ArticlePalliative medicine reports
Associations of Specialist Palliative Care and Advance Care Planning with End-of-Life Outcomes in Kidney Transplant Recipients: A Single-Center Retrospective Study in Spain.
Article in Palliative medicine reports. 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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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.
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Authors and funding
11 authors.
Funding
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Abstract
Background: Evidence on specialist palliative care and advance care planning (ACP) for kidney transplant recipients (KTRs) near the end-of-life remains limited. Methods: We conducted a single-center retrospective observational study (electronic health record chart review) at a tertiary transplant center in Madrid, Spain. We included adult KTRs who died between January 1, 2021, and December 31, 2023, with sufficient end-of-life documentation; SARS-CoV-2-related deaths and deaths outside health care settings or with insufficient records were excluded. We compared end-of-life outcomes by specialist palliative care (PC) involvement and by ACP category. Outcomes included documented symptoms within 5 days before death, documented moderate-to-severe suffering within 48 hours (based on narrative chart descriptors), documented intent to prioritize symptom control in the last 24 hours, aggressive treatments within 7 days (intensive care unit/intermediate respiratory care unit admission, surgery/percutaneous intervention, renal replacement therapy, and/or intensive in-hospital management), place of death, and documented family positive perception of end-of-life care. Results: Fifty-nine deceased KTRs were analyzed; 20 (33.9%) received PC, and 39 (66.1%) did not. Compared with no PC, PC involvement was associated with a lower prevalence of documented symptoms within 5 days before death (5/20 [25.0%] vs. 38/39 [97.4%]; Conclusions: In this single-center retrospective study, PC involvement and more comprehensive ACP were associated with more favorable end-of-life outcomes among KTRs. Prospective studies are needed to confirm these associations.
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