ArticleKidney medicine2025
Patient Activation, Social Support, Physician Trust, and Shared Dialysis Decision-Making: A Cross-Sectional Investigation.
Article in Kidney medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed.
- Older Patients and Conservative Kidney Management.JAMA network open · 2026Article
- Article
- Supporting Shared Decision-Making in Life-Altering Kidney Therapy Decisions for Older Adults: A Review.JAMA internal medicine · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Rationale & Objective: People undergoing maintenance dialysis often lack essential information about kidney therapy options. Therefore, nephrologists must involve patients and families in shared decision-making (SDM). In this investigation, we hypothesized that patient activation, social support, and physician trust would be associated with patient-reported SDM. Study Design: A cross-sectional survey. Methods: We surveyed hospitalized individuals receiving maintenance dialysis. Participants completed the 9-item SDM questionnaire (SDM-Q-9) and the Patient Activation Measure-13, the Multidimensional scale of perceived social support, and the Primary Care Assessment Survey Trust Subscale. Analytic Approach: We used descriptive statistics to present demographics. We included patient demographics in multivariable linear regression models predicting SDM scores. Results: Of the 223 respondents, 222 patients completed SDM-Q-9, 54% were ≥65 years old, with 47% being woman. In addition, 37% self-identified as African American, 48% had an education level at ≤high school, and 54% reported an annual household income of ≤$20,000. The SDM-Q-9 scores (n = 222) had a mean of 57.49 (SD = 27.07), median 58 (IQR = 38-82), and ranged from 0 to 100. The mean patient activation was 53.5 ± 16.5 (min 24, max 100), social support 61.2 ± 24 (min 0, max 100), and physician trust 59.29 ± 21.6 (min 0, max 100). In separate multivariable linear regression models, higher patient activation (1-point patient activation measure increase per 0.48-unit SDM increase; 95% CI, 0.24-0.73), higher social support (1-point increase per 0.28 SDM increase; 95% CI, 0.11-0.45), and greater physician trust (0.31-point increase per 1-point SDM increase; 95% CI, 0.12-0.49) were significantly associated with greater SDM. Limitations: The study was a cross-sectional investigation. Conclusions: Our findings indicate a significant association between SDM and patient activation, social support, and physician trust. Future research with individuals actively considering kidney therapy options should prospectively explore the relationship between patient activation, social support, physician trust and SDM.
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