Evidence map›Paper›PMID 30596033›Full record

ReviewWorld journal of nephrology2018

Palliative care for acute kidney injury patients in the intensive care unit.

Vinod Krishnappa, William Hein, Daniel DelloStritto, Mona Gupta, Rupesh Raina

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in World journal of nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Vinod KrishnappaNortheast Ohio Medical University, Rootstown, OH 44272, United States.
William HeinNortheast Ohio Medical University, Rootstown, OH 44272, United States.
Daniel DelloStrittoNortheast Ohio Medical University, Rootstown, OH 44272, United States.
Mona GuptaDepartment of Hospice and Palliative Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, United States.
Rupesh RainaDepartment of Nephrology, Cleveland Clinic Akron General/Akron Nephrology Associates and Akron Children's Hospital, Akron, OH 44307, United States. rraina@akronchildrens.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with acute kidney injury (AKI) in the intensive care unit (ICU) are often suitable for palliative care due to the high symptom burden. The role of palliative medicine in this patient population is not well defined and there is a lack of established guidelines to address this issue. Because of this, patients in the ICU with AKI deprived of the most comprehensive or appropriate care. The reasons for this are multifactorial including lack of palliative care training among nephrologists. However, palliative care in these patients can help alleviate symptoms, improve quality of life, and decrease suffering. Palliative care physicians can determine the appropriateness and model of palliative care. In addition to shared decision-making, advance directives should be established with patients early on, with specific instructions regarding dialysis, and those advance directives should be respected.

Indexed as

Acute kidney injuryAdvance directivesDialysisIntensive care unitPalliative care

Identifiers

PMID30596033
PMCPMC6305526

What OpenQuestion holds

Textmetadata
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.