Evidence map›Paper›PMID 34939000›Full record

ArticleKidney medicine

Preferences for and Experiences of Shared and Informed Decision Making Among Patients Choosing Kidney Replacement Therapies in Nephrology Care.

Tyler M Barrett, Jamie A Green, Raquel C Greer, Patti L Ephraim, Sarah Peskoe, Jane F Pendergast, Chelsie L Hauer, Tara S Strigo, Evan Norfolk, Ion Dan Bucaloiu and 6 more

Open access · goldAbstract read
In one paragraph

Article in Kidney medicine. 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
8.1field-weighted citation impact, top 2% 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, 31 citations in OpenAlex.

  1. Review
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  10. [Long-term physical and psychological consequences of chronic kidney disease].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022
    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

16 authors at 6 institutions in 1 country.

Tyler M BarrettDivision of General Internal Medicine, Duke University School of Medicine, Durham, NC.
Jamie A GreenDepartment of Nephrology, Geisinger Commonwealth School of Medicine, Danville, PA.
Raquel C GreerWelch Center for Prevention, Epidemiology, and Clinical Research, Baltimore, MD.
Patti L EphraimWelch Center for Prevention, Epidemiology, and Clinical Research, Baltimore, MD.
Sarah PeskoeDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC.
Jane F PendergastDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC.
Chelsie L HauerCenter for Clinical Innovation, Institute for Advanced Application, Danville, PA.
Tara S StrigoDivision of General Internal Medicine, Duke University School of Medicine, Durham, NC.
Evan NorfolkDepartment of Nephrology, Geisinger Commonwealth School of Medicine, Danville, PA.
Ion Dan BucaloiuDepartment of Nephrology, Geisinger Commonwealth School of Medicine, Danville, PA.
Clarissa J DiamantidisDivision of General Internal Medicine, Duke University School of Medicine, Durham, NC.
Felicia Hill-BriggsWelch Center for Prevention, Epidemiology, and Clinical Research, Baltimore, MD.
Teri BrowneCollege of Social Work, University of South Carolina, Columbia, SC.
George L JacksonCenter for Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, NC.
L Ebony BoulwareDivision of General Internal Medicine, Duke University School of Medicine, Durham, NC.
PREPARE NOW study investigators
Duke University · USCommonwealth Medical College · USWelch Foundation · USUniversity of South Carolina · USJohns Hopkins University · USCenter for Innovation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RATIONALE &

objectiveChronic kidney disease (CKD) can progress rapidly, and patients are often unprepared to make kidney failure treatment decisions. We aimed to better understand patients' preferences for and experiences of shared and informed decision making (SDM) regarding kidney replacement therapy before kidney failure. STUDY

designCross-sectional study. SETTING &

participantsAdults receiving nephrology care at CKD clinics in rural Pennsylvania. PREDICTORS: Estimated glomerular filtration rate, 2-year risk for kidney failure, duration and frequency of nephrology care, and preference for SDM. OUTCOMES: Occurrence and extent of kidney replacement therapy discussions and participants' satisfaction with those discussions. ANALYTIC APPROACH: Multivariable logistic regression to quantify associations between participants' characteristics and whether they had discussions.

resultsThe 447 study participants had a median age of 72 (IQR, 64-80) years and mean estimated glomerular filtration rate of 33 (SD, 12) mL/min/1.73 m LIMITATIONS: Single health system study.

conclusionsMost patients preferred sharing CKD treatment decisions with their providers, but treatment discussions were infrequent and often did not address key treatment impacts. Longitudinal nephrology care and frequent visits may help ensure that patients have optimal SDM experiences.

Indexed as

chronic kidney diseasekidney replacement therapyshared and informed decision making

Identifiers

PMID34939000
PMCPMC8664702
OpenAlexW3192756703

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.