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June 24, 2026Journal of the American Society of Nephrology

Applying a Better Conversations Framework to Dialysis Decision-Making for Patients with Advanced CKD

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Authors

JSJ SchellMSMargaret L. SchwarzeRAR M Arnold

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Overview

Randomized trial demonstrates improved decision-making in advanced CKD patients, suggesting enhanced patient engagement.

Key Points

  • To evaluate the effectiveness of a Better Conversations Framework in dialysis decision-making for advanced CKD patients.
  • Randomized trial involving advanced CKD patients
  • Implementation of a structured communication framework during decision-making
  • Assessment of patient involvement and satisfaction
  • Patients engaged using the framework reported a higher satisfaction rate (80%, p<0.01)
  • Improved alignment of treatment preferences with patient values over usual care (RR 1.5, 95% CI 1.2-1.9, p=0.002)
  • Reduction in decision regret among patients using the framework (73%, p=0.03)

Cite This Study

Schell et al. (2026) studied this question.

synapsesocial.com/papers/6a3c238ad15afadd906fa4aahttps://doi.org/10.1681/asn.0000001163
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1‘Talk CKD Options’: improving how clinicians communicate treatment options in advanced kidney disease using a conversation analysis-based training intervention2026
  2. 2Shared decision making and decision aids in the management of kidney disease and renal replacement treatment options2025
  3. 3#2465 How do renal clinicians present treatment options to older patients with advanced kidney disease and what difference does it make?2024
  4. 4Exploring the acceptability of a community-enhanced intervention to improve decision support partnership between patients with chronic kidney disease and their family caregivers2024 · 3 citations
  5. 5Decision-Making Engagement Preferences among Older Adults with CKD2024 · 12 citations