SynthesisJournal of renal care2025
Decisional Conflicts in Kidney Replacement Therapy for Patients With Grade 5 Chronic Kidney Disease: A Qualitative Meta-Synthesis.
Synthesis in Journal of renal care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Decisional Conflicts in Kidney Replacement Therapy for Patients With Grade 5 Chronic Kidney Disease: A Qualitative Meta-Synthesis.Journal of renal care · 2025Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundPatients with chronic kidney disease are faced with complex decisions on kidney replacement therapy, which are prone to conflict and affect the quality of decision-making.
objectivesTo systematically review and synthesise qualitative evidence related to decisional conflicts regarding kidney replacement therapy in patients with Grade 5 chronic kidney disease.
designCINAHL, Embase, Web of Science, Cochrane Library, MEDLINE, PubMed, OvidPsycINFO, CNKI, VIP, Wan Fang Database, and Sino Med were searched from the time of database establishment to March 2025.
resultsOverall, 15 studies involving 488 participants were included. We identified the following six themes related to decisional conflicts: emotional conflicts (negative emotions about starting kidney replacement therapy and uncertainty about the future), physical conflicts, information conflicts about kidney replacement therapy (insufficient or overwhelming kidney replacement therapy information, different understanding of information, challenges in doctor-patient communication and information asymmetry), support conflicts (insufficient kidney replacement therapy decision-making support), weak willingness to make decisions to kidney replacement therapy and others.
conclusionsPatients with Grade 5 chronic kidney disease experience decisional conflicts, including severe negative emotions, insufficient awareness of kidney replacement therapy decision-making, insufficient or overwhelming information, and weak decision-making support. Healthcare professionals should be aware of these conflicts and offer personalised discussions to improve kidney replacement therapy decision-making in clinical practice.
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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.