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April 15, 2016Clinical Journal of the American Society of NephrologyOpen Access

Most nephrologists (78.2%) and primary care providers (83.5%) reported being likely to discuss conservative management with older patients with advanced CKD.

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Population

431 providers in the United States, generally white men in their 30s and 40s.

Design

Cross-sectional

Key result

Most nephrologists (78.2%) and primary care providers (83.5%) reported being likely to discuss conservative management with older patients with advanced CKD.

Authors

SPSanah ParvezKAKhaled Abdel-KaderVPV. Shane Pankratz

Discussion

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Overview

Clinicians report comfort discussing conservative management; cross-sectional data leave open US outcomes and optimal patient selection.

Study Design

Type

Cross-Sectional (n=431)

Structured PICO

P
Population
431 nephrologists and primary care providers in the United States surveyed regarding their knowledge, attitudes, and practices surrounding conservative management for advanced CKD.
E
Exposure
Web-based survey assessing knowledge, attitudes, and self-reported practices regarding conservative management for patients with advanced CKD.
O
Outcome
Knowledge, attitudes, and self-reported practices of conservative management for patients with advanced CKD

Main Result

Absolute Event Rate: 78.2% vs 83.5%

While providers are comfortable discussing conservative management for advanced CKD, lack of US data on outcomes and patient selection remain significant barriers to its recommendation.

Limitations

  • Crude response rate of 2.7%

Cite This Study

Parvez et al. (2016) conducted a cross-sectional in Advanced CKD (n=431). Nephrology specialty vs. Primary care specialty was evaluated on Self-reported likelihood to discuss conservative management with older patients with advanced CKD. Most nephrologists (78.2%) and primary care providers (83.5%) reported being likely to discuss conservative management with older patients with advanced CKD.

synapsesocial.com/papers/6a6a06afa03b17ebb04469fdhttps://doi.org/10.2215/cjn.07180715
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Also Consider

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

  1. 1Understanding by Older Patients of Dialysis and Conservative Management for Chronic Kidney Failure2014 · 117 citations
  2. 2ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure2026
  3. 3Policy strategies to enhance uptake of conservative kidney management in advanced chronic kidney disease: a systematic review and meta-analysis2025 · 5 citations
  4. 4Lived Experiences of Home-Based Conservative Kidney Management in Older Adults: A Qualitative Study2026
  5. 5A Randomized Pilot Trial of a Nephrologist Communication Tool for Discussing Conservative Management2026