ArticlePatient education and counseling2026
Navigating prognostic uncertainty with H.O.P.E.: Caring for elderly patients with chronic kidney disease.
Article in Patient education and counseling, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
objectiveTo explore how older patients with chronic kidney disease (CKD) describe preferences for prognostic conversations.
methodsWe used reflexive thematic analysis to analyze transcripts of semi-structured interviews with CKD patients. Participants were recruited between July 2017 and November 2020.
resultsWe identified three major themes: (1) "To Know or Not: Honoring Patient Choices" encapsulates how prognostic conversations should center on the patient's preferences. (2) "Earlier or Later: Embracing Diverse Perspectives on Timing" underscores how each patient holds a unique perspective on the timing of prognosis discussions, and (3) "Navigating Uncertainty: Humanistic Qualities That Empower Healthcare Professionals to Support their Patients through Prognostic Conversations", highlights humanistic qualities that enable healthcare professionals to serve as sources of support for patients facing uncertainty during these conversations.
conclusionClinicians should proactively address the uncertainty of CKD by assessing patients' informational needs, understanding their experiences and values, and gauging their openness to advance care planning. Tailoring communication and fostering a strong clinical rapport can enhance patient engagement and support difficult conversations throughout the disease trajectory. PRACTICE IMPLICATIONS: We propose a mnemonic to help clinicians consider and implement these themes as they empower their patients to make health care decisions in the face of uncertainty. HOPE: Honoring patients' needs and wishes, Offering support, Promoting connections with careful and kind conversations and Exploring feelings and expectations. Clinicians should continue to strive for a strong human connection and provide prognostic information tailored to each patient's disease trajectory, needs and wishes.
Indexed as
Identifiers
What OpenQuestion holds
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.