Evidence map›Paper›PMID 26429419›Full record

ArticlePeritoneal dialysis international : journal of the International Society for Peritoneal Dialysis

Patient Acceptability of the Yorkshire Dialysis Decision Aid (YoDDA) Booklet: A Prospective Non-Randomized Comparison Study Across 6 Predialysis Services.

Anna E Winterbottom, Teresa Gavaruzzi, Andrew Mooney, Martin Wilkie, Simon J Davies, Dennis Crane, Ken Tupling, Paul D Baxter, David M Meads, Nigel Mathers and 1 more

Abstract readComparative Study
In one paragraph

Article in Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
–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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Kidney disease pathways, options and decisions: an environmental scan of international patient decision aids.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020
    Pooled it
  3. How to routinely collect data on patient-reported outcome and experience measures in renal registries in Europe: an expert consensus meeting.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2015
    Pooled it
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  20. Shared Decision-Making for a Dialysis Modality.Kidney international reports · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Anna E WinterbottomLeeds Institute of Health Sciences - School of Medicine, University of Leeds, Leeds, UK.
Teresa GavaruzziLeeds Institute of Health Sciences - School of Medicine, University of Leeds, Leeds, UK.
Andrew MooneySt. James University Hospital, Leeds, UK.
Martin WilkieSheffield Kidney Institute, Sheffield, UK.
Simon J DaviesInstitute for Science & Technology in Medicine, Guy Hilton Research Centre, Stoke-on-Trent, UK.
Dennis CraneNational Kidney Federation Advocacy Officer, Manchester, UK.
Ken TuplingKidney Patient Association, Sheffield Area Kidney Association, Northern General Hospital, Sheffield, UK.
Paul D BaxterDivision of Epidemiology & Biostatistics LIGHT - School of Medicine, University of Leeds, Leeds, UK.
David M MeadsLeeds Institute of Health Sciences - School of Medicine, University of Leeds, Leeds, UK.
Nigel MathersAcademic Unit of Primary Medical Care, Northern General Hospital, Herries Road, Sheffield, UK.
Hilary L BekkerLeeds Institute of Health Sciences - School of Medicine, University of Leeds, Leeds, UK h.l.bekker@leeds.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelled♦

backgroundPatients are satisfied with their kidney care but want more support in making dialysis choices. Predialysis leaflets vary across services, with few being sufficient to enable patients' informed decision making. We describe the acceptability of a patient decision aid and feasibility of evaluating its effectiveness within usual predialysis practice. ♦

methodsProspective non-randomized comparison design, Usual Care or Usual Care Plus Yorkshire Dialysis Decision Aid Booklet (+YoDDA), in 6 referral centers (Yorkshire-Humber, UK) for patients with sustained deterioration of kidney function. Consenting (C) patients completed questionnaires after predialysis consultation (T1), and 6 weeks later (T2). Measures assessed YoDDA's utility to support patients' decisions and integration within usual care. ♦

resultsUsual Care (n = 105) and +YoDDA (n = 84) participant characteristics were similar: male (62%), white (94%), age (mean = 62.6; standard deviation [SD] 14.4), kidney disease severity (glomerular filtration rate [eGFR] mean = 14.7; SD 3.7); decisional conflict was < 25; choice-preference for home versus hospital dialysis approximately 50:50. Patients valued receiving YoDDA, reading it on their own (96%), and sharing it with family (72%). The +YoDDA participants had higher scores for understanding kidney disease, reasoning about options, feeling in control, sharing their decision with family. Study engagement varied by center (estimated range 14 - 49%; mean 45%); participants varied in completion of decision quality measures. ♦

conclusionsReceiving YoDDA as part of predialysis education was valued and useful to patients with worsening kidney disease. Integrating YoDDA actively within predialysis programs will meet clinical guidelines and patient need to support dialysis decision making in the context of patients' lifestyle.

Indexed as

Decision Support TechniquesPatient Acceptance of Health CarePatient Education as TopicRenal DialysisAgedChoice BehaviorDecision MakingFemaleHumansKidney Failure, ChronicMaleMiddle AgedPamphletsProspective StudiesReferral and ConsultationSurveys and Questionnairesconservative caredialysisimplementation sciencePatient decision aidrenal replacement therapyshared decision making

Identifiers

PMID26429419
PMCPMC4934429

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.