Evidence mapPaperPMID 41848800Full record

GuidelineJournal of the American Society of Nephrology : JASN2026

ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure.

Susan P Y Wong, Jane O Schell, Alexandra E Bursic, Catherine R Butler, Mary Beth Callahan, Christine Corbett, Jennifer DeGraauw, Shena Gazaway, Samantha Gelfand, Rasheeda Hall and 6 more

Abstract readPractice Guideline
In one paragraph

Guideline in Journal of the American Society of Nephrology : JASN, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

16 authors.

Susan P Y WongDepartment of Medicine, University of Washington, VA Puget Sound Health Care System, Seattle, Washington.ORCID 0000-0002-8127-8121
Jane O SchellRenal-Electrolyte Division, Palliative and Supportive Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-7802-5791
Alexandra E BursicRenal-Electrolyte Division, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0003-1088-7787
Catherine R ButlerUniversity of Washington, VA Puget Sound Health Care System, Seattle, Washington.ORCID 0000-0001-9174-8038
Mary Beth CallahanDallas Nephrology Associates, Dallas, Texas.
Christine CorbettCoalition for Supportive Care of Kidney Patients, School of Nursing, The George Washington University, Washington, DC.
Jennifer DeGraauwNew Mexico VA Health Care System, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.ORCID 0009-0001-2227-4630
Shena GazawaySchool of Nursing, University of Alabama-Birmingham, Birmingham, Alabama.ORCID 0000-0003-3674-6288
Samantha GelfandDana-Farber Cancer Institute and Brigham and Women's Hospital, Boston, Massachusetts.
Rasheeda HallDivision of Nephrology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina; and Renal Service, Durham VA Healthcare System, Durham, North Carolina.ORCID 0000-0002-3057-4828
Fahad SaeedDivisions of Nephrology and Palliative Care, Departments of Medicine and Public Health, University of Rochester Medical Center, Rochester, New York.ORCID 0000-0002-5987-2255
Jennifer S SchererDivision of Geriatrics and Palliative Care, NYU Grossman School of Medicine, New York, New York.ORCID 0000-0003-4679-5673
Hesham ShabanDivisions of Nephrology and Hypertension, Henry Ford Health, Detroit, Michigan.ORCID 0009-0002-4977-902
Eva J SteinDivision of Nephrology and Hypertension, Palliative Care and Hospice Program, University of North Carolina, Chapel Hill, North Carolina.
Jessica W WeissDivision of Nephrology and Hypertension, School of Medicine, Oregon Health and Science University, Portland, Oregon.ORCID 0009-0006-2107-2910
ASN Kidney Health Workgroup on Conservative Kidney Management

Funding

Outcomes of a Palliative Care Intervention to Improve Kidney Therapy-Decision Making for Older People with Advanced CKDR01AG082891 · UNIVERSITY OF ROCHESTER · 2025 to 2025
$661k
NIA NIH HHS R01 AG082891
6 · The paper itself

Abstract

key pointsConservative management is customized CKD care, symptom management, and support to navigate care across the CKD trajectory through end of life. Conservative management is defined by shared decision-making and interdisciplinary teamwork in alliance with patients and care partners. Implementation of conservative management hinges on each practice's logistical considerations and resource availability. Conservative management is holistic and whole-person care for people with kidney failure. This care pathway is often a good choice for patients who prioritize independence, quality of life, and avoidance of burdens associated with life-prolonging therapies such as dialysis. This Kidney Health Guidance aims to provide evidence-based clinical guidance to promote best practices in conservative management care delivery. Conservative management comprises three components, including customized CKD care, symptom management, and smooth navigation of care transitions. This Kidney Health Guidance describes the application of these three components across the illness trajectory, including the role of shared decision-making, care partner engagement, and interdisciplinary collaboration. Practical strategies are outlined for health care professionals to integrate conservative management care delivery into practice. PODCAST: This article contains a podcast at https://dts.podtrac.com/redirect.mp3//www.asn-online.org/media/podcast/JASN/2026_03_18_KTS_March2026.mp3.

Indexed as

Conservative TreatmentKidney Failure, ChronicDecision Making, SharedHumanschronic kidney failurechronic renal failureCKD nondialysisconservative managementESKDhospicepalliative carepatient-centered care

Identifiers

PMID41848800
PMCPMC13117301

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.