{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T20:32:04Z","timestamp":1786480324412,"version":"build-2736575974"},"reference-count":56,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"crossref","award":["P30 HS029772"],"award-info":[{"award-number":["P30 HS029772"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"crossref","award":["P30 HS029772"],"award-info":[{"award-number":["P30 HS029772"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Johns Hopkins University","award":["Center for Promoting Embedded Research in the Learning Health System"],"award-info":[{"award-number":["Center for Promoting Embedded Research in the Learning Health System"]}]},{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"crossref","award":["P30 HS029772"],"award-info":[{"award-number":["P30 HS029772"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"crossref","award":["P30 HS029772"],"award-info":[{"award-number":["P30 HS029772"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Johns Hopkins University","award":["Center for Promoting Embedded Research in the Learning Health System"],"award-info":[{"award-number":["Center for Promoting Embedded Research in the Learning Health System"]}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Kidney360"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Key Points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>The Kidney Disease Symptom Survey demonstrated temporal stability in patients with stable CKD.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Kidney Disease Symptom Survey measurements of general health and depressive symptoms converged with responses to Medicare Annual Wellness Visit questionnaires.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Kidney Disease Symptom Survey responsiveness, with detection of a meaningful difference in scores, was seen in approximately 40% of patients with worsening kidney function.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with non\u2013dialysis-dependent CKD (NDD-CKD) develop progressive symptoms which affect quality of life. We distributed the Kidney Disease Symptom Survey (KDSS), an electronic patient-reported outcome measure partially based on the Kidney Disease Quality of Life-36 item survey, to patients with NDD-CKD. We aimed to evaluate the measurement properties of the KDSS when used in usual clinical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of electronic health record data for patients with NDD-CKD who completed the KDSS as part of their routine nephrology care. We evaluated temporal stability of KDSS scores for individuals with stable kidney function, responsiveness of KDSS scores for individuals with worsening kidney function, and convergent construct validity of the KDSS with Medicare Annual Wellness Visit assessments of patient-reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 147 patients with stable NDD-CKD, there were strong correlations between sequential KDSS assessments of general health (Spearman rank correlation [rho] 0.76), quality of life (rho, 0.63), physical symptoms (rho, 0.74), and mental health (rho, 0.71). For 35 individuals with worsening kidney function, the KDSS detecting a clinically important difference in physical symptom and mental health scores in approximately 40% of respondents. There were moderate to strong correlations between KDSS and annual wellness visit assessments of general health (rho, 0.64) and depressive symptoms (rho, 0.50).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>When used by diverse individuals with NDD-CKD, the KDSS had temporal stability for patients with stable kidney function, as well as moderate convergent construct validity for measuring general health and depressive symptoms. Responsiveness of the KDSS for physical symptoms and mental health was seen in only some individuals with kidney disease. Additional data demonstrating responsiveness to changes in kidney function, as well as interventions such as symptom management strategies, are needed to determine the clinical utility of the KDSS when used in usual care of patients with NDD-CKD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.34067\/kid.0000001092","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T17:01:16Z","timestamp":1766077276000},"page":"823-831","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Measurement Properties of an Electronic Patient-Reported Outcome Measure for Patients with Non\u2013Dialysis-Dependent CKD"],"prefix":"10.34067","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-839X","authenticated-orcid":false,"given":"Dipal M.","family":"Patel","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dingfen","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3978-9662","authenticated-orcid":false,"given":"Jodi B.","family":"Segal","sequence":"additional","affiliation":[{"name":"Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland"},{"name":"Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"issue":"4","key":"B1-20260430","doi-asserted-by":"crossref","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."},{"issue":"6","key":"B2-20260430","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1089\/jpm.2007.0017","article-title":"Symptoms in advanced renal disease: a cross-sectional survey of symptom prevalence in stage 5 chronic kidney disease managed without dialysis","volume":"10","author":"Murtagh","year":"2007","journal-title":"J Palliat Med."},{"issue":"5","key":"B3-20260430","doi-asserted-by":"crossref","first-page":"776","DOI":"10.34067\/KID.0000000694","article-title":"Natural language processing identifies underdocumentation of symptoms in patients on hemodialysis","volume":"6","author":"Dai","year":"2025","journal-title":"Kidney360."},{"issue":"6","key":"B4-20260430","doi-asserted-by":"crossref","first-page":"101011","DOI":"10.1016\/j.xkme.2025.101011","article-title":"Patient-reported symptoms compared with nephrologist documentation during outpatient visits: a retrospective Patient-Reported outcome measures study","volume":"7","author":"Wulczyn","year":"2025","journal-title":"Kidney Med."},{"issue":"6","key":"B5-20260430","doi-asserted-by":"crossref","first-page":"e0179733","DOI":"10.1371\/journal.pone.0179733","article-title":"Measurement properties of patient-reported outcome measures (PROMs) used in adult patients with chronic kidney disease: a systematic review","volume":"12","author":"Aiyegbusi","year":"2017","journal-title":"PLoS One."},{"issue":"4","key":"B6-20260430","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1053\/j.ajkd.2023.09.007","article-title":"Patient-reported outcome measures for patients with CKD: the case for patient-reported outcomes measurement information system (PROMIS) tools","volume":"83","author":"Tang","year":"2024","journal-title":"Am J Kidney Dis."},{"issue":"2","key":"B7-20260430","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1053\/j.ajkd.2019.02.011","article-title":"Patient and clincian perspectives on electronic patient-reported outcome measures in the management of advanced CKD: a qualitative study","volume":"74","author":"Aiyegbusi","year":"2019","journal-title":"Am J Kidney Dis."},{"issue":"2","key":"B8-20260430","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1053\/j.ajkd.2019.04.014","article-title":"Patient-reported outcome measures in CKD care: the importance of demonstrating need and value","volume":"74","author":"Elliott","year":"2019","journal-title":"Am J Kidney Dis."},{"issue":"1","key":"B9-20260430","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s41687-020-00223-8","article-title":"Development of an electronic patient-reported outcome measure (ePROM) system to aid the management of patients with advanced chronic kidney 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patients","volume":"14","author":"Elkan","year":"2021","journal-title":"Int J Gen Med."},{"issue":"1","key":"B29-20260430","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s41687-022-00472-9","article-title":"Added value of patient-reported outcome measures (PROMs) after an acute stroke and early predictors of 90 days PROMs","volume":"6","author":"Sanchez-Gavilan","year":"2022","journal-title":"J Patient-Reported Outcomes."},{"issue":"2","key":"B30-20260430","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1007\/s40271-013-0015-2","article-title":"Validation of the English version of the Kidney Disease Quality of Life questionnaire (KDQOL-36) in haemodialysis patients in Singapore","volume":"6","author":"Yang","year":"2013","journal-title":"Patient."},{"issue":"7","key":"B31-20260430","doi-asserted-by":"crossref","first-page":"2337","DOI":"10.1007\/s11255-024-03940-x","article-title":"Psychometric properties of the Kidney Disease Quality of Life short form 36 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