Evidence map›Paper›PMID 36790053›Full record

ArticleJournal of the American Geriatrics Society2023

Decision-making about dialysis: Beyond just dialysis or death.

Christine Kee Liu, Leah Taffel, Matthew Russell, Susan P Y Wong, Howard Russell, Elizabeth K Vig

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 5 institutions in 1 country.

Christine Kee LiuSection of Geriatrics, Division of Primary Care and Population Health, Stanford University, School of Medicine, Stanford, California, USA.ORCID 0000-0001-6592-7550
Leah TaffelSection of Geriatrics, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine and Boston Medical Center, Boston, Massachusetts, USA.
Matthew RussellDivision of Palliative Care and Geriatric Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Susan P Y WongDivision of Nephrology, VA Puget Sound Health Care System, Seattle, Washington, USA.
Howard Russell
Elizabeth K VigGeriatrics and Extended Care, Veterans Affairs Puget Sound Healthcare System, Seattle, Washington, USA.
Boston University · USHarvard University · USNorthwest Kidney Centers · USUniversity of Washington · USVA Palo Alto Health Care System · US

Funding

Improving Medical Decision Making for Older Patients with End Stage Renal DiseaseR01AG066892 · NIA · TUFTS MEDICAL CENTER · PI PAASCHE-ORLOW, MICHAEL, VOLANDES, ANGELO · 2020 to 2025
$10.8M
Virtually Supervised Exercise for Kidney Transplant CandidatesR01DK133509 · NIDDK · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI Christine Kee Liu · 2022 to 2026
$3.0M
Mobility of older hemodialysis patientsK23AG057813 · NIA · STANFORD UNIVERSITY · PI LIU, CHRISTINE KEE · 2018 to 2022
$917k
NIA NIH HHS K23 AG057813NIA NIH HHS L30 AG064790NIA NIH HHS R01 AG066892NIDDK NIH HHS L30 DK103297NIDDK NIH HHS R01 DK133509
6 · The paper itself

Abstract

Nearly half of the persons receiving dialysis in the United States are aged 65 years or older. Kidney failure occurs most frequently in older adults, and typically triggers a discussion regarding dialysis treatment. In this Special Article, we describe the journey of Mr. Howard Russell, an older adult who experienced kidney failure and underwent dialysis. Using the experience of Mr. Russell, we illustrate the complexity of dialysis decision-making, including how disease trajectory and health policy can potentially impede older adults from achieving "what matters." Our intent is to provide guidance regarding these barriers and support to clinicians who are sharing similar journeys with older adults making decisions about dialysis. Based on Mr. Russell's journey, we suggest that when discussing dialysis with an older adult, four points be considered: (1) recognize if dialysis is needed long-term; (2) understand what matters for the older adult; (3) sync the treatment plan when what matters changes; and (4) set up with resources for kidney failure, which is limited but evolving.

Indexed as

Kidney Failure, ChronicRenal DialysisAgedHumansUnited Statesadvance directivesdecision-makingdialysisgoals of carehemodialysishospicekidney failureolder adultspalliative care

Identifiers

PMID36790053
PMCPMC10175117
OpenAlexW4320857682

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.