Evidence mapPaperPMID 29446209Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2018

Effect of the iChoose Kidney decision aid in improving knowledge about treatment options among transplant candidates: A randomized controlled trial.

Rachel E Patzer, Laura McPherson, Mohua Basu, Sumit Mohan, Michael Wolf, Mariana Chiles, Allison Russell, Jennifer C Gander, John J Friedewald, Daniela Ladner and 3 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02235571 (iChoose Kidney Decision Aid for Treatment Options Among End-Stage Renal Disease), which is not on this map. Cited by 44 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 6 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.

NCT02235571 nacompletednot on this map

iChoose Kidney Decision Aid for Treatment Options Among End-Stage Renal Disease (ESRD) Patients

TypeinterventionalSponsorEmory UniversityRan2014 to 2017Enrolled470ConditionsEnd-Stage Kidney Disease, Kidney Failure, Chronic, Kidney TransplantationArmsiChoose Kidney Decision Aid
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. eHealth interventions for people with chronic kidney disease.The Cochrane database of systematic reviews · 2019
    Pooled it
  7. Your Path to Transplant: A randomized controlled trial of a tailored expert system intervention to increase knowledge, attitudes, and pursuit of kidney transplant.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Trial
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  9. Review
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  19. Review
  20. Racial and ethnic disparities in psychosocial evaluation and liver transplant waitlisting.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    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

13 authors.

Rachel E PatzerDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-2573-9963
Laura McPhersonDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-8135-1408
Mohua BasuDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Sumit MohanDivision of Nephrology, Department of Medicine, Columbia University Medical Center, New York, NY, USA.ORCID 0000-0002-5305-9685
Michael WolfNorthwestern University Comprehensive Transplant Center, Chicago, IL, USA.
Mariana ChilesDivision of Nephrology, Department of Medicine, Columbia University Medical Center, New York, NY, USA.
Allison RussellNorthwestern University Comprehensive Transplant Center, Chicago, IL, USA.
Jennifer C GanderDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
John J FriedewaldNorthwestern University Comprehensive Transplant Center, Chicago, IL, USA.ORCID 0000-0002-9344-9928
Daniela LadnerNorthwestern University Comprehensive Transplant Center, Chicago, IL, USA.
Christian P LarsenDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Thomas PearsonDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Stephen PastanRenal Division, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Funding

NIMHD NIH HHS U01 MD010611
6 · The paper itself

Abstract

We previously developed a mobile- and web-based decision aid (iChoose Kidney) that displays individualized risk estimates of survival and mortality, for the treatment modalities of dialysis versus kidney transplantation. We examined the effect of iChoose Kidney on change in transplant knowledge and access to transplant in a randomized controlled trial among patients presenting for evaluation in three transplant centers. A total of 470 patients were randomized to standard transplantation education (control) or standard education plus iChoose Kidney (intervention). Change in transplant knowledge (primary outcome) among intervention versus control patients was assessed using nine items in pre- and postevaluation surveys. Access to transplant (secondary outcome) was defined as a composite of waitlisting, living donor inquiries, or transplantation. Among 443 patients (n = 226 intervention; n = 216 control), the mean knowledge scores were 5.1 ± 2.1 pre- and 5.8 ± 1.9 postevaluation. Change in knowledge was greater among intervention (1.1 ± 2.0) versus control (0.4 ± 1.8) patients (P < .0001). Access to transplantation was similar among intervention (n = 168; 74.3%) versus control patients (n = 153; 70.5%; P = .37). The iChoose Kidney decision aid improved patient knowledge at evaluation, but did not impact transplant access. Future studies should examine whether combining iChoose Kidney with other interventions can increase transplantation. (Clinicaltrials.gov NCT02235571).

Indexed as

Patient Education as TopicDecision Support Systems, ClinicalFemaleFollow-Up StudiesHealth Knowledge, Attitudes, PracticeHumansKidney Failure, ChronicKidney TransplantationMaleMiddle AgedPrognosisRenal DialysisRisk AssessmentSurvival RateTissue DonorsTransplant Recipientsclinical research/practicedialysiseducationhealth services and outcomes researchkidney diseasekidney transplantation/nephrologypatient educationpatient survival

Identifiers

PMID29446209
PMCPMC6510396

What Socratic holds

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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 Socratic graph.