Evidence map›Paper›PMID 34974651›Full record

ArticleKidney research and clinical practice2022

Evaluating a shared decision-making intervention regarding dialysis modality: development and validation of self-assessment items for patients with chronic kidney disease.

Soojin Kim, Jung Tak Park, Sung Joon Shin, Jae Hyun Chang, Kyung Don Yoo, Jung Pyo Lee, Dong-Ryeol Ryu, Soontae An, Sejoong Kim

Open access · diamondAbstract read
In one paragraph

Article in Kidney research and clinical practice, 2022. 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
2.6field-weighted citation impact, top 9% 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, 14 citations in OpenAlex.

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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 at 6 institutions in 1 country.

Soojin KimDivision of Communication and Media, Ewha Womans University, Seoul, Republic of Korea.
Jung Tak ParkDepartment of Internal Medicine, Institute of Kidney Disease Research, Yonsei University College of Medicine, Seoul, Republic of Korea.
Sung Joon ShinDepartment of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
Jae Hyun ChangDepartment of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Kyung Don YooDivision of Nephrology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.
Jung Pyo LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Dong-Ryeol RyuDepartment of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Republic of Korea.
Soontae AnDivision of Communication and Media, Ewha Womans University, Seoul, Republic of Korea.
Sejoong KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Ewha Womans University · KRDongguk University Ilsan Hospital · KRGachon University · KRSeoul National University · KRUlsan College · KRYonsei University · KR

Funding

Korean Society of NephrologyMinistry of Health and Welfare HC20C0054Ministry of Health and Welfare HI19C0481
6 · The paper itself

Abstract

backgroundShared decision-making is a two-way symmetrical communication process in which clinicians and patients work together to achieve the best outcome. This study aimed to develop self-assessment items as a decision aid for choosing a dialysis modality in patients with chronic kidney disease (CKD) and to assess the construct validity of the newly developed items.

methodsFive focus group interviews were performed to extract specific self-assessment items regarding patient values in choosing a dialysis modality. After survey items were refined, a survey of 330 patients, consisting of 152 hemodialysis (HD) and 178 peritoneal dialysis (PD) patients, was performed to validate the self-assessment items.

resultsThe self-assessment for the decision aid was refined to 35 items. The structure of the final items appeared to have three dimensions of factors; health, lifestyle, and dialysis environment. The health factor consisted of 12 subscales (α = 0.724), the lifestyle factor contained 11 subscales (α = 0.624), and the dialysis environment factor was represented by 12 subscales (α = 0.694). A structural equation model analysis showed that the relationship between the decision aid factors (health, lifestyle, and dialysis environment), patients' CKD perception, and cognition of shared decision-making differed between HD patients and PD patients.

conclusionWe developed and validated self-assessment items as part of a decision aid to help patients with CKD. This attempt may assist CKD patients in making informed and shared decisions closely aligned with their values when considering dialysis modality.

Indexed as

Decision support techniquesPerceptionSelf-assessmentShared decision-making

Identifiers

PMID34974651
PMCPMC8995480
OpenAlexW4200561177

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.