Evidence map›Paper›PMID 39788301›Full record

ArticleJournal of pain and symptom management2025

Implementation of Ambulatory Kidney Supportive Care in a Safety Net Hospital.

Jennifer S Scherer, Radhika J Gore, Annette Georgia, Susan E Cohen, Nina Caplin, Olga Zhadanova, Joshua Chodosh, David Charytan, Abraham A Brody

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Jennifer S SchererDepartment of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA. Electronic address: jennifer.scherer@nyulangone.org.
Radhika J GoreDepartment of Population Health (R.J.G.), NYU Grossman School of Medicine, New York, New York, USA; Family Health Centers at NYU Langone Health (R.J.G.), New York, New York, USA.
Annette GeorgiaDepartment of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA.
Susan E CohenDepartment of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA.
Nina CaplinDepartment of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA.
Olga ZhadanovaDepartment of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA.
Joshua ChodoshDepartment of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA.
David CharytanDepartment of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA.
Abraham A BrodyDepartment of Medicine (J.S.S., A.G., S.E.C., N.C., O.Z., J.C., D.C., A.A.B.), NYU Grossman School of Medicine, New York, New York, USA; HIGN, NYU Rory Meyers College of Nursing (A.A.B.), New York, New York, USA.

Funding

Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Arline Faustin · 2020 to 2026
$28.4M
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
NIA NIH HHS P30 AG066512NIDDK NIH HHS K23 DK125840
6 · The paper itself

Abstract

contextChronic kidney disease (CKD) disproportionately impacts lower socioeconomic groups and is associated with many symptoms and complex decisions. Integration of Kidney Supportive Care (KSC) with CKD care can address these needs. To our knowledge, this approach has not been described in an underserved population.

objectivesWe describe our adaptation of an ambulatory integrated KSC and CKD clinic for implementation in a safety net hospital. We report our utilization metrics; characteristics of the population served; and visit activities.

methodsWe considered modifications from the perspectives of people with CKD, their providers, and the health system. Modifications were informed by meeting notes with key participants (hospital administrators [n = 5], funders [n = 1], and content experts [n = 2]), as well as literature on palliative care program building, safety net hospitals, and KSC. We extracted utilization data for the first 15 months of the clinic's operations, demographics, clinical characteristics, unmet health related social needs, and symptom burden, measured by the Integrated Palliative Outcome Scale-Renal (total Score, and sub-scores of physical, psychological, and practical impact of CKD) from the electronic health record. Results are reported using descriptive statistics.

resultsAdaptions were proactive and done by clinical and administrative leaders. Meetings identified challenges of the safety net setting including people presenting with advanced disease and having several social needs. Modifications to our base model were made in staffing, data collection, and work flow. Show rate was approximately 68%, with a majority of people identifying as Black or Hispanic, and uninsured or on Medicaid. Symptom burden was lower than previous reports, driven by a better psychological sub-score.

conclusionsWe describe a feasible ambulatory care model of KSC in a safety net setting that can serve as a framework for the development of other noncancer palliative care ambulatory clinics. Future work will optimize our model.

Indexed as

Ambulatory CareAmbulatory Care FacilitiesRenal Insufficiency, ChronicSafety-net ProvidersAgedDemographyFacilities and Services UtilizationFemaleHumansMaleMiddle AgedPalliative CareVulnerable Populationschronic kidney diseaseimplementationKidney supportive care

Identifiers

PMID39788301
PMCPMC11867855

What OpenQuestion holds

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Registered trials

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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.