Evidence map›Paper›PMID 33038425›Full record

ReviewKidney international2020

Ethics of kidney care in the era of COVID-19.

Dominique E Martin, Jordan A Parsons, Fergus J Caskey, David C H Harris, Vivekanand Jha

Open access · bronzeAbstract readReview
In one paragraph

Review in Kidney international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Disasters and kidney care: pitfalls and solutions.Nature reviews. Nephrology · 2023
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Shared Decision-Making for a Dialysis Modality.Kidney international reports · 2022
    Review
  9. Article
  10. 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

5 authors at 5 institutions in 4 countries.

Dominique E MartinSchool of Medicine, Deakin University, Geelong, Victoria, Australia. Electronic address: Dominique.martin@deakin.edu.au.
Jordan A ParsonsBristol Medical School, University of Bristol, Bristol, UK; Instituts für Geschichte und Ethik der Medizin, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany.
Fergus J CaskeyBristol Medical School, University of Bristol, Bristol, UK; The Richard Bright Renal Unit, Southmead Hospital, North Bristol National Health Service Trust, Bristol, UK.
David C H HarrisCentre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Westmead, New South Wales, Australia.
Vivekanand JhaGeorge Institute for Global Health India, University of New South Wales (UNSW), New Delhi, India; School of Public Health, Imperial College, London, UK; Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Deakin University · AUManipal Academy of Higher Education · INNational Health Service · GBThe University of Sydney · AUUniversity of Bristol · GB

Funding

Wellcome Trust 209841/Z/17/Z
6 · The paper itself

Abstract

The coronavirus disease 2019 pandemic presents significant challenges for health systems globally, including substantive ethical dilemmas that may pose specific concerns in the context of care for people with kidney disease. Ethical concerns may arise as changes in policy and practice affect the ability of all health professionals to fulfill their ethical duties toward their patients in providing best practice care. In this article, we briefly describe such concerns and elaborate on issues of particular ethical complexity in kidney care: equitable access to dialysis during pandemic surges; balancing the risks and benefits of different kidney failure treatments, specifically with regard to suspending kidney transplantation programs and prioritizing home dialysis, and barriers to shared decision-making; and ensuring ethical practice when using unproven interventions. We present preliminary advice on how to approach these issues and recommend urgent efforts to develop resources that will support health professionals and patients in managing them.

Indexed as

Clinical Decision-MakingCOVID-19HumansKidney Failure, ChronicRenal Replacement TherapyCOVID-19end-stage kidney diseaseethicspandemicresource allocation

Identifiers

PMID33038425
PMCPMC7539938
OpenAlexW3089968146

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.