Evidence map›Paper›PMID 38182300›Full record

ReviewKidney international2024

Conservative kidney management and kidney supportive care: core components of integrated care for people with kidney failure.

Sara N Davison, Wolfgang Pommer, Mark A Brown, Claire A Douglas, Samantha L Gelfand, Irmingarda P Gueco, Barnaby D Hole, Sumiko Homma, Rümeyza T Kazancıoğlu, Harumi Kitamura and 17 more

Open access · hybridAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Kidney international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
23.4field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure.Journal of the American Society of Nephrology : JASN · 2026
    Guideline
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  12. Primary Health Care approach to managing chronic kidney disease.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Review
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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

27 authors at 20 institutions in 15 countries.

Sara N DavisonDivision of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. Electronic address: sara.davison@ualberta.ca.
Wolfgang PommerDepartment of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Berlin, Germany; Kuratorium für Dialyse und Nierentransplantation, Neu-Isenburg, Germany.
Mark A BrownDepartment of Renal Medicine, St George Hospital, Kogarah, Australia; School of Clinical Medicine, University of New South Wales, Kogarah, Australia.
Claire A DouglasDepartment of Renal Medicine, Ninewells Hospital, Dundee, Scotland, UK.
Samantha L GelfandDivision of Renal (Kidney) Medicine, Department of Psychosocial Oncology and Palliative Care, Brigham and Women's Hospital, Boston, Massachusetts, USA; Dana-Farber Cancer Institute, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
Irmingarda P GuecoSection of Nephrology, The Medical City, Pasig City, National Capital Region, Philippines.
Barnaby D HoleDepartment of Population Health, University of Bristol, Bristol, UK.
Sumiko HommaDepartment of Nephrology, Koga Red Cross Hospital, Koga, Ibaraki, Japan.
Rümeyza T KazancıoğluDivision of Nephrology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Türkiye.
Harumi KitamuraDepartment of Clinical Quality Management, Osaka University Hospital, Osaka, Japan.
Sahar H KoubarDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Rene KrauseDivision of Interdisciplinary Palliative Care and Medicine, Department of Family Community and Emergency Care, University of Cape Town, Cape Town, South Africa.
Kelly C LiDepartment of Renal Medicine, St George Hospital, Kogarah, Australia; School of Clinical Medicine, University of New South Wales, Kogarah, Australia.
Aoife C LowneyDepartment of Palliative Medicine, Marymount University Hospital and Hospice, Cork, Ireland; Department of Palliative Medicine, Cork University Hospital, Cork, Ireland; Department of Palliative Medicine, University College Cork, Cork, Ireland.
Shankar P NagarajuDepartment of Nephrology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Abdou NiangNephrology Department, Cheikh Anta Diop University, Dakar, Senegal.
Gregorio T ObradorDepartment of Biostatistics and Public Health, Universidad Panamericana School of Medicine, Mexico City, Mexico.
Yoichi OhtakeBody Mind Clinic, Takeo Clinic, Osaka, Japan.
Jane O SchellSection of Palliative Care and Medical Ethics, Renal-Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Jennifer S SchererDepartment of Internal Medicine, NYU Grossman School of Medicine, New York, New York, USA.
Brendan SmythDepartment of Renal Medicine, St George Hospital, Kogarah, Australia; School of Clinical Medicine, University of New South Wales, Kogarah, Australia; National Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of Sydney, Camperdown, Australia.
Kaichiro TambaDivision of Palliative Care Medicine, Juchi Medical School University Hospital, Tochigi, Japan.
Nandini VallathDepartment of Palliative Medicine, St Johns National Academy of Health Sciences, Bengaluru, India.
Nicola WearneDivision of Nephrology and Hypertension, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Elena ZakharovaDepartment of Nephrology, Botkin Hospital, Moscow, Russia.
Carlos ZúñigaFacultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile.
Frank P BrennanKuratorium für Dialyse und Nierentransplantation, Neu-Isenburg, Germany; Department of Renal Medicine, St George Hospital, Kogarah, Australia.
University of Cape Town · ZAUNSW Sydney · AUBezmiâlem Vakıf Üniversitesi · TRBotkin Hospital · RUBrigham and Women's Hospital · USCheikh Anta Diop University · SNKfH Kuratorium für Dialyse und Nierentransplantation · DEKoga Hospital · JPManipal Academy of Higher Education · INNew York University · USNinewells Hospital · GBOsaka Nishi Clinic · JPOsaka University Hospital · JPSt George Hospital · AUSt. John's National Academy of Health Sciences · INThe University of Sydney · AUUniversidad Católica de la Santísima Concepción · CLUniversidad Panamericana · MXUniversity College Cork · IEUniversity of Alberta · CA

Funding

Supportive Care in Kidney Disease: Scope of Practice and Pilot Study of ImplementationK23DK125840 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SCHERER, JENNIFER S · 2020 to 2024
$962k
NIDDK NIH HHS K23 DK125840
6 · The paper itself

Abstract

Integrated kidney care requires synergistic linkage between preventative care for people at risk for chronic kidney disease and health services providing care for people with kidney disease, ensuring holistic and coordinated care as people transition between acute and chronic kidney disease and the 3 modalities of kidney failure management: conservative kidney management, transplantation, and dialysis. People with kidney failure have many supportive care needs throughout their illness, regardless of treatment modality. Kidney supportive care is therefore a vital part of this integrated framework, but is nonexistent, poorly developed, and/or poorly integrated with kidney care in many settings, especially in low- and middle-income countries. To address this, the International Society of Nephrology has (i) coordinated the development of consensus definitions of conservative kidney management and kidney supportive care to promote international understanding and awareness of these active treatments; and (ii) identified key considerations for the development and expansion of conservative kidney management and kidney supportive care programs, especially in low resource settings, where access to kidney replacement therapy is restricted or not available. This article presents the definitions for conservative kidney management and kidney supportive care; describes their core components with some illustrative examples to highlight key points; and describes some of the additional considerations for delivering conservative kidney management and kidney supportive care in low resource settings.

Indexed as

Delivery of Health Care, IntegratedRenal InsufficiencyRenal Insufficiency, ChronicConservative TreatmentHumansKidneyconservative kidney managementhealth care policyintegrated kidney carekidney failurekidney supportive care

Identifiers

PMID38182300
PMCPMC12439246
OpenAlexW4390571177

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.