Evidence map›Paper›PMID 32764141›Full record

ArticleJournal of the American Society of Nephrology : JASN2020

Thematic Analysis of Hospice Mentions in the Health Records of Veterans with Advanced Kidney Disease.

Ann M O'Hare, Catherine R Butler, Janelle S Taylor, Susan P Y Wong, Elizabeth K Vig, Ryan S Laundry, Melissa W Wachterman, Paul L Hebert, Chuan-Fen Liu, Nilka Rios-Burrows and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

11 authors at 5 institutions in 2 countries.

Ann M O'HareDepartment of Medicine, University of Washington, Seattle, Washington ann.ohare@va.gov.
Catherine R ButlerDepartment of Medicine, University of Washington, Seattle, Washington.ORCID 0000-0001-9174-8038
Janelle S TaylorDepartment of Anthropology, University of Toronto, Toronto, Ontario, Canada.
Susan P Y WongDepartment of Medicine, University of Washington, Seattle, Washington.
Elizabeth K VigDepartment of Medicine, University of Washington, Seattle, Washington.
Ryan S LaundryHospital and Specialty Medicine, Geriatrics and Extended Care and Seattle-Denver Health Services Research and Development Center for Innovation, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
Melissa W WachtermanSection of General Internal Medicine, Veterans Affairs Boston Health Care System, Boston, Massachusetts.
Paul L HebertHospital and Specialty Medicine, Geriatrics and Extended Care and Seattle-Denver Health Services Research and Development Center for Innovation, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
Chuan-Fen LiuHospital and Specialty Medicine, Geriatrics and Extended Care and Seattle-Denver Health Services Research and Development Center for Innovation, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
Nilka Rios-BurrowsChronic Kidney Disease Initiative, Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia.
Claire A RichardsHospital and Specialty Medicine, Geriatrics and Extended Care and Seattle-Denver Health Services Research and Development Center for Innovation, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.ORCID 0000-0001-6826-5222
University of Washington · USCenters for Disease Control and Prevention · USDenver Health Medical Center · USUniversity of Toronto · CAVA Boston Healthcare System · US

Funding

RESEARCH TRAINING IN RENAL DISEASET32DK007467 · NIDDK · UNIVERSITY OF WASHINGTON · PI BANSAL, NISHA, KESTENBAUM, BRYAN R · 1986 to 2023
$5.1M
Deciding about Dialysis: Improving Decision-Making Among Older Adults with ESRDK23AG049088 · NIA · HARVARD MEDICAL SCHOOL · PI WACHTERMAN, MELISSA · 2015 to 2022
$919k
NIA NIH HHS K23 AG049088NIDDK NIH HHS T32 DK007467
6 · The paper itself

Abstract

backgroundPatients with advanced kidney disease are less likely than many patients with other types of serious illness to enroll in hospice. Little is known about real-world clinical decision-making related to hospice for members of this population.

methodsWe used a text search tool to conduct a thematic analysis of documentation pertaining to hospice in the electronic medical record system of the Department of Veterans Affairs, for a national sample of 1000 patients with advanced kidney disease between 2004 and 2014 who were followed until October 8, 2019.

resultsThree dominant themes emerged from our qualitative analysis of the electronic medical records of 340 cohort members with notes containing hospice mentions: (

conclusionsOur findings underscore the need to improve transitions to hospice for patients with advanced kidney disease as they approach the end of life.

Indexed as

Hospice CareVeteransAgedAged, 80 and overAttitude of Health PersonnelClinical Decision-MakingElectronic Health RecordsEligibility DeterminationFemaleHealth Knowledge, Attitudes, PracticeHome Care ServicesHumansKidney Failure, ChronicMaleMiddle AgedPatient Participationadvanced kidney diseaseconcurrent careconcurrent dialysisend-of-lifehospiceveteran

Identifiers

PMID32764141
PMCPMC7608965
OpenAlexW3047986540

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.