Evidence map›Paper›PMID 29724177›Full record

Trial reportBMC nephrology2018

Effectiveness of informational decision aids and a live donor financial assistance program on pursuit of live kidney transplants in African American hemodialysis patients.

L Ebony Boulware, Patti L Ephraim, Jessica Ameling, LaPricia Lewis-Boyer, Hamid Rabb, Raquel C Greer, Deidra C Crews, Bernard G Jaar, Priscilla Auguste, Tanjala S Purnell and 14 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01439516 (Information and Financial Interventions for Kidney Donation in African Americans), which is not on this map. Cited by 26 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 7 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT01439516 nacompletednot on this map

Information and Financial Interventions for Kidney Donation in African Americans

TypeinterventionalSponsorJohns Hopkins UniversityRan2012 to 2014Enrolled92ConditionsEnd Stage Renal Disease (ESRD), Chronic Kidney Disease (CKD)ArmsInformation
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 7 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. Pooled it
  6. Addressing Health Literacy in Patient Decision Aids: An Update from the International Patient Decision Aid Standards.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Pooled it
  7. Interventions for increasing solid organ donor registration.The Cochrane database of systematic reviews · 2021
    Pooled it
  8. Trial
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  15. Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
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  17. Article
  18. Article
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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

24 authors at 4 institutions in 1 country.

L Ebony BoulwareDivision of General Internal Medicine, Duke University School of Medicine, 411 W. Chapel Hill, St Suite 500, Durham, NC, 27110, USA. ebony.boulware@duke.edu.ORCID 0000-0002-8650-4212
Patti L EphraimDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jessica AmelingWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
LaPricia Lewis-BoyerWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Hamid RabbDivision of Nephrology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Raquel C GreerWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Deidra C CrewsWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Bernard G JaarWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Priscilla AugusteWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Tanjala S PurnellWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Julio A Lamprea-MonteleagreWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Tope OlufadeDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Luis GimenezDivision of Nephrology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Courtney CookWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Tiffany CampbellWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Ashley WoodallWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Hema RamamurthiWelch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA.
Cleomontina A DavenportDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Kingshuk Roy ChoudhuryDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Matthew R WeirDivision of Nephrology, University of Maryland School of Medicine, Baltimore, MD, USA.
Donna S HanesDivision of Nephrology, University of Maryland School of Medicine, Baltimore, MD, USA.
Nae-Yuh WangDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Helene VilmeDivision of General Internal Medicine, Duke University School of Medicine, 411 W. Chapel Hill, St Suite 500, Durham, NC, 27110, USA.
Neil R PoweDepartment of Medicine, San Francisco General Hospital and University of California, San Francisco, CA, USA.
Johns Hopkins University · USDuke University · USUniversity of Maryland, Baltimore · USSan Francisco General Hospital · US

Funding

Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
Information and Financial Interventions for Kidney Donation in African AmericansR01DK079682 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BOULWARE, LEIGH E · 2007 to 2011
$1.3M
AHRQ HHS K01 HS024600NCATS NIH HHS UL1 TR001117NIDDK NIH HHS R01 DK079682NIDDK NIH HHS R01DK079682
6 · The paper itself

Abstract

backgroundAfrican Americans have persistently poor access to living donor kidney transplants (LDKT). We conducted a small randomized trial to provide preliminary evidence of the effect of informational decision support and donor financial assistance interventions on African American hemodialysis patients' pursuit of LDKT.

methodsStudy participants were randomly assigned to receive (1) Usual Care; (2) the Providing Resources to Enhance African American Patients' Readiness to Make Decisions about Kidney Disease (PREPARED); or (3) PREPARED plus a living kidney donor financial assistance program. Our primary outcome was patients' actions to pursue LDKT (discussions with family, friends, or doctor; initiation or completion of the recipient LDKT medical evaluation; or identification of a donor). We also measured participants' attitudes, concerns, and perceptions of interventions' usefulness.

resultsOf 329 screened, 92 patients were eligible and randomized to Usual Care (n = 31), PREPARED (n = 30), or PREPARED plus financial assistance (n = 31). Most participants reported interventions helped their decision making about renal replacement treatments (62%). However there were no statistically significant improvements in LDKT actions among groups over 6 months. Further, no participants utilized the living donor financial assistance benefit.

conclusionsFindings suggest these interventions may need to be paired with personal support or navigation services to overcome key communication, logistical, and financial barriers to LDKT.

trial registrationClinicalTrials.gov [ NCT01439516 ] [August 31, 2011].

Indexed as

Black or African AmericanDecision Support TechniquesFinancial SupportLiving DonorsAdultAgedDecision MakingFemaleHealth Knowledge, Attitudes, PracticeHumansKidney TransplantationMaleMiddle AgedPatient ParticipationRenal DialysisTissue and Organ ProcurementDecision aidEnd stage renal diseaseFinancial supportLive donor kidney transplantRace disparities

Identifiers

PMID29724177
PMCPMC5934897
OpenAlexW2801397721

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.