Evidence map›Paper›PMID 34390041›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2021

Implementation of the kidney team at home intervention: Evaluating generalizability, implementation process, and effects.

Steef Redeker, Emma K Massey, Charlotte Boonstra, Jan J van Busschbach, Reinier Timman, Harald F H Brulez, Daan A A M J Hollander, Luuk B Hilbrands, Frederike Bemelman, Stefan P Berger and 6 more

Abstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

16 authors.

Steef RedekerSection of Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-1613-7859
Emma K MasseySection of Nephrology and Transplantation, Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-9017-1924
Charlotte BoonstraDe Viersprong, Netherlands Institute for Personality Disorders, Rotterdam, the Netherlands.
Jan J van BusschbachSection of Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus Medical Center, Rotterdam, the Netherlands.
Reinier TimmanSection of Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus Medical Center, Rotterdam, the Netherlands.
Harald F H BrulezDepartment of Internal Medicine, OLVG, Amsterdam, the Netherlands.
Daan A A M J HollanderDepartment of Internal Medicine, Jeroen Bosch Ziekenhuis, Den Bosch, the Netherlands.
Luuk B HilbrandsDepartment of Nephrology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.
Frederike BemelmanDepartment of Nephrology, Division of Internal Medicine, Amsterdam UMC, Amsterdam, the Netherlands.
Stefan P BergerDepartment of Internal Medicine, University of Groningen, University Medical Center Groningen, the Netherlands.
Jacqueline van de WeteringSection of Nephrology and Transplantation, Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
René M A van den DorpelDepartment of Internal Medicine, Maasstad Ziekenhuis, Rotterdam, the Netherlands.
Margriet Dekker-JansenDepartment of Internal Medicine, ZGT, Almelo, the Netherlands.
Willem WeimarSection of Nephrology and Transplantation, Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
Sohal Y IsmailSection of Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus Medical Center, Rotterdam, the Netherlands.
Kidney Team at Home consortium

Funding

Zorgverzekeraars Nederland
6 · The paper itself

Abstract

Research has shown that a home-based educational intervention for patients with chronic kidney disease results in better knowledge and communication, and more living donor kidney transplantations (LDKT). Implementation research in the field of renal care is almost nonexistent. The aims of this study were (1) to demonstrate generalizability, (2) evaluate the implementation process, and (3) to assess the relationship of intervention effects on LDKT-activity. Eight hospitals participated in the project. Patients eligible for all kidney replacement therapies (KRT) were invited to participate. Effect outcomes were KRT-knowledge and KRT-communication, and treatment choice. Feasibility, fidelity, and intervention costs were assessed as part of the process evaluation. Three hundred and thirty-two patients completed the intervention. There was a significant increase in KRT-knowledge and KRT-communication among participants. One hundred and twenty-nine out of 332 patients (39%) had LDKT-activity, which was in line with the results of the clinical trials. Protocol adherence, knowledge, and age were correlated with LDKT-activity. This unique implementation study shows that the results in practice are comparable to the previous trials, and show that the intervention can be implemented, while maintaining quality. Results from the project resulted in the uptake of the intervention in standard care. We urge other countries to investigate the uptake of the intervention.

Indexed as

Kidney TransplantationRenal Insufficiency, ChronicHealth Knowledge, Attitudes, PracticeHumansKidneyLiving Donorsfamily communicationhome-based educational programimplementationliving kidney donationpatient education

Identifiers

PMID34390041
PMCPMC9292401

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Registered trials

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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.