CoChat
Sign Up
Cited by 165Palliative Care and End-of-Life IssuesPalliative and Oncologic CareInnovations in Medical Education

The DOI matches its Crossref record; 14 of the 15 references it cites were found in a registry or an index.

The need for end-of-life care training in nephrology: national survey results of nephrology fellows

Holley, Jean L, Carmody, Sharon S, Moss, Alvin H, Sullivan, Amy M, Cohen, Lewis M, Block, Susan D, Arnold, Robert M·2003·American Journal of Kidney Diseases
DOI 10.1016/s0272-6386(03)00868-0
Open this paper in CoChat — free account

Abstract

Because of the high mortality rate of end-stage renal disease, nephrologists care for many dying patients. However, the education of nephrology fellows in palliative care has not been assessed. We surveyed second-year nephrology fellows to assess the quantity and quality of teaching they received in palliative medicine and also asked about their preparedness to manage patients at the end of life. A 63% survey response rate yielded 173 surveys for evaluation. Nearly all fellows (99%) agreed that physicians have a responsibility to help patients at the end of life; half thought it was very important to learn how to care for dying patients. On a 10-point scale in which 0 is no teaching and 10 is a lot of teaching, fellows reported significantly less teaching in end-of-life care (mean score, 3.8 +/- 2.6) than in managing a patient with distal renal tubular acidosis (mean score, 6.3 +/- 2.5) or on hemodialysis therapy (mean score, 8.9 +/- 1.5; all P < 0.0001). Specific palliative care content areas were taught infrequently; only 22% of fellows were taught how to tell a patient he or she is dying. Fellows who had contact with a palliative care specialist reported more education on end-of-life issues and believed they were better prepared to provide such care. Fellows' palliative care experiences during fellowship frequently occurred without attending nephrologist supervision; 32% of fellows had conducted 2 or fewer family meetings, and 26% of all family meetings occurred without an attending nephrologist. Fellows believed they were best prepared to manage a patient on hemodialysis therapy (mean score, 8.9 +/- 1) and least prepared to manage a patient at the end of life (mean score, 6.1 +/- 2; P < 0.0001). Our results show that most nephrology fellows believe they should learn how to care for dying patients, but most fellowship programs do not offer this training. Our study therefore suggests that training in palliative care be incorporated into fellowship program curricula.

Overview

Integrity signals

Registry

Crossref · 10.1016/s0272-6386(03)00868-0

Cites

14 of 14 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 15 references

Research works printed but not linked: 1

  1. 2001, Excerpts from the USRDS 2001 Annual Data Report, Am J Kidney Dis, 38, S1

Cited by

Sorted by citations

Related

See all

Metadata

Authors
Holley, J. L., Carmody, S. S., Moss, A. H., Sullivan, A. M., Cohen, L. M., Block, S. D., & Arnold, R. M.
Affiliations
  • University of Virginia Health System (US)
  • University of Pittsburgh Medical Center (US)
  • West Virginia University (US)
  • Brigham and Women's Hospital (US)
  • Baystate Medical Center (US)
Corresponding author
Holley, Jean L
ORCID
Venue
American Journal of Kidney Diseases
Publisher
Elsevier BV
Published
2003-10
Volume
42
Issue
4
Pages
813-820
ISSN
0272-6386 (ISSN-L)
DOI
10.1016/s0272-6386(03)00868-0
OpenAlex
W2054749331
Cited by
165
References
15
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 7 · 2020: 5 · 2019: 8 · 2018: 10 · 2017: 7 · 2016: 15 · 2015: 12 · 2014: 13 · 2013: 11 · 2012: 10
FWCI
4.74
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • American Journal of Kidney Diseases (publishedVersion)
  • PubMed (publishedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Social Sciences › Education › Innovations in Medical Education
Keywords
end-of-life care, palliative care, nephrology fellowship training, nephrology fellows, end-stage renal disease, physician preparedness, palliative care curriculum, family meetings
MeSH terms
Data Collection, Demography, Fellowships and Scholarships, Female, Humans, Male, Nephrology, Palliative Care, Teaching, Terminal Care

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review