Evidence map›Paper›PMID 33677544›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2022

Patient-reported factors influencing the choice of their kidney replacement treatment modality.

Rianne W de Jong, Vianda S Stel, Axel Rahmel, Mark Murphy, Raymond C Vanholder, Ziad A Massy, Kitty J Jager

Abstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Seasonality, Hospitalization, and Initiation of Home Dialysis: A Retrospective Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Article
  2. Article
  3. Incidence and prevalence of kidney replacement therapy in Central and Eastern Europe-trends from the ERA Registry.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  4. Kidney health for all: Caring for people, protecting the planet.Journal of family medicine and primary care · 2026
    Article
  5. Article
  6. Article
  7. Kidney Health for all: Caring for People, Protecting the Planet.Canadian journal of kidney health and disease · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. 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
  12. Article
  13. Article
  14. Factors influencing kidney transplantation rates: a study from the ERA Registry.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  15. Review
  16. Work status and work ability of patients receiving kidney replacement therapy: results from a European survey.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  17. Article
  18. Article
  19. The relationship between grip strength with health-related quality of life and mortality in hemodialysis patients.Nutrire : revista de Sociedade Brasileira de Alimentacao e Nutricao = journal of the Brazilian Society of Food and Nutrition · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Rianne W de JongERA-EDTA Registry, Department of Medical Informatics, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-6065-2727
Vianda S StelERA-EDTA Registry, Department of Medical Informatics, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-0007-1947
Axel RahmelDeutsche Stiftung Organtransplantation, Frankfurt am Main, Germany.
Mark MurphyThe Irish Kidney Association CLG, Dublin, Ireland.
Raymond C VanholderNephrology Section, Department of Internal Medicine and Pediatrics, University Hospital, Ghent, Belgium.ORCID 0000-0003-2633-1636
Ziad A MassyDivision of Nephrology, Amboise Paré University Hospital, APHP, Boulogne-Billancourt, Paris, France.
Kitty J JagerERA-EDTA Registry, Department of Medical Informatics, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-0444-8569

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to various kidney replacement therapy (KRT) modalities for patients with end-stage kidney disease differs substantially within Europe.

methodsEuropean adults on KRT filled out an online or paper-based survey about factors influencing and experiences with modality choice (e.g. information provision, decision-making and reasons for choice) between November 2017 and January 2019. We compared countries with low, middle and high gross domestic product (GDP).

resultsIn total, 7820 patients [mean age 59 years, 56% male, 63% on centre haemodialysis (CHD)] from 38 countries participated. Twenty-five percent had received no information on the different modalities, and only 23% received information >12 months before KRT initiation. Patients were not informed about home haemodialysis (HHD) (42%) and comprehensive conservative management (33%). Besides nephrologists, nurses more frequently provided information in high-GDP countries, whereas physicians other than nephrologists did so in low-GDP countries. Patients from low-GDP countries reported later information provision, less information about other modalities than CHD and lower satisfaction with information. The majority of modality decisions were made involving both patient and nephrologist. Patients reported subjective (e.g. quality of life and fears) and objective reasons (e.g. costs and availability of treatments) for modality choice. Patients had good experiences with all modalities, but experiences were better for HHD and kidney transplantation and in middle- and high-GDP countries.

conclusionOur results suggest European differences in patient-reported factors influencing KRT modality choice, possibly caused by disparities in availability of KRT modalities, different healthcare systems and varying patient preferences. Availability of home dialysis and kidney transplantation should be optimized.

Indexed as

Kidney Failure, ChronicQuality of LifeAdultFemaleHumansKidneyMaleMiddle AgedPatient Reported Outcome MeasuresRenal DialysisRenal Replacement Therapychronic haemodialysisdialysisESRDkidney transplantationperitoneal dialysis

Identifiers

PMID33677544
PMCPMC8875472

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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.