Evidence map›Paper›PMID 29510920›Full record

ReviewAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2018

Palliative Care Disincentives in CKD: Changing Policy to Improve CKD Care.

Manjula Kurella Tamura, Ann M O'Hare, Eugene Lin, Laura M Holdsworth, Elizabeth Malcolm, Alvin H Moss

Abstract readReview
In one paragraph

Review in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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  8. Article
  9. Review
  10. Observational
  11. Dialysis Regret: Prevalence and Correlates.Clinical journal of the American Society of Nephrology : CJASN · 2020
    Article
  12. Review
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

6 authors at 3 institutions in 1 country.

Manjula Kurella TamuraGeriatric Research and Education Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA; Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA. Electronic address: mktamura@stanford.edu.
Ann M O'HareDivision of Nephrology, University of Washington School of Medicine and VA Puget Sound Healthcare System, Seattle, WA.
Eugene LinDivision of Nephrology, Stanford University School of Medicine, Palo Alto, CA; Centers for Health Policy, Stanford University School of Medicine, Palo Alto, CA; Primary Care Outcomes Research, Stanford University School of Medicine, Palo Alto, CA.
Laura M HoldsworthDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA.
Elizabeth MalcolmDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA.
Alvin H MossSections of Nephrology, West Virginia University School of Medicine, Morgantown, WV; Supportive Care, West Virginia University School of Medicine, Morgantown, WV.
Stanford University · USUniversity of Washington · USWest Virginia University · US

Funding

USRDS Special Study Center on Palliative and End-of-Life CareU01DK102150 · NIDDK · UNIVERSITY OF WASHINGTON · PI KURELLA TAMURA, MANJULA, O'HARE, ANN M. · 2014 to 2018
$2.6M
Investigating the Appropriateness of 30-Day Rehospitalizations in Dialysis PatientsF32DK107123 · NIDDK · STANFORD UNIVERSITY · PI LIN, EUGENE · 2015 to 2017
$210k
NIDDK NIH HHS F32 DK107123NIDDK NIH HHS U01 DK102150
6 · The paper itself

Abstract

The dominant health delivery model for advanced chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the United States, which focuses on provision of dialysis, is ill-equipped to address many of the needs of seriously ill patients. Although palliative care may address some of these gaps in care, its integration into advanced CKD care has been suboptimal due to several health system barriers. These barriers include uneven access to specialty palliative care services, underdeveloped models of care for seriously ill patients with advanced CKD, and misaligned policy incentives. This article reviews policies that affect the delivery of palliative care for this population, discusses reforms that could address disincentives to palliative care, identifies quality measurement issues for palliative care for individuals with advanced CKD and ESRD, and considers potential pitfalls in the implementation of new models of integrated palliative care. Reforming health care delivery in ways that remove policy disincentives to palliative care for patients with advanced CKD and ESRD will fill a critical gap in care.

Indexed as

Quality ImprovementAdvance Care PlanningDelivery of Health CareFemaleHealth PolicyHospice CareHumansKidney Failure, ChronicMalePalliative CarePolicy MakingRenal DialysisRenal Insufficiency, ChronicTreatment OutcomeUnited Statesadvance care planningChronic kidney disease (CKD)dialysisend-stage renal disease (ESRD)goals of carehealth policypalliative carepatient-centered carequality of life

Identifiers

PMID29510920
PMCPMC5970958
OpenAlexW2792708501

What OpenQuestion holds

Textmetadata
LicenceTDM
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.