ArticleClinical journal of the American Society of Nephrology : CJASN2011
Effect of an in-hospital chronic kidney disease education program among patients with unplanned urgent-start dialysis.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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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.
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.
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Who cites it
26 citing papers in PubMed, 78 citations in OpenAlex.
- Optimal Education: Paving the Way for True Optimal Start Dialysis.Kidney medicine · 2025Review
- Unveiling Challenges Hindering the Growth of Home Dialysis in Finland: Insights From 40 Years of Experience.Hemodialysis international. International Symposium on Home Hemodialysis · 2025Article
- Review
- International Home Dialysis Consortium: Declaration Advocating for the Promotion of Home Dialysis Globally.Kidney international reports · 2025Article
- Integrated home dialysis model: facilitating home-to-home transition.Clinical kidney journal · 2024Article
- Factors influencing renal replacement therapy modality choice from the nephrologist's perspective.Journal of nephrology · 2024Article
- Educating acute dialysis patients - can we do better?Future healthcare journal · 2024Article
- Nephrologists' Perspectives on Home Dialysis Utilization: A National Survey From Israel.Kidney medicine · 2023Article
- Home dialysis in older adults: challenges and solutions.Clinical kidney journal · 2023Article
- Patient Navigators for CKD and Kidney Failure: A Systematic Review.Kidney medicine · 2022Article
- Article
- Patient-reported factors influencing the choice of their kidney replacement treatment modality.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022Article
- Trends in home dialysis use differ among age categories in past two decades: A Dutch registry study.European journal of clinical investigation · 2022Article
- Choice of dialysis modality among patients initiating dialysis: results of the Peridialysis study.Clinical kidney journal · 2021Article
- COVID-19 pandemic era: is it time to promote home dialysis and peritoneal dialysis?Clinical kidney journal · 2021Review
- Review
- Rapid weight loss with dietary salt restriction in hospitalized patients with chronic kidney disease.Scientific reports · 2019Article
- Offering Patients Therapy Options in Unplanned Start (OPTiONS): Implementation of an educational program is feasible and effective.BMC nephrology · 2017Observational
- The Current State of Peritoneal Dialysis.Journal of the American Society of Nephrology : JASN · 2016Review
- Factors influencing access to education, decision making, and receipt of preferred dialysis modality in unplanned dialysis start patients.Patient preference and adherence · 2016Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe effect of in-hospital education on the adoption of home dialysis (peritoneal dialysis [PD] and home hemodialysis [HHD]) after an unplanned dialysis start is unknown. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Clinical demographics of consecutive patients acutely initiating hemodialysis (HD) from January 2005 to December 2009 were abstracted using institutional electronic records. All patients received multimedia chronic kidney disease education by the same advanced care nurse practitioner before discharge from the hospital. Clinical characteristics of patients choosing home dialysis or staying on in-center HD were compared.
resultsBetween 2005 and 2009, 228 patients acutely started renal replacement therapy (RRT) at the center. Seventy-one patients chose home dialysis (49 patients adopted PD and 22 adopted HHD), 132 chose to remain on in-center HD, and 25 died before discharge from the hospital. Patients adopting home dialysis tended to be younger than in-center HD patients (55 ± 18 [home dialysis] versus 59 ± 16 [in center] years; P=0.09) and were similar in gender distribution (49% [home dialysis] versus 56% [in center] male; P=0.2). Patients adopting home dialysis were more likely to have a failed kidney transplant (24% [home dialysis] versus 12% [in center]; P=0.045) and less likely to have ischemic nephropathy (9% [home dialysis] versus 21% [in center]; P=0.03). The distribution of comorbid conditions was different between patients adopting home dialysis and in-center HD.
conclusionsHome dialysis is feasible after urgent dialysis start. Education should be promoted among patient experiencing acute-start dialysis.
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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 OpenQuestion graph.