Evidence map›Paper›PMID 38236475›Full record

ReviewJournal of nephrology2024

Advance care planning for patients with end-stage kidney disease on dialysis: narrative review of the current evidence, and future considerations.

S F Adenwalla, P O'Halloran, C Faull, F E M Murtagh, M P M Graham-Brown

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Implementation of An Advance Care Planning Intervention in Dialysis Clinics.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Trial
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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

5 authors at 4 institutions in 1 country.

S F AdenwallaDepartment of Cardiovascular Sciences, University of Leicester, Leicester, LE1 9HN, UK. sfa12@leicester.ac.uk.ORCID 0000-0002-7717-8099
P O'HalloranSchool of Nursing and Midwifery, Medical Biology Centre, Queen's University Belfast, Belfast, UK.ORCID 0000-0002-0022-7331
C FaullLeicestershire and Rutland Organisation for the Relief of Suffering (LOROS) Hospice, Leicester, UK.
F E M MurtaghWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
M P M Graham-BrownDepartment of Cardiovascular Sciences, University of Leicester, Leicester, LE1 9HN, UK.ORCID 0000-0002-6197-180X
University of Leicester · GBQueen's University Belfast · GBStamford and Rutland Hospital · GBUniversity of Hull · GB

Funding

National Institute for Health and Care Research ACF-2021-11-002
6 · The paper itself

Abstract

Patients with end-stage kidney disease (ESKD) have a high symptom-burden and high rates of morbidity and mortality. Despite this, evidence has shown that this patient group does not have timely discussions to plan for deterioration and death, and at the end of life there are unmet palliative care needs. Advance care planning is a process that can help patients share their personal values and preferences for their future care and prepare for declining health. Earlier, more integrated and holistic advance care planning has the potential to improve access to care services, communication, and preparedness for future decision-making and changing circumstances. However, there are many barriers to successful implementation of advance care planning in this population. In this narrative review we discuss the current evidence for advance care planning in patients on dialysis, the data around the barriers to advance care planning implementation, and interventions that have been trialled. The review explores whether the concepts and approaches to advance care planning in this population need to be updated to encompass current and future care. It suggests that a shift from a problem-orientated approach to a goal-orientated approach may lead to better engagement, with more patient-centred and satisfying outcomes.

Indexed as

Advance Care PlanningKidney Failure, ChronicRenal DialysisHumansPalliative CareAdvance care planningDialysisEnd of lifeEnd-stage kidney diseasePalliative

Identifiers

PMID38236475
PMCPMC11150316
OpenAlexW4390986644

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.