Evidence map›Paper›PMID 36938090›Full record

ArticleKidney international reports2023

Australian Workshops on Patients' Perspectives on Hemodialysis and Incremental Start.

Katharine Hegerty, Allison Jaure, Nicole Scholes-Robertson, Kirsten Howard, Angela Ju, Nicole Evangelidis, Martin Wolley, Amanda Baumgart, David W Johnson, Carmel M Hawley and 11 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Kidney international reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Advances in Human-Centered Care to Address Contemporary Unmet Needs in Chronic Dialysis.International journal of nephrology and renovascular disease · 2024
    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

21 authors.

Katharine HegertyDepartment of Nephrology, Princess Alexandra Hospital, Queensland, Australia.
Allison JaureThe University of Sydney, New South Wales, Australia.
Nicole Scholes-RobertsonThe University of Sydney, New South Wales, Australia.
Kirsten HowardMenzies Center for Health Policy and Economics, Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.
Angela JuThe University of Sydney, New South Wales, Australia.
Nicole EvangelidisThe University of Sydney, New South Wales, Australia.
Martin WolleyRoyal Brisbane and Women's Hospital, Queensland, Australia.
Amanda BaumgartThe University of Sydney, New South Wales, Australia.
David W JohnsonDepartment of Nephrology, Princess Alexandra Hospital, Queensland, Australia.
Carmel M HawleyDepartment of Nephrology, Princess Alexandra Hospital, Queensland, Australia.
Donna ReidlingerAustralasian Kidney Trials Network, University of Queensland, Brisbane, Queensland, Australia.
Laura HickeyAustralasian Kidney Trials Network, University of Queensland, Brisbane, Queensland, Australia.
Alyssa WelchAustralasian Kidney Trials Network, University of Queensland, Brisbane, Queensland, Australia.
Yeoungjee ChoDepartment of Nephrology, Princess Alexandra Hospital, Queensland, Australia.
Peter G KerrDepartment of Nephrology, Monash Medical Centre, Melbourne, Victoria, Australia.
Matthew A RobertsAustralasian Kidney Trials Network, University of Queensland, Brisbane, Queensland, Australia.
Jenny I ShenDivision of Nephrology and Hypertension, The Lundquist Institute at Harbor-UCLA Medical Center, Torrance, California, USA.
Jonathan CraigCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Rathika KrishnasamyThe University of Queensland, Brisbane, Queensland, Australia.
Andrea K ViecelliDepartment of Nephrology, Princess Alexandra Hospital, Queensland, Australia.
INCremental dialysis to improve Health outcomes people starting Hemodialysis (INCH-HD) investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Most patients with kidney failure commence and continue hemodialysis (HD) thrice weekly. Incremental initiation (defined as HD less than thrice weekly) is increasingly considered to be safe and less burdensome, but little is known about patients' perspectives. We aimed to describe patients' priorities and concerns regarding incremental HD. Methods: Patients currently, previously, or soon to be receiving HD in Australia participated in two 90-minute online workshops to discuss views about HD focusing on incremental start and priorities for trial outcomes. Transcripts were analyzed using thematic analysis. Outcomes were ranked on the basis of the sum of participants' priority scores (i.e., single allocation of 3 points for most important, 2 for second, and 1 for third most important outcome). Results: All 26 participants (1 caregiver and 25 patients) preferred an incremental HD approach. The top prioritized outcomes were quality of life (QOL) (56 points), residual kidney function (RKF) (27 points), and mortality (16 points). The following 4 themes underpinning outcome priorities, experience, and safety concerns were identified: (i) unpreparedness and pressure to adapt, (ii) disruption to daily living, (iii) threats to safety, and (iv) hope and future planning. Conclusion: Patients with kidney failure preferred an incremental start to HD to minimize disruption to daily living and reduce the negative impacts on their education, ability to work, and family life. QOL was the most critically important outcome, followed by RKF and survival.

Indexed as

hemodialysisincremental dialysispatient-centered carepatient perspectivesquality of liferesidual kidney function

Identifiers

PMID36938090
PMCPMC10014336

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.