","year":"2024"},{"key":"2026012303282019600_bib40","doi-asserted-by":"publisher","first-page":"324","DOI":"10.3109\/15412555.2012.744963","article-title":"Impact of co-morbidities on self-rated health in self-reported COPD: an analysis of NHANES 2001-2008","volume":"10","author":"Putcha","year":"2013","journal-title":"COPD: J Chron Obstruct Pulm Dis"},{"key":"2026012303282019600_bib41","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1177\/1536867X0600600104","article-title":"Generalized ordered logit\/partial proportional odds models for ordinal dependent variables","volume":"6","author":"Williams","year":"2006","journal-title":"Stata J"},{"key":"2026012303282019600_bib42","doi-asserted-by":"publisher","first-page":"1171","DOI":"10.2307\/2532457","article-title":"Assessing proportionality in the proportional odds model for ordinal logistic regression","volume":"46","author":"Brant","year":"1990","journal-title":"Biometrics"},{"key":"2026012303282019600_bib43","doi-asserted-by":"publisher","first-page":"4639","DOI":"10.3390\/jcm10204639","article-title":"Chronic kidney disease on health-related quality of life in patients with diabetes mellitus: a national representative study","volume":"10","author":"Hong","year":"2021","journal-title":"J Clin Med"},{"key":"2026012303282019600_bib44","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.2215\/CJN.05541008","article-title":"Health-related quality of life in CKD patients: correlates and evolution over time","volume":"4","author":"Mujais","year":"2009","journal-title":"Clin J Am Soc Nephrol"},{"key":"2026012303282019600_bib45","doi-asserted-by":"publisher","first-page":"2264","DOI":"10.1016\/j.ekir.2020.09.028","article-title":"Health-related quality of life in people across the spectrum of CKD","volume":"5","author":"Krishnan","year":"2020","journal-title":"Kidney Int Rep"},{"key":"2026012303282019600_bib46","doi-asserted-by":"publisher","first-page":"e1003954","DOI":"10.1371\/journal.pmed.1003954","article-title":"Symptom burden and health-related quality of life in chronic kidney disease: a global systematic review and meta-analysis","volume":"19","author":"Fletcher","year":"2022","journal-title":"PLoS Med"},{"key":"2026012303282019600_bib47","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1186\/s12882-022-02679-w","article-title":"Patient activation and its association with symptom burden and quality of life across the spectrum of chronic kidney disease stages in England","volume":"23","author":"Magadi","year":"2022","journal-title":"BMC Nephrol"},{"key":"2026012303282019600_bib48","doi-asserted-by":"publisher","first-page":"1786","DOI":"10.1038\/s41598-023-28150-w","article-title":"Rapid decline in kidney function is associated with rapid deterioration of health-related quality of life in chronic kidney disease","volume":"13","author":"Kim","year":"2023","journal-title":"Sci Rep"},{"key":"2026012303282019600_bib49","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1053\/j.jrn.2023.10.001","article-title":"Health-related quality of life in 10 years long-term survivors of chronic kidney disease: a From-J study","volume":"34","author":"Okubo","year":"2024","journal-title":"J Ren Nutr"},{"key":"2026012303282019600_bib50","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1016\/j.kint.2022.09.026","article-title":"Longitudinal assessment of the health-related quality of life of children and adolescents with chronic kidney disease","volume":"103","author":"Guha","year":"2023","journal-title":"Kidney Int"},{"key":"2026012303282019600_bib51","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1097\/MNH.0000000000001013","article-title":"Quality of life in people with chronic kidney disease: focusing on modifiable risk factors","volume":"33","author":"Fraser","year":"2024","journal-title":"Curr Opin Nephrol Hypertens"},{"key":"2026012303282019600_bib52","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1159\/000524518","article-title":"Physical activity in renal disease and the effect on hypertension: a randomized controlled trial","volume":"47","author":"Thompson","year":"2022","journal-title":"Kidney Blood Press Res"},{"key":"2026012303282019600_bib53","doi-asserted-by":"publisher","first-page":"e23","DOI":"10.1016\/S2589-7500(23)00204-2","article-title":"Evaluating the effect of a digital health intervention to enhance physical activity in people with chronic kidney disease (kidney BEAM): a multicentre, randomised controlled trial in the UK","volume":"6","author":"Greenwood","year":"2024","journal-title":"Lancet Digital Health"},{"key":"2026012303282019600_bib54","doi-asserted-by":"publisher","first-page":"100439","DOI":"10.1016\/j.xkme.2022.100439","article-title":"Patient and care partner burden in CKD patients with and without anemia: a US-based survey","volume":"4","author":"Michalopoulos","year":"2022","journal-title":"Kidney Med"},{"key":"2026012303282019600_bib55","doi-asserted-by":"publisher","first-page":"3445","DOI":"10.1111\/jocn.16422","article-title":"Factors influencing health-related quality of life in people with chronic kidney disease: a structural equation modelling approach","volume":"32","author":"Yapa","year":"2023","journal-title":"J Clin Nurs"},{"key":"2026012303282019600_bib56","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1053\/j.ajkd.2023.07.021","article-title":"Apathy symptoms, physical and cognitive function, health-related quality of life, and mortality in older patients with CKD: a longitudinal observational study","volume":"83","author":"Voorend","year":"2024","journal-title":"Am J Kidney Dis"},{"key":"2026012303282019600_bib57","doi-asserted-by":"publisher","first-page":"sfae010","DOI":"10.1093\/ckj\/sfae010","article-title":"Potentially modifiable factors associated with health-related quality of life among people with chronic kidney disease: baseline findings from the national unified renal translational research enterprise CKD (NURTuRE-CKD) cohort","volume":"17","author":"Phillips","year":"2024","journal-title":"Clin Kidney J"},{"key":"2026012303282019600_bib58","doi-asserted-by":"publisher","first-page":"2637","DOI":"10.1007\/s11255-022-03180-x","article-title":"Factors affecting health-related quality of life in older patients with chronic kidney disease: a single-center cross-sectional study","volume":"54","author":"Tabata","year":"2022","journal-title":"Int Urol Nephrol"},{"key":"2026012303282019600_bib59","article-title":"Guidance. Health matters: health and work","author":"Public Health England","year":"2019"},{"key":"2026012303282019600_bib60","article-title":"Top 10 takeaways on evaluation for primary care physicians from the KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease","author":"Kidney Disease: Improving Global Outcomes (KDIGO)","year":"2024"},{"key":"2026012303282019600_bib61","doi-asserted-by":"publisher","first-page":"114711","DOI":"10.1016\/j.socscimed.2022.114711","article-title":"Qualitative study of candidacy and access to secondary mental health services during the COVID-19 pandemic","volume":"296","author":"Liberati","year":"2022","journal-title":"Soc Sci Med"},{"key":"2026012303282019600_bib62","article-title":"Putting community health and wellbeing workers at the heart of primary care","author":"National Institute for Health and Care Research Applied Research Collaboration Northwest London","year":"2022"},{"key":"2026012303282019600_bib63","doi-asserted-by":"crossref","first-page":"e109135","DOI":"10.1371\/journal.pone.0109135","article-title":"Effect of information and telephone-guided access to community support for people with chronic kidney disease: randomised controlled trial","volume":"9","author":"Blakeman","year":"2014","journal-title":"PLoS One"},{"key":"2026012303282019600_bib64","doi-asserted-by":"publisher","first-page":"3446","DOI":"10.1186\/s12889-024-20763-8","article-title":"The impact of living with multiple long-term conditions (multimorbidity) on everyday life\u2014a qualitative evidence synthesis","volume":"24","author":"Holland","year":"2024","journal-title":"BMC Public Health"}],"container-title":["Clinical Kidney Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ckj\/advance-article-pdf\/doi\/10.1093\/ckj\/sfaf397\/65942605\/sfaf397.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ckj\/article-pdf\/19\/1\/sfaf397\/65942605\/sfaf397.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ckj\/article-pdf\/19\/1\/sfaf397\/65942605\/sfaf397.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T08:28:34Z","timestamp":1769156914000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ckj\/article\/doi\/10.1093\/ckj\/sfaf397\/8382457"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,17]]},"references-count":64,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ckj\/sfaf397","relation":{},"ISSN":["2048-8505","2048-8513"],"issn-type":[{"value":"2048-8505","type":"print"},{"value":"2048-8513","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2025,12,17]]},"article-number":"sfaf397"}}