Evidence map›Paper›PMID 30865323›Full record

ArticleClinical transplantation2019

Decision support needs of kidney transplant candidates regarding the deceased donor waiting list: A qualitative study and conceptual framework.

Allyson Hart, Marilyn Bruin, Sauman Chu, Arthur Matas, Melissa R Partin, Ajay K Israni

Open access · greenAbstract read
In one paragraph

Article in Clinical transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Review
  6. Article
  7. Article
  8. Article
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  11. Article
  12. Kidney organ allocation: reducing discards.Current opinion in organ transplantation · 2023
    Review
  13. Article
  14. Article
  15. Journey to Transplant: Developing a social support network counselling intervention to improve kidney transplantation.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  16. Article
  17. Article
  18. Identifying Needs and Barriers to Engage Family Members in Transplant Candidate Care.Progress in transplantation (Aliso Viejo, Calif.) · 2021
    Article
  19. Article
  20. Article
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 1 institution in 1 country.

Allyson HartDepartment of Medicine, Hennepin Healthcare, University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0003-3517-0141
Marilyn BruinDepartment of Design, Housing, and Apparel, College of Design, University of Minnesota, Minneapolis, Minnesota.
Sauman ChuDepartment of Design, Housing, and Apparel, College of Design, University of Minnesota, Minneapolis, Minnesota.
Arthur MatasDepartment of Surgery, University of Minnesota, Minneapolis, Minnesota.
Melissa R PartinCenter for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Ajay K IsraniDepartment of Medicine, Hennepin Healthcare, University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0002-7607-0430
University of Minnesota · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Institutional Career Development CoreKL2TR002492 · NCATS · UNIVERSITY OF MINNESOTA · PI INGBAR, DAVID H · 2018 to 2022
$6.3M
Creating a patient-centered report card for solid organ transplant candidatesR01HS024527 · AHRQ · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI ISRANI, AJAY K · 2016 to 2020
$1.3M
AHRQ HHS R01 HS024527NCATS NIH HHS KL2 TR002492NCATS NIH HHS UL1 TR000114
6 · The paper itself

Abstract

backgroundKidney transplant candidates face complex decisions about transplant options such as living donation or acceptance of lower quality kidneys. We sought to characterize knowledge and decision support needs regarding kidney transplant outcomes and options.

methodsWe conducted 10 interviews and four focus groups of 28 adult kidney transplant candidates from two centers in Minnesota. Transcripts were analyzed thematically using a grounded theory approach.

resultsWe identified four themes: First, candidates have a limited understanding of treatment options and demonstrate confusion or a lack of awareness about waiting list outcomes and prognosis. Second, candidates desired frank discussions about likely outcomes and individualized prognosis. Third, emotional barriers impact how patients make informed decisions. Finally, participants relied on the support of family and friends to help process information, and many favored the medical community engaging their family and friends in their medical decisions. These findings were incorporated into a conceptual model to support kidney transplant candidates in medical decision making.

conclusionsTransplant candidates had limited understanding about treatment options and outcomes on the kidney transplant waiting list. Individualized risk information and cognitive approaches that recognize how patients process information and balance competing risks may improve informed decision making.

Indexed as

DeathDecision MakingWaiting ListsDonor SelectionFemaleFollow-Up StudiesHumansKidney TransplantationLiving DonorsMaleMiddle AgedNeeds AssessmentPrognosisQualitative ResearchTissue and Organ Procurementdecisionskidney transplantknowledgeoutcomeswaiting list

Identifiers

PMID30865323
PMCPMC6506375
OpenAlexW2922374070

What OpenQuestion holds

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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.