Evidence map›Paper›PMID 32238045›Full record

ArticleProgress in transplantation (Aliso Viejo, Calif.)2020

Recommendations for Systematizing Transplant Education Within a Care Delivery System for Patients With Chronic Kidney Disease Stages 3 to 5.

Amy D Waterman, Amanda Faye Lipsey, Omesh N Ranasinghe, Emily H Wood, Crystal Anderson, Carla Bozzolo, Shayna L Henry, Bhanuja Dub, Brian Mittman

Abstract read
In one paragraph

Article in Progress in transplantation (Aliso Viejo, Calif.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
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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

9 authors.

Amy D WatermanDivision of Nephrology, David Geffen School of Medicine, University of California Los Angeles, CA, USA.
Amanda Faye LipseyTerasaki Research Institute, Los Angeles, CA, USA.ORCID 0000-0003-0172-4476
Omesh N RanasingheDivision of Nephrology, David Geffen School of Medicine, University of California Los Angeles, CA, USA.
Emily H WoodDivision of Nephrology, David Geffen School of Medicine, University of California Los Angeles, CA, USA.
Crystal AndersonDivision of Nephrology, David Geffen School of Medicine, University of California Los Angeles, CA, USA.
Carla BozzoloInsight Policy Research, Arlington, VA, USA.
Shayna L HenryKaiser Permanente Southern California, Pasadena, CA, USA.
Bhanuja DubKaiser Permanente Southern California, Pasadena, CA, USA.
Brian MittmanKaiser Permanente Southern California, Pasadena, CA, USA.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
NCATS NIH HHS UL1 TR001881
6 · The paper itself

Abstract

contextEarly tailored transplant education could help patients make informed transplant choices.

objectiveWe interviewed 40 patients with chronic kidney disease (CKD) stages 3 to 5, 13 support persons, and 10 providers at Kaiser Permanente Southern California to understand: (1) barriers to transplant education and (2) transplant educational preferences and recommendations based on CKD stage and primary language spoken.

designA grounded theory analysis identified central themes related to transplant education barriers, preferences, and recommendations.

resultsBarriers included confusion about diagnosis and when transplant may be necessary, concerns about transplant risks, families' lack of transplant knowledge, financial burdens, transportation and scheduling, and the emotional overload of chronic illness. Hispanic and Spanish-speaking participants reported difficulty in understanding transplant education and medical mistrust. Recommendations included providing general education, earlier introduction to transplant, wait-listing information, transplant education for support persons, living donation education for patients and potential donors, opportunities to meet living donors and kidney recipients, information on the benefits of transplant, recovery, and available financial resources, flexible class scheduling, online and print resources, and more provider follow-up. Spanish-speaking and Hispanic participants recommended using bilingual educators, print, video, and online resources in Spanish, and culturally responsive education. Patients with CKD stages 3 to 4 wanted information on slowing disease progression and avoiding transplant.

conclusionIncreasing access to culturally responsive transplant education in multiple languages, pairing appropriate content to the disease stage, and increasing system-wide follow-up as the disease progresses might help patients make more informed choices about transplant.

Indexed as

Culturally Competent CareDecision MakingFemaleHumansInterviews as TopicKidney TransplantationMalePatient Education as TopicRenal Insufficiency, ChronicSeverity of Illness Indexaccessand evaluationanonymous < body regionsdeceased < body regionseducationhealth-care qualitykidney transplant recipient < body regionsrelated < body regionstransplant donor

Identifiers

PMID32238045
PMCPMC7430160

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Registered trials

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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.