FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2977102649> ?p ?o ?g. }

• W2977102649 endingPage "176" @default.
• W2977102649 startingPage "167" @default.
• W2977102649 abstract "Rationale & ObjectiveIt is relatively unusual for US patients with advanced chronic kidney disease (CKD) to forgo initiation of maintenance dialysis. Our objective was to describe practice approaches of US nephrologists who have provided conservative care for members of this population.Study DesignQualitative study using semi-structured interviews.Setting & ParticipantsA national sample of 21 nephrologists experienced in caring for patients with advanced CKD who decided not to start dialysis.Analytical ApproachGrounded theory methods to identify dominant themes reflecting nephrologists’ experiences with and approaches to conservative care for patients with advanced CKD.ResultsNephrologists who participated in this study were primarily from academic practices (n = 14) and urban areas (n = 15). Two prominent themes emerged from qualitative analysis reflecting nephrologists’ experiences with and approaches to conservative care: (1) person-centered practices, which described a holistic approach to care that included basing treatment decisions on what mattered most to individual patients, framing dialysis as an explicit choice, being mindful of sources of bias in medical decision making, and being flexible to the changing needs, values, and preferences of patients; and (2) improvising a care infrastructure, which described the challenges of managing patients conservatively within health systems that are not optimally configured to support their needs. Participating nephrologists described cobbling together resources, assuming a range of different health care roles, preparing patients to navigate health systems in which initiation of dialysis served as a powerful default, and championing the principles of conservative care among their colleagues.LimitationsThe themes identified likely are not generalizable to most US nephrologists.ConclusionsInsights from a select group of US nephrologists who are early adopters of conservative care signal the need for a stronger cultural and health system commitment to building care models capable of supporting patients who choose to forgo dialysis. It is relatively unusual for US patients with advanced chronic kidney disease (CKD) to forgo initiation of maintenance dialysis. Our objective was to describe practice approaches of US nephrologists who have provided conservative care for members of this population. Qualitative study using semi-structured interviews. A national sample of 21 nephrologists experienced in caring for patients with advanced CKD who decided not to start dialysis. Grounded theory methods to identify dominant themes reflecting nephrologists’ experiences with and approaches to conservative care for patients with advanced CKD. Nephrologists who participated in this study were primarily from academic practices (n = 14) and urban areas (n = 15). Two prominent themes emerged from qualitative analysis reflecting nephrologists’ experiences with and approaches to conservative care: (1) person-centered practices, which described a holistic approach to care that included basing treatment decisions on what mattered most to individual patients, framing dialysis as an explicit choice, being mindful of sources of bias in medical decision making, and being flexible to the changing needs, values, and preferences of patients; and (2) improvising a care infrastructure, which described the challenges of managing patients conservatively within health systems that are not optimally configured to support their needs. Participating nephrologists described cobbling together resources, assuming a range of different health care roles, preparing patients to navigate health systems in which initiation of dialysis served as a powerful default, and championing the principles of conservative care among their colleagues. The themes identified likely are not generalizable to most US nephrologists. Insights from a select group of US nephrologists who are early adopters of conservative care signal the need for a stronger cultural and health system commitment to building care models capable of supporting patients who choose to forgo dialysis." @default.
• W2977102649 created "2019-10-03" @default.
• W2977102649 creator A5010011029 @default.
• W2977102649 creator A5015888578 @default.
• W2977102649 creator A5033218952 @default.
• W2977102649 creator A5073454294 @default.
• W2977102649 creator A5084114336 @default.
• W2977102649 creator A5088192306 @default.
• W2977102649 date "2020-02-01" @default.
• W2977102649 modified "2023-10-14" @default.
• W2977102649 title "Experiences of US Nephrologists in the Delivery of Conservative Care to Patients With Advanced Kidney Disease: A National Qualitative Study" @default.
• W2977102649 cites W1579245032 @default.
• W2977102649 cites W1868365822 @default.
• W2977102649 cites W1934945143 @default.
• W2977102649 cites W1982503128 @default.
• W2977102649 cites W1989307202 @default.
• W2977102649 cites W2004566053 @default.
• W2977102649 cites W2026821683 @default.
• W2977102649 cites W2057001161 @default.
• W2977102649 cites W2065646018 @default.
• W2977102649 cites W2079799797 @default.
• W2977102649 cites W2084615289 @default.
• W2977102649 cites W2086067526 @default.
• W2977102649 cites W2087339430 @default.
• W2977102649 cites W2097858161 @default.
• W2977102649 cites W2098067747 @default.
• W2977102649 cites W2100730784 @default.
• W2977102649 cites W2114562724 @default.
• W2977102649 cites W2121309570 @default.
• W2977102649 cites W2122705341 @default.
• W2977102649 cites W2128445199 @default.
• W2977102649 cites W2128751155 @default.
• W2977102649 cites W2133317453 @default.
• W2977102649 cites W2155092912 @default.
• W2977102649 cites W2157260213 @default.
• W2977102649 cites W2157342175 @default.
• W2977102649 cites W2157451020 @default.
• W2977102649 cites W2168022399 @default.
• W2977102649 cites W2168901200 @default.
• W2977102649 cites W2169328204 @default.
• W2977102649 cites W2169481042 @default.
• W2977102649 cites W2171380100 @default.
• W2977102649 cites W2171958609 @default.
• W2977102649 cites W2246377685 @default.
• W2977102649 cites W2258854432 @default.
• W2977102649 cites W2296999985 @default.
• W2977102649 cites W2337135263 @default.
• W2977102649 cites W2521230507 @default.
• W2977102649 cites W2528527838 @default.
• W2977102649 cites W2542545860 @default.
• W2977102649 cites W2594247090 @default.
• W2977102649 cites W2611101914 @default.
• W2977102649 cites W2745165032 @default.
• W2977102649 cites W2748857343 @default.
• W2977102649 cites W2787653391 @default.
• W2977102649 cites W2804388416 @default.
• W2977102649 cites W2898752730 @default.
• W2977102649 cites W2914373449 @default.
• W2977102649 doi "https://doi.org/10.1053/j.ajkd.2019.07.006" @default.
• W2977102649 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7012760" @default.
• W2977102649 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31570175" @default.
• W2977102649 hasPublicationYear "2020" @default.
• W2977102649 type Work @default.
• W2977102649 sameAs 2977102649 @default.
• W2977102649 citedByCount "29" @default.
• W2977102649 countsByYear W29771026492019 @default.
• W2977102649 countsByYear W29771026492020 @default.
• W2977102649 countsByYear W29771026492021 @default.
• W2977102649 countsByYear W29771026492022 @default.
• W2977102649 countsByYear W29771026492023 @default.
• W2977102649 crossrefType "journal-article" @default.
• W2977102649 hasAuthorship W2977102649A5010011029 @default.
• W2977102649 hasAuthorship W2977102649A5015888578 @default.
• W2977102649 hasAuthorship W2977102649A5033218952 @default.
• W2977102649 hasAuthorship W2977102649A5073454294 @default.
• W2977102649 hasAuthorship W2977102649A5084114336 @default.
• W2977102649 hasAuthorship W2977102649A5088192306 @default.
• W2977102649 hasBestOaLocation W29771026491 @default.
• W2977102649 hasConcept C126322002 @default.
• W2977102649 hasConcept C127413603 @default.
• W2977102649 hasConcept C141071460 @default.
• W2977102649 hasConcept C144024400 @default.
• W2977102649 hasConcept C159110408 @default.
• W2977102649 hasConcept C160735492 @default.
• W2977102649 hasConcept C162324750 @default.
• W2977102649 hasConcept C169087156 @default.
• W2977102649 hasConcept C190248442 @default.
• W2977102649 hasConcept C2778653478 @default.
• W2977102649 hasConcept C2779978075 @default.
• W2977102649 hasConcept C2908647359 @default.
• W2977102649 hasConcept C36289849 @default.
• W2977102649 hasConcept C50522688 @default.
• W2977102649 hasConcept C512399662 @default.
• W2977102649 hasConcept C66938386 @default.
• W2977102649 hasConcept C71924100 @default.
• W2977102649 hasConcept C99454951 @default.
• W2977102649 hasConceptScore W2977102649C126322002 @default.
• W2977102649 hasConceptScore W2977102649C127413603 @default.

• next