Evidence map›Paper›PMID 31511360›Full record

ArticleJournal of the American Society of Nephrology : JASN2019

Serious Illness Treatment Preferences for Older Adults with Advanced CKD.

Nicolas Awad Baddour, Edward D Siew, Cassianne Robinson-Cohen, Huzaifah Salat, Olivia J Mason, Thomas G Stewart, Mohana Karlekar, Maie H El-Sourady, Loren Lipworth, Khaled Abdel-Kader

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Physical Function and Mortality in Older Adults with Chronic Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2024
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

10 authors at 6 institutions in 2 countries.

Nicolas Awad BaddourDepartment of Medicine, University of Washington, Seattle, Washington.ORCID 0000-0003-3039-9203
Edward D SiewDivision of Nephrology and Hypertension, Department of Medicine.
Cassianne Robinson-CohenDivision of Nephrology and Hypertension, Department of Medicine.ORCID 0000-0003-4783-7046
Huzaifah SalatDepartment of Medicine, St. Barnabas Hospital Health System, Bronx, New York.
Olivia J MasonDepartment of Biostatistics.
Thomas G StewartDepartment of Biostatistics.
Mohana KarlekarDivision of General Internal Medicine, Public Health, and Palliative Medicine, and.
Maie H El-SouradyDivision of General Internal Medicine, Public Health, and Palliative Medicine, and.
Loren LipworthVanderbilt Center for Kidney Disease.
Khaled Abdel-KaderDivision of Nephrology and Hypertension, Department of Medicine, khaled.abdel-kader@vumc.org.
Hypertension Institute · USCancer Research And Biostatistics · USGeneral Department of Preventive Medicine · VNSt. Barnabas Hospital · USUniversity of Washington · USVanderbilt University Medical Center · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Developing, Validating, and Implementing a CKD Predictive Model (DELVECKD)K23DK090304 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ABDEL-KADER, KHALED A · 2011 to 2015
$861k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NIDDK NIH HHS K23 DK090304
6 · The paper itself

Abstract

backgroundPatient-centered care for older adults with CKD requires communication about patient's values, goals of care, and treatment preferences. Eliciting this information requires tools that patients understand and that enable effective communication about their care preferences.

methodsNephrology clinic patients age ≥60 years with stage 4 or 5 nondialysis-dependent CKD selected one of four responses to the question, "If you had a serious illness, what would be important to you?" Condensed versions of the options were, "Live as long as possible;" "Try treatments, but do not suffer;" "Focus on comfort;" or "Unsure." Patients also completed a validated health outcome prioritization tool and an instrument determining the acceptability of end-of-life scenarios. Patient responses to the three tools were compared.

resultsOf the 382 participants, 35% (

conclusionsOlder adults with advanced CKD have diverse treatment preferences and want to share them. A single treatment preference question correlated well with longer, validated health preference tools and may provide a point of entry for discussions about patient's treatment goals.

Indexed as

Patient PreferenceAdvance Care PlanningAgedFemaleHumansLogistic ModelsMaleRenal Insufficiency, ChronicTerminal Careadvance care planningend of lifegoals of carehealth outcome priorityserious illness

Identifiers

PMID31511360
PMCPMC6830783
OpenAlexW2972857714

What OpenQuestion holds

Textmetadata
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.