Evidence map›Paper›PMID 36521766›Full record

ArticleJournal of pain and symptom management2023

Racial Disparities in Health Beliefs and Advance Care Planning Among Patients Receiving Maintenance Dialysis.

Fahad Saeed, Susan Ladwig, Rebecca Jane Allen, Nwamaka D Eneanya, Manjula Kurella Tamura, Kevin A Fiscella

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Fahad SaeedDepartment of Medicine, Division of Nephrology (F.S.), University of Rochester School of Medicine and Dentistry, Rochester, New York, USA; Division of Palliative Care (F.S., S.L.), University of Rochester School of Medicine and Dentistry, Rochester, New York, USA. Electronic address: fahad_saeed@urmc.rochester.edu.
Susan LadwigDivision of Palliative Care (F.S., S.L.), University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Rebecca Jane AllenMount St. Joseph University, School of Behavior and Natural Science (R.J.A.), Cincinnati, Ohio, USA.
Nwamaka D EneanyaFresenius Medical Care, Global Medical Office, Philadelphia, Pennsylvania, USA.
Manjula Kurella TamuraDivision of Nephrology (MKT), Stanford University and Geriatric Research and Education Clinical Center Veterans Affairs Palo Alto, Palo Alto, California, USA.
Kevin A FiscellaDepartment of Family Medicine and Center for Center for Communication and Disparities Research (K.A.F.), University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
University of Rochester · USFresenius Medical Care (United States) · USGeriatric Research Education and Clinical Center · USMount St. Joseph University · USUniversity of Rochester Medical Center · US

Funding

Pilot Testing of a Communication Intervention to Promote Shared Dialysis Decision Making in Older Patients with Chronic Kidney Disease (DIAL-SDM Trial)K23DK121939 · NIDDK · UNIVERSITY OF ROCHESTER · PI SAEED, FAHAD · 2020 to 2023
$839k
HSRD VA I01 HX002763NIDDK NIH HHS K23 DK121939
6 · The paper itself

Abstract

contextAmong people receiving maintenance dialysis, little is known about racial disparities in the occurrence of prognostic discussions, beliefs about future health, and completion of advance care planning (ACP) documents.

objectivesWe examined whether Black patients receiving maintenance dialysis differ from White patients in prognostic discussions, beliefs about future health, and completion of ACP-related documents.

methodsWe surveyed adult patients receiving maintenance dialysis from seven dialysis units in Cleveland, Ohio, and hospitalized patients at a tertiary care hospital in Cleveland. Of the 450 patients who were asked to participate in the study, 423 (94%) agreed. We restricted the current secondary analyses to include only Black (n=285) and White (n=114) patients. The survey assessed patients' knowledge of their kidney disease, attitudes toward chronic kidney disease (CKD) treatment, preferences for end-of-life (EoL) care, the patient-reported occurrence of prognostic discussions, experiences with kidney therapy decision making, sentiments of dialysis regret, beliefs about health over the next 12 months, and advance care planning. We used stepwise logistic regression to determine if race was associated with the occurrence of prognostic discussions, beliefs about future health, and completion of an ACP-related document, while controlling for potential confounders.

resultsWe found no significant difference in the frequency of prognostic discussions between Black (11.9%) versus White patients (7%) (P=0.15). However, Black patients (19%) had lower odds of believing that their health would worsen over the next 12 months (OR 0.22, CI 0.12, 0.44) and reporting completion of any ACP-related document (OR 0.5, CI 0.32, 0.81) compared to White patients

conclusionRacial differences exist in beliefs about future health and completion of ACP-related documents. Systemic efforts to investigate differences in health beliefs and address racial disparities in the completion of ACP-related documents are needed.

Indexed as

Advance Care PlanningRenal Insufficiency, ChronicTerminal CareAdultAttitudeHumansRenal Dialysisadvance care planningend-of-life careillness trajectoryprognosisRaceracial disparities

Identifiers

PMID36521766
PMCPMC10103744
OpenAlexW4311674606

What OpenQuestion holds

Textmetadata
LicenceTDM
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.