Evidence map›Paper›PMID 32791499›Full record

Trial reportAmerican journal of nephrology2020

Use of a Supportive Kidney Care Video Decision Aid in Older Patients: A Randomized Controlled Trial.

Nwamaka D Eneanya, Shananssa G Percy, Taylor L Stallings, Wei Wang, David J R Steele, Michael J Germain, Jane O Schell, Michael K Paasche-Orlow, Angelo E Volandes

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02698722 (A Video Decision Support Tool to Assist Elderly Patients in ESRD Treatment Decision-making - A Pilot Randomized Control Trial), which is not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–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.

NCT02698722 nacompletednot on this map

A Video Decision Support Tool to Assist Elderly Patients in ESRD Treatment Decision-making - A Pilot Randomized Control Trial

TypeinterventionalSponsorMassachusetts General HospitalRan2016 to 2019Enrolled100ConditionsChronic Kidney Disease, Decision-makingArmsEnd-stage renal disease treatment options
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  4. Review
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  9. Choosing conservative care in advanced chronic kidney disease: a scoping review of patients' perspectives.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
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  18. Review
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.

Nwamaka D EneanyaRenal-Electrolyte Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA, nwamaka.eneanya@pennmedicine.upenn.edu.
Shananssa G PercyDivision of Nephrology, Department of Internal Medicine, Massachusetts General Hospital, Harvard Medical School Center, Boston, Massachusetts, USA.
Taylor L StallingsPalliative and Advanced Illness Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Wei WangPalliative and Advanced Illness Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
David J R SteeleDivision of Nephrology, Department of Internal Medicine, Massachusetts General Hospital, Harvard Medical School Center, Boston, Massachusetts, USA.
Michael J GermainDivision of Nephrology, Baystate Medical Center, University of Massachusetts Medical School - Baystate, Springfield, Massachusetts, USA.
Jane O SchellDivision of Renal-Electrolyte, Department of General Medicine, Section of Palliative Care and Medical Ethics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Michael K Paasche-OrlowSection of General Internal Medicine, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Angelo E VolandesDivision of General Medicine, Department of Internal Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

Integrating Conservative Kidney Management Options and Advance Care Planning Into a Pre-Dialysis Educational ProgramK23DK114526 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI ENEANYA, NWAMAKA · 2017 to 2021
$819k
NIDDK NIH HHS K23 DK114526
6 · The paper itself

Abstract

backgroundThere are few studies of patient-facing decision aids that include supportive kidney care as an option. We tested the efficacy of a video decision aid on knowledge of supportive kidney care among older patients with advanced CKD.

methodsParticipants (age ≥ 65 years with advanced CKD) were randomized to receive verbal or video education. Primary outcome was knowledge of supportive kidney care (score range 0-3). Secondary outcomes included preference for supportive kidney care, and satisfaction and acceptability of the video.

resultsAmong all participants (n = 100), knowledge of supportive kidney care increased significantly after receiving education (p < 0.01); however, there was no difference between study arms (p = 0.68). There was no difference in preference for supportive kidney care between study arms (p = 0.49). In adjusted analyses, total health literacy score (aOR 1.08 [95% CI: 1.003-1.165]) and nephrologists' answer of "No" to the Surprise Question (aOR 4.87 [95% CI: 1.22-19.43]) were associated with preference for supportive kidney care. Most felt comfortable watching the video (96%), felt the content was helpful (96%), and would recommend the video to others (96%).

conclusionsAmong older patients with advanced CKD, we did not detect a significant difference between an educational verbal script and a video decision aid in improving knowledge of supportive kidney care or preferences. However, patients who received video education reported high satisfaction and acceptability ratings. Future research will determine the effectiveness of a supportive kidney care video decision aid on real-world patient outcomes.

trial registrationNCT02698722 (ClinicalTrials.gov).

Indexed as

Decision Support TechniquesHealth Knowledge, Attitudes, PracticeVideo RecordingAgedAged, 80 and overFemaleHumansMalePatient Education as TopicPatient SatisfactionProspective StudiesRenal Insufficiency, ChronicTreatment OutcomeChronic kidney diseaseDialysis decision-makingPalliative nephrologySupportive kidney care

Identifiers

PMID32791499
PMCPMC7543741

What OpenQuestion holds

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Registered trials

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.