ArticleClinical transplantation2017
Decisional conflict between treatment options among end-stage renal disease patients evaluated for kidney transplantation.
Article in Clinical transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Decisional Conflicts in Kidney Replacement Therapy for Patients With Grade 5 Chronic Kidney Disease: A Qualitative Meta-Synthesis.Journal of renal care · 2025Pooled it
- The experience of urgent dialysis patients with end-stage renal disease: A qualitative study.PloS one · 2022Trial
- Effect of the iChoose Kidney decision aid in improving knowledge about treatment options among transplant candidates: A randomized controlled trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2018Trial
- Decisional Conflict and Patient Experiences in Dialysis Treatment Decision-Making: A Mixed-Methods Study in a Portuguese Cohort.Healthcare (Basel, Switzerland) · 2026Article
- Prevalence and predictors of decisional conflict among older African Americans with advanced chronic kidney disease.Innovation in aging · 2026Article
- Navigating decisional conflict: laser peripheral iridotomy for primary angle-closure glaucoma prevention.International journal of ophthalmology · 2025Article
- Structural equation modeling analysis of factors influencing decisional conflict between dialysis modality among end-stage kidney disease patients in Wuhan.BMC nephrology · 2024Article
- Decisional Conflict About Kidney Failure Treatment Modalities Among Adults With Advanced CKD.Kidney medicine · 2022Article
- Knowledge about Benefits of Kidney Transplantation: A Survey of Dialysis Patients.Annals of urology & nephrology · 2021Article
- Development of a Patient-specific Search of Transplant Program Outcomes and Characteristics: Feedback From Kidney Transplant Patients.Transplantation direct · 2020Article
- Exploring the Relationship Between Patient Activation, Treatment Satisfaction, and Decisional Conflict in Patients Approaching End-Stage Renal Disease.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019Article
- High Rate of Living Kidney Donation to Immigrant Children Despite Disparities-An Epidemiological Paradox?Frontiers in pediatrics · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Although kidney transplantation provides a significant benefit over dialysis, many patients with end-stage renal disease (ESRD) are conflicted about their decision to undergo kidney transplant. We aimed to identify the prevalence and characteristics associated with decisional conflict between treatment options in ESRD patients presenting for transplant evaluation. Among a cross-sectional sample of patients with ESRD (n=464) surveyed in 2014 and 2015, we assessed decisional conflict through a validated 10-item questionnaire. Decisional conflict was dichotomized into no decisional conflict (score=0) and any decisional conflict (score>0). We investigated potential characteristics of patients with decisional conflict using bivariate and multivariable logistic regression. The overall mean age was 50.6 years, with 62% male patients and 48% African American patients. Nearly half (48.5%) of patients had decisional conflict regarding treatment options. Characteristics significantly associated with decisional conflict in multivariable analysis included male sex, lower educational attainment, and less transplant knowledge. Understanding characteristics associated with decisional conflict in patients with ESRD could help identify patients who may benefit from targeted interventions to help patients make informed, value-based, and supported decisions when deciding how to best treat their kidney disease.
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