Evidence map›Paper›PMID 38846418›Full record

ArticleClinical kidney journal2024

Towards a better uptake of home dialysis in Europe: understanding the present and looking to the future.

Edwina A Brown, Giulia Boni Brivio, Wim Van Biesen

Registry-linked trialAbstract read
In one paragraph

Article in Clinical kidney journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07364292 (Shared Decision Making in Dialysis Modality Selection), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT07364292 nacompletednot on this map

Shared Decision Making in Dialysis Modality Selection: a Lived Experience From Nephrologists. A Nationwide Qualitative Study.

TypeinterventionalSponsorErasme University HospitalRan2024 to 2025Enrolled25ConditionsEnd Stage Renal DiseaseArmsQ methodology
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Incidence and prevalence of kidney replacement therapy in Central and Eastern Europe-trends from the ERA Registry.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Home dialysis: advantages and limitations.Clinical kidney journal · 2024
    Article
  9. 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

3 authors.

Edwina A BrownImperial College Kidney and Transplant Centre, Imperial College Healthcare NHS Trust, London, UK.ORCID https://orcid.org/0000-0002-4453-6486
Giulia Boni BrivioRenal and Dialysis Unit, ASST Santi Paolo E Carlo, Milan, Italy.
Wim Van BiesenDepartment of Nephrology, Ghent University Hospital, Ghent, Belgium.ORCID https://orcid.org/0000-0002-4782-5224

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Use of peritoneal dialysis and home haemodialysis remains low in Europe, with the highest use in Scandinavian countries and the lowest in Eastern and Central Europe despite the advantages for people on dialysis and economic advantages for healthcare systems. This is partly due to the impact of the haemodialysis industry resulting in proliferation of haemodialysis units and nephrologist reimbursement related to use of haemodialysis. Equally important is the bias against home dialysis at both clinician and healthcare system levels. The underlying causes of this bias are discussed in relation to a mechanistic view of the human body, lack of compassion, failure to adjust dialysis provision for older age and frailty, proliferation of small dialysis centres, and complexity of decision-making and clinical care. For home dialysis to flourish, we need to foster a change in attitude to and vision of the aims of healthcare so that enabling meaningful activities of people requiring dialysis, as explored in the Standardized Outcomes in Nephrology initiative, rather than achieving biological numbers become the focus of care delivery.

Indexed as

elderlyhealthcare resourceshome haemodialysisperitoneal dialysisshared decision-making

Identifiers

PMID38846418
PMCPMC11151115

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.