ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2025
Establishing Research Priorities in Geriatric Nephrology: A Delphi Study of Clinicians and Researchers.
Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comprehensive geriatric assessment and optimisation in advanced chronic kidney disease: a systematic review and narrative synthesis examining clinical outcomes and decision-making.BMC nephrology · 2026Pooled it
- Palliative Care Interventions for Patients With Kidney Disease: A Scoping Review by the Kidney Disease Aging Research Collaborative.Journal of the American Geriatrics Society · 2026Article
- Examining Quality-of-Life Priorities of Older Adults Receiving Hemodialysis: A Q-Methodology Study.Kidney medicine · 2026Article
- A Pilot Randomized Controlled Trial of Integrated Nephrology and Palliative Care Implemented at a Safety-Net Hospital.Kidney medicine · 2026Article
- Time-limited trials for acute dialysis decision-making for critically ill older patients: rationale, communication strategies, and future research.Current opinion in nephrology and hypertension · 2026Review
- Prognostic Preferences of Older Adults on Maintenance Hemodialysis and Their Care Partners: A Qualitative Study.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Geriatric Assessment in Older Patients with Advanced Kidney Disease: A Key to Personalized Care and Shared Decision-Making-A Narrative Review.Journal of clinical medicine · 2025Review
Corrections and comments
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Authors and funding
20 authors.
Funding
Abstract
RATIONALE &
objectiveDespite substantial growth of the population of older adults with kidney disease, there remains a lack of evidence to guide clinical care for this group. The Kidney Disease and Aging Research Collaborative conducted a Delphi study to build consensus on research priorities for clinical geriatric nephrology. STUDY
designAsynchronous modified Delphi study. SETTING &
participantsClinicians and researchers in the United States and Canada with clinical experience and/or research expertise in geriatric nephrology. OUTCOME: Research priorities in geriatric nephrology. ANALYTICAL APPROACH: In the first Delphi round, participants submitted free-text descriptions of research priorities considered important for improving the clinical care of older adults with kidney disease. Delphi moderators used inductive content analysis to group concepts into categories. In the second and third rounds, participants iteratively reviewed topics, selected their top 5 priorities, and offered comments used to revise categories.
resultsAmong 121 who were invited, 57 participants (47%) completed the first Delphi round and 48 (84% of enrolled participants) completed all rounds. After 3 rounds, the 5 priorities with the highest proportion of agreement were (1) communication and decision-making about treatment options for older adults with kidney failure (69% agreement), (2) quality of life, symptom management, and palliative care (67%), (3) frailty and physical function (54%), (4) tailoring therapies for kidney disease to specific needs of older adults (42%), and (5) caregiver and social support (35%). Health equity and person-centricity were identified as cross-cutting features that informed all topics. LIMITATIONS: Relatively low response rate and limited participation by private practitioners and older clinicians and researchers.
conclusionsExperts in geriatric nephrology identified clinical research priorities with the greatest potential to improve care for older adults with kidney disease. These findings provide a road map for the geriatric nephrology community to harmonize and maximize the impact of research efforts.
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Registered trials
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