ReviewFrontiers in pediatrics2022
Addressing the Ethical Challenges of Providing Kidney Failure Care for Children: A Global Stance.
Review in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
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.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Pediatric kidney replacement therapies in low-to-middle income countries: a review and white paper.Pediatric nephrology (Berlin, Germany) · 2026Review
- Responding to ethical dilemmas in pediatric nephrology: a framework for clinicians in varied practice settings.Pediatric nephrology (Berlin, Germany) · 2025Review
- Monitoring and maintaining quality in the paediatric haemodialysis unit.Pediatric nephrology (Berlin, Germany) · 2025Review
- Pediatric-adult split liver transplantation: an ethical imperative and systems-based roadmap for global expansion.Frontiers in transplantation · 2025Article
- International equity in access to home dialysis.Current opinion in nephrology and hypertension · 2025Review
- Management dilemmas in pediatric nephrology: moving from friction to flourishing in "challenging" cases.Pediatric nephrology (Berlin, Germany) · 2024Article
- Stress Factors for the Paediatric and Adult Palliative Care Multidisciplinary Team and Workplace Wellbeing Solutions.Healthcare (Basel, Switzerland) · 2024Article
- Rare Kidney Diseases: Children Being Left Out in the Cold.Clinical journal of the American Society of Nephrology : CJASN · 2024Article
- Analyzing the composition of the editorial boards in high-impact medical ethics journals: a survey study.BMC medical ethics · 2024Article
- Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India.Frontiers in nephrology · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Children with kidney failure require kidney replacement therapy (KRT), namely maintenance dialysis and kidney transplant. Adequate kidney failure care consists of KRT or conservative treatment with palliative care. In the context of kidney failure, children depend on parents who are their surrogate decision-makers, and the pediatric nephrology team for taking decisions about KRT or conservative care. In this paper, we discuss the ethical challenges that arise relating to such decision-making, from a global perspective, using the framework of pediatric bioethics. While many ethical dilemmas in the care of children with KRT are universal, the most significant ethical dilemma is the inequitable access to KRT in low & middle income countries (LMICs) where rates of morbidity and mortality depend on the family's ability to pay. Children with kidney failure in LMICs have inadequate access to maintenance dialysis, timely kidney transplant and palliative care compared to their counterparts in high income countries. Using case vignettes, we highlight how these disparities place severe burdens on caregivers, resulting in difficult decision-making, and lead to moral distress among pediatric nephrologists. We conclude with key action points to change this status-quo, the most important being advocacy by the global pediatric nephrology community for better access to affordable kidney failure care for children.
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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.