Evidence map›Paper›PMID 40226370›Full record

ArticleClinical kidney journal2025

Increasing the adoption of home dialysis through improved advanced kidney care patient education: a call for action.

Ulrika Hahn Lundström, Gert Meeus, Tommy Aronsen, Anne-Lorraine Clause, Jeanette Finderup, Patrik J Finne, Jan Dominik Kampmann, Jacek Lange, Kate McCarthy, Rita Nohra and 4 more

Abstract read
In one paragraph

Article in Clinical kidney journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Patient Education in Chronic Kidney Disease: A Position Statement of the Polish Society of Nephrology.International journal of nephrology and renovascular disease · 2026
    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

14 authors.

Ulrika Hahn LundströmDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-1892-2225
Gert MeeusDepartment of Nephrology, AZ Groeninge Hospital, Kortrijk, Belgium.
Tommy AronsenDepartment of Medicine, Drammen Hospital, Drammen, Norway.
Anne-Lorraine ClauseHôpital Erasme, HUB, Département de Néphrologie, dialyse et transplantation, Erasme, ULB, Brussels, Belgium.
Jeanette FinderupDepartment of Clinical Medicine, Aarhus University and Department of Renal Medicine Aarhus University Hospital, Aarhus, Denmark.
Patrik J FinneDepartment of Nephrology, Helsinki University Hospital and University of Helsinki, Helsinki,  Finland.
Jan Dominik KampmannDepartment of Internal Medicine, University Hospital of Southern Jutland, Sønderborg & Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-8844-8242
Jacek LangeBaxter Poland, Warsaw,  Poland.
Kate McCarthyBaxter Healthcare, Compton, UK.
Rita NohraDepartment of Medical Affairs, University of Uppsala, Uppsala, Sweden.
Tomasz StompòrDepartment of Nephrology, Hypertension and Internal Medicine, University of Warmia and Mazury, Olsztyn, Poland.
Eleri WoodRenal Department, King's College Hospital, London, UK.
Monika Lichodziejewska-NiemierkoDepartment of Nephrology, Transplantology and Internal Medicine & Department of Palliative Medicine, Medical University of  Gdańsk, Gdańsk, Poland.
Stefan H JacobsonDivision of Nephrology, Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Home dialysis modalities have several advantages yet remain underused in Europe. A minority of people with kidney failure opt for home dialysis, although many more could be suitable. To improve home dialysis uptake, advanced kidney care patient education is essential. The aim was to examine the association of national guidelines for advanced kidney care patient education with home dialysis prevalence and incidence across Europe. Methods: This call for action followed a consensus meeting in Copenhagen, Denmark, in June 2023. The participating professionals had extensive experience in advanced kidney care and home dialysis. We used data from the European Renal Association registry 2021 to examine the association of available national guidelines for advanced kidney care education with home dialysis prevalence and incidence in Europe. Results: In the European dialysis population, home dialysis prevalence is 10.5% and incidence is 13.3%. The organization of advanced kidney care and patient education differ. The availability of national guidelines for advanced kidney care patient education is associated with home dialysis uptake. The prevalence of home dialysis is significantly higher in countries with versus without national guidelines [20.9 versus 7.9%; odds ratio 1.398 (confidence interval 1.115-1.754), Conclusion: Home dialysis prevalence and incidence vary in Europe. The availability of national guidelines for advanced kidney care patient education for professionals is associated with a higher prevalence and incidence of home dialysis. Coordinated action is needed to support advanced kidney care patient education as part of nephrology care to improve kidney care, in order to ensure that the right patient is on the right modality and increase access to home dialysis.

Indexed as

advanced kidney carechoice of treatment modalitychronic renal failureCKDdialysisguidelineshaemodialysishome dialysispatient educationperitoneal dialysis

Identifiers

PMID40226370
PMCPMC11986811

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.