Evidence map›Paper›PMID 30327720›Full record

ArticleCanadian journal of kidney health and disease2018

Educational Support Around Dialysis Modality Decision Making in Patients With Chronic Kidney Disease: Qualitative Study.

Brendan P Cassidy, Lori Harwood, Leah E Getchell, Michael Smith, Shannon L Sibbald, Louise M Moist

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Article in Canadian journal of kidney health and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Patient engagement during the transition from nondialysis-dependent chronic kidney disease to dialysis: A meta-ethnography.Health expectations : an international journal of public participation in health care and health policy · 2023
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  10. The Burden of Home Dialysis: An Overlooked Challenge.Clinical journal of the American Society of Nephrology : CJASN · 2024
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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

6 authors.

Brendan P CassidySchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Lori HarwoodRenal Services, London Health Sciences Centre, London, ON, Canada.
Leah E GetchellInstitute for Clinical Evaluative Sciences, Kidney Dialysis and Transplantation Research Program, London, ON, Canada.
Michael SmithRenal Patient and Family Advisory Council, London Health Sciences Centre, London, ON, Canada.
Shannon L SibbaldSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Louise M MoistSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic kidney disease (CKD) are asked to choose a renal replacement therapy or conservative management. Education and knowledge transfer play key roles in this decision-making process, yet they remain a partially met need.

objectiveWe sought to understand the dialysis modality decision-making process through exploration of the predialysis patient experience to better inform the educational process.

designQualitative descriptive study.

settingKidney Care Centre of London Health Sciences Centre in London, Ontario, Canada. PATIENTS: Twelve patients with CKD, with 4 patients on in-center hemodialysis, home hemodialysis, and peritoneal dialysis, respectively. MEASUREMENTS: Not applicable.

methodsWe conducted semistructured interviews with each participant, along with any family members who were present. Interviews were transcribed verbatim. Conventional content analysis was used to analyze the transcripts for common themes. Representative quotes were decided via team consensus. A patient collaborator was part of the research team.

resultsThree themes influenced dialysis modality decision making: (i) Patient Factors: individualization, autonomy, and emotions; (ii) Educational Factors: tailored education, time and preparation, and available resources; and (iii) Support Systems: partnership with health care team, and family and friends. LIMITATIONS: Sample not representative of wider CKD population. Limited number of eligible patients. Poor recall may affect findings.

conclusionsModality decision making is a complex process, influenced by the patient's health literacy, willingness to accept information, predialysis lifestyle, support systems, and values. Patient education requires the flexibility to individualize the delivery of a standardized CKD curriculum in partnership with a patient-health care team, to fulfill the goal of informed, shared decision making.

Indexed as

CKDdialysis modalityeducationhealth care teaminformed decision making

Identifiers

PMID30327720
PMCPMC6178119

What OpenQuestion holds

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LicenceCC BY-NC
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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.