Evidence map›Paper›PMID 25104274›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2014

A palliative approach to dialysis care: a patient-centered transition to the end of life.

Vanessa Grubbs, Alvin H Moss, Lewis M Cohen, Michael J Fischer, Michael J Germain, S Vanita Jassal, Jeffrey Perl, Daniel E Weiner, Rajnish Mehrotra, Dialysis Advisory Group of the American Society of Nephrology

Abstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 143 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Decision-making about dialysis: Beyond just dialysis or death.Journal of the American Geriatrics Society · 2023
    Article
  11. Review
  12. Article
  13. Description and Outcomes of an Innovative Concurrent Hospice-Dialysis Program.Journal of the American Society of Nephrology : JASN · 2022
    Article
  14. Review
  15. What Is the "Maintenance" in Maintenance Dialysis?American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 2 countries.

Vanessa GrubbsDivision of Nephrology, University of California, San Francisco, San Francisco, California; Division of Nephrology, San Francisco General Hospital, San Francisco, California; grubbsv@medsfgh.ucsf.edu.
Alvin H MossSection of Nephrology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia;
Lewis M CohenDepartment of Psychiatry, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts;
Michael J FischerDivision of Nephrology, Jesse Brown Veterans Affairs Medical Center, University of Illinois Hospital and Health Sciences Center, Chicago, Illinois;
Michael J GermainDivision of Nephrology, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts;
S Vanita JassalDivision of Nephrology, University Health Network and.
Jeffrey PerlDivision of Nephrology, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada;
Daniel E WeinerDivision of Nephrology, Tufts Medical Center, Boston, Massachusetts; and.
Rajnish MehrotraDivision of Nephrology, University of Washington, Seattle, Washington.
Dialysis Advisory Group of the American Society of Nephrology
Baystate Medical Center · USSt. Michael's Hospital · CATufts Medical Center · USUniversity Health Network · CAUniversity of California, San Francisco · USUniversity of Illinois Urbana-Champaign · USUniversity of Washington · USWest Virginia University · US

Funding

Harvard Clinical and Translational Science CenterKL2TR001100 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$8.5M
The Role of Periodontal Disease in Chronic Kidney Disease ProgressionK23DK093710 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRUBBS, VANESSA · 2012 to 2016
$1.0M
NCATS NIH HHS KL2 TR001100NIDDK NIH HHS 1K23-DK093710-01A1NIDDK NIH HHS K23 DK093710
6 · The paper itself

Abstract

As the importance of providing patient-centered palliative care for patients with advanced illnesses gains attention, standard dialysis delivery may be inconsistent with the goals of care for many patients with ESRD. Many dialysis patients with life expectancy of <1 year may desire a palliative approach to dialysis care, which focuses on aligning patient treatment with patients' informed preferences. This commentary elucidates what comprises a palliative approach to dialysis care and describes its potential and appropriate use. It also reviews the barriers to integrating such an approach into the current clinical paradigm of care and existing infrastructure and outlines system-level changes needed to accommodate such an approach.

Indexed as

Home Care ServicesPalliative CarePatient PreferenceRenal DialysisTerminal CareCommunicationHumansKidney Failure, ChronicPatient Care PlanningPatient-Centered CarePatient Education as TopicPrognosisQuality of Lifedialysisend of lifepalliative care

Identifiers

PMID25104274
PMCPMC4255391
OpenAlexW2096317780

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.