Evidence map›Paper›PMID 35807208›Full record

ReviewJournal of clinical medicine2022

Palliative Care for Patients with Kidney Disease.

Iacopo Lanini, Sara Samoni, Faeq Husain-Syed, Sergio Fabbri, Filippo Canzani, Andrea Messeri, Rocco Domenico Mediati, Zaccaria Ricci, Stefano Romagnoli, Gianluca Villa

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Paradigm Shift: Dialysis as a Terminal Condition.Kidney international reports · 2024
    Article
  12. Article
  13. Article
  14. 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

10 authors at 6 institutions in 2 countries.

Iacopo LaniniDepartment of Health Sciences, Section of Anesthesia, Intensive Care and Pain Medicine, University of Florence, 50121 Florence, Italy.
Sara SamoniDepartment of Nephrology and Dialysis, ASST Lariana, S. Anna Hospital, 22042 Como, Italy.ORCID 0000-0003-0973-162X
Faeq Husain-SyedDepartment of Internal Medicine II, Division of Nephrology, Pulmonology and Critical Care Medicine, University Hospital Giessen and Marburg, 35392 Giessen, Germany.
Sergio FabbriDepartment of Health Sciences, Section of Anesthesia, Intensive Care and Pain Medicine, University of Florence, 50121 Florence, Italy.
Filippo CanzaniPalliative Care, USL Toscana Centro, 50122 Florence, Italy.
Andrea MesseriPalliative Care, USL Toscana Centro, 50122 Florence, Italy.
Rocco Domenico MediatiDepartment of Anesthesia and Intensive Care, Section of Pain Therapy and Palliative Care, Azienda Ospedaliero Universitaria Careggi, 50134 Florence, Italy.
Zaccaria RicciDepartment of Health Sciences, Section of Anesthesia, Intensive Care and Pain Medicine, University of Florence, 50121 Florence, Italy.
Stefano RomagnoliDepartment of Health Sciences, Section of Anesthesia, Intensive Care and Pain Medicine, University of Florence, 50121 Florence, Italy.
Gianluca VillaDepartment of Health Sciences, Section of Anesthesia, Intensive Care and Pain Medicine, University of Florence, 50121 Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITAzienda Usl Toscana Centro · ITAzienda Socio Sanitaria Territoriale Lariana · ITMeyer Children's Hospital · ITUniversitätsklinikum Gießen und Marburg · DEUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interest in palliative care has increased in recent times, particularly in its multidisciplinary approach developed to meet the needs of patients with a life-threatening disease and their families. Although the modern concept of palliative simultaneous care postulates the adoption of these qualitative treatments early on during the life-threatening disease (and potentially just after the diagnosis), palliative care is still reserved for patients at the end of their life in most of the clinical realities, and thus is consequently mistaken for hospice care. Patients with acute or chronic kidney disease (CKD) usually experience poor quality of life and decreased survival expectancy and thus may benefit from palliative care. Palliative care requires close collaboration among multiple health care providers, patients, and their families to share the diagnosis, prognosis, realistic treatment goals, and treatment decisions. Several approaches, such as conservative management, extracorporeal, and peritoneal palliative dialysis, can be attempted to globally meet the needs of patients with kidney disease (e.g., physical, social, psychological, or spiritual needs). Particularly for frail patients, pharmacologic management or peritoneal dialysis may be more appropriate than extracorporeal treatment. Extracorporeal dialysis treatment may be disproportionate in these patients and associated with a high burden of symptoms correlated with this invasive procedure. For those patients undergoing extracorporeal dialysis, individualized goal setting and a broader concept of adequacy should be considered as the foundations of extracorporeal palliative dialysis. Interestingly, little evidence is available on palliative and end of life care for acute kidney injury (AKI) patients. In this review, the main variables influencing medical decision-making about palliative care in patients with kidney disease are described, as well as the different approaches that can fulfill the needs of patients with CKD and AKI.

Indexed as

acute kidney injurychronic kidney diseaseend of-life careend-stage kidney diseasekidney replacement therapypalliative care

Identifiers

PMID35807208
PMCPMC9267754
OpenAlexW4284689803

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.