ArticleClinical journal of the American Society of Nephrology : CJASN2020
Dialysis Regret: Prevalence and Correlates.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06243068 (Improving Shared Decision-Making and Access to Non-Dialytic Treatment for People With Kidney Disease), which is not on this map. Cited by 40 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Improving Shared Decision-Making and Access to Non-Dialytic Treatment for People With Kidney Disease (The ExPAND Trial)
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Decisional Conflicts in Kidney Replacement Therapy for Patients With Grade 5 Chronic Kidney Disease: A Qualitative Meta-Synthesis.Journal of renal care · 2025Pooled it
- Immunosuppressant management in palliative care: a systematic review.BMC palliative care · 2025Pooled it
- Feasibility and Acceptability of a Palliative Care Intervention among Older Adults with Advanced CKD and Their Caregivers.Kidney360 · 2025Trial
- Ten tips for the first hemodialysis sessions.Clinical kidney journal · 2026Review
- Older Patients and Conservative Kidney Management.JAMA network open · 2026Article
- Navigating prognostic uncertainty with H.O.P.E.: Caring for elderly patients with chronic kidney disease.Patient education and counseling · 2026Article
- Kidney-therapy decision-making among older adults and caregivers: treatment beliefs, prognostic information, and health priorities.BMC nephrology · 2025Article
- Supporting Shared Decision-Making in Life-Altering Kidney Therapy Decisions for Older Adults: A Review.JAMA internal medicine · 2025Review
- Article
- Obliged to fight? Patient moral processes in the face of poor prognosis cancer.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- How do patient information documents present dialysis and conservative kidney management? A document analysis.Clinical kidney journal · 2025Article
- Patient Activation, Social Support, Physician Trust, and Shared Dialysis Decision-Making: A Cross-Sectional Investigation.Kidney medicine · 2025Article
- Questions older people and caregivers ask about kidney therapies: A computer-assisted analysis.Patient education and counseling · 2025Article
- Takotsubo Syndrome Development Immediately Following Hemodialysis Initiation.Internal medicine (Tokyo, Japan) · 2025Article
- The role of peer support in coping and adjustment to dialysis and transplantation: Study protocol.PloS one · 2025Article
- Communicating treatment options to older patients with advanced kidney disease: a conversation analysis study.BMC nephrology · 2024Observational
- Uncovering Patient and Caregiver Goals for Goal-Concordant Care in Kidney Therapy Decisions.The American journal of hospice & palliative care · 2024Article
- Palliative Care Acceptability for Older Adults with Advanced CKD: A Qualitative Study of Patients and Nephrologists.Kidney medicine · 2024Article
- Development of a Resource for Health Professionals to Raise Advance Care Planning Topics During Kidney Care Consultations: A Multiple User-Centered Design.Kidney medicine · 2024Article
- Effect of Starting Dialysis Versus Continuing Medical Management on Survival and Home Time in Older Adults With Kidney Failure : A Target Trial Emulation Study.Annals of internal medicine · 2024Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
BACKGROUND AND
objectivesAlthough some patients regret the decision to start dialysis, modifiable factors associated with regret have rarely been studied. We aimed to identify factors associated with patients' regret to initiate dialysis. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: A 41-item questionnaire was administered to adult patients receiving maintenance dialysis in seven dialysis units located in Cleveland, Ohio, and its suburbs. Of the 450 patients asked to participate in the study, 423 agreed and 397 provided data on decisional regret. We used multivariable logistic regression to identify predictors of regret, which was assessed using a single item, "Do you regret your decision to start dialysis?" We report adjusted odd ratios (ORs) and 95% confidence intervals (95% CIs) for the following candidate predictors: knowledge of CKD, attitudes toward CKD treatment, and preference for end-of-life care.
resultsEighty-two of 397 respondents (21%) reported decisional regret. There were no significant demographic correlates of regret. Regret was more common when patients reported choosing dialysis to please doctors or family members (OR, 2.34; 95% CI, 1.27 to 4.31;
conclusionsDialysis regret was common in this sample. Demographic factors (age, sex, marital status, race, or educational attainment) were not significantly associated with regret, but modifiable care processes were. PODCAST: This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2020_06_09_CJN13781119.mp3.
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