Evidence map›Paper›PMID 41268820›Full record

ReviewCurrent opinion in nephrology and hypertension2026

Shared decision making and decision aids in the management of kidney disease and renal replacement treatment options.

Yaara Zisman-Ilani, Connie M Rhee, Fawaz Al Ammary, Kamyar Kalantar-Zadeh

Abstract readReview
In one paragraph

Review in Current opinion in nephrology and hypertension, 2026. 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. Article
  3. Article
  4. 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

4 authors.

Yaara Zisman-IlaniDepartment of Social and Behavioral Sciences, Barnett College of Public Health.
Connie M RheeDivision of Nephrology, David Geffen School of Medicine at UCLA.
Fawaz Al AmmaryDepartment of Medicine, University of California Irvine, Orange.
Kamyar Kalantar-ZadehNephrology Section, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.

Funding

A Randomized Controlled Trial of Thyroid Hormone Supplementation in Hemodialysis PatientsR01DK122767 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RHEE, CONNIE MEEYOUNG · 2019 to 2023
$3.3M
Defining Optimal Transitions of Care in Advanced Kidney Disease: Conservative Management vs. Dialysis ApproachesR01DK124138 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KALANTAR-ZADEH, KAMYAR, RHEE, CONNIE MEEYOUNG · 2020 to 2024
$2.9M
Plant-Focused Nutrition in Patients with Diabetes and Chronic Kidney Disease (PLAFOND Study): A Pilot/Feasibility StudyR01DK132875 · NIDDK · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI KALANTAR-ZADEH, KAMYAR, RHEE, CONNIE MEEYOUNG · 2023 to 2025
$836k
Continuous Glucose Monitoring in Dialysis Patients to Overcome Dysglycemia Trial (CONDOR TRIAL)R01DK132869 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KALANTAR-ZADEH, KAMYAR, RHEE, CONNIE MEEYOUNG · 2023 to 2025
$781k
NIDDK NIH HHS R01 DK122767NIDDK NIH HHS R01 DK124138NIDDK NIH HHS R01 DK132869NIDDK NIH HHS R01 DK132875
6 · The paper itself

Abstract

purpose of reviewTo examine recent developments in shared decision making (SDM) interventions for advanced chronic kidney disease (CKD) and end-stage kidney disease (ESKD). Given the complexity of treatment decisions and low patient engagement despite available options, SDM is a critical approach to improve treatment initiation and engagement. RECENT

findingsThree recent SDM interventions were identified: DART (Decision-Aid for Renal Therapy), a decision support patient-centered video tool for older patients with stages 4-5 CKD that significantly reduced decisional conflict and improved treatment knowledge; YoDCA (Yorkshire Dialysis and Conservative Care Aid), a 28-page patient-centered decision support tool supporting dialysis versus conservative management decisions; and SIMPLIFY-HD (Stroke-Prevention Strategies in Patients With Atrial Fibrillation Receiving Maintenance Hemodialysis), an encounter-based decision aid for patient-provider use. These interventions demonstrated improved decision quality, reduced decisional conflict, and enhanced patient knowledge. SUMMARY: While recent advances show promise for enhancing patient knowledge and decision-making among older adults with kidney disease, significant gaps remain. Limited real-world testing, narrow focus on older populations with late-stage disease, and insufficient integration of multimorbidity present implementation challenges. Future research should prioritize rigorous randomized controlled trials, broader patient inclusion, multimorbidity integration, clinician training, and assessment of long-term clinical outcomes to achieve patient-centered kidney care.

Indexed as

Decision Making, SharedDecision Support TechniquesKidney Failure, ChronicPatient ParticipationRenal Insufficiency, ChronicRenal Replacement TherapyHealth Knowledge, Attitudes, PracticeHumansPatient-Centered Carechronic kidney diseasedecision aidsdecision support toolsshared decision making

Identifiers

PMID41268820
PMCPMC12672034

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.