Evidence map›Paper›PMID 41194070›Full record

ArticleBMC nephrology2025

Patient, clinician, and researcher prioritization of postoperative outcomes for people living with kidney failure: a modified Delphi process.

Nicole K Brockman, Taylor Hecker, Cheryl Simoens, Nancy Verdin, Maoliosa Donald, Meghan J Elliott, Danielle E Fox, Matthew T James, Sabrina Jassemi, Brenda R Hemmelgarn and 3 more

Abstract read
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Nicole K BrockmanDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Taylor HeckerDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Cheryl SimoensDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Nancy VerdinDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Maoliosa DonaldDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Meghan J ElliottDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Danielle E FoxDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Matthew T JamesDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Sabrina JassemiDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Brenda R HemmelgarnDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Paul E RonksleyDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Shannon M RuzyckiDepartment of Medicine, University of Calgary, Calgary, AB, Canada.
Tyrone G HarrisonDepartment of Medicine, University of Calgary, Calgary, AB, Canada. tgharris@ucalgary.ca.

Funding

Kidney Foundation of Canada KHRG2023-1034247
6 · The paper itself

Abstract

backgroundPeople with lived and living experience (PWLLE) of kidney failure have significantly high rates of surgery and postoperative complications. Despite these risks, there is lack of consensus on the most important postoperative outcomes for clinical care and research focused on this population. This study aimed to identify and compare the postoperative outcome priorities of PWLLE with those of clinicians/researchers.

methodsWe recruited PWLLE of kidney failure, clinicians and researchers from across Canada to complete a modified Delphi survey over three rounds between April and June 2024. Participants ranked 100 perioperative outcomes derived from literature, participant suggestions, and expert recommendations. Outcomes were evaluated for consensus using a 9-point Likert scale with predefined consensus criteria. Items not meeting consensus were either dropped or reconsidered in subsequent rounds. Median rankings of prioritized topics were compared between participant groups.

resultsOf 116 initial respondents, 91 consented to participate, with 64 (70%) completing all three rounds. Participants included 52 clinicians/researchers and 39 PWLLE. The top five prioritized postoperative outcomes were postoperative death within 30 days, intraoperative death, postoperative kidney allograft loss, septic shock, and 1-year postoperative mortality. Cardiovascular complications, dialysis dependency in individuals not requiring dialysis preoperatively, and risk of sepsis were also highly ranked. No significant differences were found in the top 10 priorities across participant groups (p > 0.05).

conclusionWe identified key postoperative outcomes for people with kidney failure undergoing surgery. This work will inform future research on perioperative care and the development of postoperative risk prediction tools for PWLLE of kidney failure. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Postoperative ComplicationsRenal InsufficiencyAdultAgedCanadaConsensusDelphi TechniqueFemaleHumansKidney TransplantationMaleMiddle AgedKidney failureOutcome prioritizationPatient engagementPerioperative outcomesSurgical outcomes

Identifiers

PMID41194070
PMCPMC12587544

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LicenceCC BY-NC-ND
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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.