Evidence map›Paper›PMID 25581447›Full record

ReviewCurrent opinion in supportive and palliative care2015

Palliative and end-of-life care issues in chronic kidney disease.

Sara A Combs, Sara N Davison

Abstract readReview
In one paragraph

Review in Current opinion in supportive and palliative care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. Article
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  15. The Suffering of Advanced Chronic Renal Patients and Their Relationship with Symptoms in Loja, Ecuador.International journal of environmental research and public health · 2021
    Observational
  16. Article
  17. Article
  18. Review
  19. Review
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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

2 authors.

Sara A CombsaDepartment of Medicine, Harborview Medical Center, University of Washington, Seattle, Washington, USA bDivision of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Sara N Davison

Funding

TRAINING IN RENAL &ELECTROLYTE DISEASE &HYPERTENSIONT32DK007135 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JOHNSON, RICHARD JOSEPH, KENDRICK, JESSICA B · 1986 to 2024
$5.3M
NIDDK NIH HHS T32 DK007135
6 · The paper itself

Abstract

purpose of reviewPatients with progressive chronic kidney disease (CKD) have high morbidity, mortality, and symptom burden. Cardiovascular disease (CVD) and congestive heart failure (CHF) often contribute to these burdens and should be considered when providing recommendations for care. This review aims to summarize recent literature relevant to the provision of palliative and end-of-life care for patients with progressive CKD and specifically highlights issues relevant to those with CVD and CHF. RECENT

findingsDialysis may not benefit older, frail patients with progressive CKD, especially those with other comorbidities. Patients managed conservatively (i.e., without dialysis) may live as long as patients who elect to start dialysis, with better preservation of function and quality of life and with fewer acute care admissions. Decisions regarding dialysis initiation should be made on an individual basis, keeping in mind each patient's goals, comorbidities, and underlying functional status. Conservative management of progressive kidney disease is frequently not offered but is likely to benefit many older, frail patients with comorbidities such as CHF and CVD. SUMMARY: A palliative approach to the care of many patients with progressive CKD is essential to ensuring they receive appropriate quality care.

Indexed as

Advance Care PlanningHeart FailureHumansKidney Failure, ChronicPalliative CareQuality of LifeRenal DialysisRenal Insufficiency, ChronicTerminal Care

Identifiers

PMID25581447
PMCPMC5497481

What OpenQuestion holds

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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.