{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T10:09:29Z","timestamp":1789639769542,"version":"4.0.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012505","name":"Royal Perth Hospital Medical Research Foundation","doi-asserted-by":"publisher","award":["NAHG 232\/2023"],"award-info":[{"award-number":["NAHG 232\/2023"]}],"id":[{"id":"10.13039\/100012505","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Curtin University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Nephrol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Advanced chronic kidney disease is a life-limiting disease that is known to benefit from palliative care. Unmet palliative care need in patients with kidney failure is commonly reported but the level of need among patients receiving haemodialysis is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A period prevalence study of adult patients attending two hospital-based dialysis units was conducted. Patient medical records were reviewed using the Gold Standards Framework Proactive Indication Guidance to assess for potential palliative care need.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 128 patient medical records were reviewed, 45% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200958) of patients could have potentially benefitted from palliative care. Of the patients with indicators for palliative care, 72% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200942) had no evidence of receiving or awaiting any form of palliative care. High levels of palliative care need were found in patients who identified as Aboriginal or Torres Strait Islander and non-Indigenous patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study found high levels of palliative care need among adult patients attending hospital-based dialysis units. The majority of patients with indicators were not receiving any form of palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s40620-024-02193-2","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T07:44:43Z","timestamp":1737963883000},"page":"687-695","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A period prevalence study of palliative care need and provision in adult patients attending hospital-based dialysis units"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4009-9792","authenticated-orcid":false,"given":"Alannah L.","family":"Cooper","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Panizza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Bartlett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1851-9914","authenticated-orcid":false,"given":"Dipna","family":"Martin-Robins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8502-4252","authenticated-orcid":false,"given":"Janie A.","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"issue":"3","key":"2193_CR1","doi-asserted-by":"crossref","first-page":"e382","DOI":"10.1016\/S2214-109X(23)00570-3","volume":"12","author":"AK Bello","year":"2024","unstructured":"Bello AK, Okpechi IG, Levin A, Ye F, Damster S, Arruebo S et al (2024) An update on the global disparities in kidney disease burden and care across world countries and regions. Lancet Glob Health 12(3):e382\u2013e395","journal-title":"Lancet Glob Health"},{"issue":"10302","key":"2193_CR2","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/S0140-6736(21)00519-5","volume":"398","author":"K Kalantar-Zadeh","year":"2021","unstructured":"Kalantar-Zadeh K, Jafar TH, Nitsch D, Neuen BL, Perkovic V (2021) Chronic kidney disease. The Lancet 398(10302):786","journal-title":"The Lancet"},{"issue":"4","key":"2193_CR3","doi-asserted-by":"crossref","first-page":"S117","DOI":"10.1016\/j.kint.2023.10.018","volume":"105","author":"PE Stevens","year":"2024","unstructured":"Stevens PE, Ahmed SB, Carrero JJ, Foster B, Francis A, Hall RK et al (2024) KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int 105(4):S117\u2013S314","journal-title":"Kidney Int"},{"issue":"10159","key":"2193_CR4","doi-asserted-by":"crossref","first-page":"2052","DOI":"10.1016\/S0140-6736(18)31694-5","volume":"392","author":"KJ Foreman","year":"2018","unstructured":"Foreman KJ, Marquez N, Dolgert A, Fukutaki K, Fullman N, McGaughey M et al (2018) Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016\u201340 for 195 countries and territories. The Lancet 392(10159):2052\u20132090","journal-title":"The Lancet"},{"issue":"9","key":"2193_CR5","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.mpmed.2019.06.010","volume":"47","author":"R Noble","year":"2019","unstructured":"Noble R, Taal MW (2019) Epidemiology and causes of chronic kidney disease. Medicine 47(9):562\u2013566","journal-title":"Medicine"},{"key":"2193_CR6","unstructured":"Australian Bureau of Statistics (2013) Australian health survey: Biomedical results for chronic diseases"},{"key":"2193_CR7","unstructured":"Australian Institute for Health and Welfare (2023) Chronic kidney disease: Australian facts"},{"issue":"3","key":"2193_CR8","doi-asserted-by":"crossref","first-page":"124","DOI":"10.12968\/bjon.2022.31.3.124","volume":"31","author":"IN Price","year":"2022","unstructured":"Price IN, Wood AF (2022) Chronic kidney disease and renal replacement therapy: an overview for the advanced clinical practitioner. Br J Nurs 31(3):124\u2013134","journal-title":"Br J Nurs"},{"key":"2193_CR9","doi-asserted-by":"crossref","first-page":"k4303","DOI":"10.1136\/bmj.k4303","volume":"363","author":"J Gilbert","year":"2018","unstructured":"Gilbert J, Lovibond K, Mooney A, Dudley J (2018) Renal replacement therapy: summary of NICE guidance. Br Med J 363:k4303-k","journal-title":"Br Med J"},{"key":"2193_CR10","unstructured":"Murdeshwar HN, Anjum F. Hemodialysis: StatPearls; 2023 [Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK563296\/."},{"issue":"210","key":"2193_CR11","doi-asserted-by":"crossref","first-page":"556","DOI":"10.31729\/jnma.3434","volume":"56","author":"BM Shrestha","year":"2018","unstructured":"Shrestha BM (2018) Peritoneal dialysis or haemodialysis for kidney failure? J Nepal Med Assoc 56(210):556\u2013557","journal-title":"J Nepal Med Assoc"},{"issue":"Supplement_1","key":"2193_CR12","doi-asserted-by":"crossref","first-page":"i39","DOI":"10.1093\/ckj\/sfad062","volume":"16","author":"M Lambie","year":"2023","unstructured":"Lambie M, Davies D (2023) An update on absolute and relative indications for dialysis treatment modalities. Clin Kidney J 16(Supplement_1):i39\u2013i47","journal-title":"Clin Kidney J"},{"issue":"4","key":"2193_CR13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003954","volume":"19","author":"BR Fletcher","year":"2022","unstructured":"Fletcher BR, Damery S, Aiyegbusi OL, Anderson N, Calvert M, Cockwell P et al (2022) Symptom burden and health-related quality of life in chronic kidney disease: a global systematic review and meta-analysis. PLoS Med 19(4):e1003954","journal-title":"PLoS Med"},{"key":"2193_CR14","unstructured":"Australian Government Department of Aged Care. What is palliative care? 2023 [Available from: https:\/\/www.health.gov.au\/topics\/palliative-care\/about-palliative-care\/what-is-palliative-care#:~:text=A%20life%2Dlimiting%20illness%20is,for%20many%20years%20to%20come."},{"issue":"1","key":"2193_CR15","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.kisu.2021.11.003","volume":"12","author":"CP Kovesdy","year":"2022","unstructured":"Kovesdy CP (2022) Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl 12(1):7\u201311","journal-title":"Kidney Int Suppl"},{"issue":"1\u20132","key":"2193_CR16","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/jocn.15900","volume":"31","author":"F Al-Nashri","year":"2022","unstructured":"Al-Nashri F, Almutary H (2022) Impact of anxiety and depression on the quality of life of haemodialysis patients. J Clin Nurs 31(1\u20132):220\u2013230","journal-title":"J Clin Nurs"},{"issue":"1\u20132","key":"2193_CR17","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/jocn.13871","volume":"27","author":"DJW Jones","year":"2018","unstructured":"Jones DJW, Harvey K, Harris JP, Butler LT, Vaux EC (2018) Understanding the impact of haemodialysis on UK National health service patients\u2019 well-being: a qualitative investigation. J Clin Nurs 27(1\u20132):193\u2013204","journal-title":"J Clin Nurs"},{"issue":"1","key":"2193_CR18","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s40620-021-01098-8","volume":"35","author":"MS Hansen","year":"2022","unstructured":"Hansen MS, Tesfaye W, Sewlal B, Mehta B, Sud K, Kairaitis L et al (2022) Psychosocial factors affecting patients with end-stage kidney disease and the impact of the social worker. J Nephrol 35(1):43\u201358","journal-title":"J Nephrol"},{"issue":"3","key":"2193_CR19","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.jpainsymman.2018.12.006","volume":"57","author":"M Jhamb","year":"2019","unstructured":"Jhamb M, Abdel-Kader K, Yabes J, Wang Y, Weisbord SD, Unruh M, Steel JL (2019) Comparison of fatigue, pain, and depression in patients with advanced kidney disease and cancer\u2014symptom burden and clusters. J Pain Symptom Manage 57(3):566\u201375.e3","journal-title":"J Pain Symptom Manage"},{"key":"2193_CR20","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1007\/s40620-023-01841-3","volume":"37","author":"SF Adenwalla","year":"2024","unstructured":"Adenwalla SF, O\u2019Halloran P, Faull C, Murtagh FEM, Graham-Brown MPM (2024) Advance care planning for patients with end-stage kidney disease on dialysis: narrative review of the current evidence, and future considerations. J Nephrol 37:547\u2013560","journal-title":"J Nephrol"},{"issue":"4","key":"2193_CR21","doi-asserted-by":"crossref","first-page":"635","DOI":"10.2215\/CJN.09330818","volume":"14","author":"DY Lam","year":"2019","unstructured":"Lam DY, Scherer JS, Brown M, Grubbs V, Schell JO (2019) A conceptual framework of palliative care across the continuum of advanced kidney disease. Clin J Am Soc Nephrol 14(4):635\u2013641","journal-title":"Clin J Am Soc Nephrol"},{"issue":"8","key":"2193_CR22","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1001\/jamainternmed.2016.1200","volume":"176","author":"MW Wachterman","year":"2016","unstructured":"Wachterman MW, Pilver C, Smith D, Ersek M, Lipsitz SR, Keating NL (2016) Quality of end-of-life care provided to patients with different serious illnesses. JAMA Intern Med 176(8):1095\u20131102","journal-title":"JAMA Intern Med"},{"issue":"1","key":"2193_CR23","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/SPC.0000000000000110","volume":"9","author":"SA Combs","year":"2015","unstructured":"Combs SA, Davison SN (2015) Palliative and end-of-life care issues in chronic kidney disease. Curr Opin Support Palliat Care 9(1):14\u201319","journal-title":"Curr Opin Support Palliat Care"},{"issue":"8","key":"2193_CR24","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1001\/archinternmed.2012.268","volume":"172","author":"SPY Wong","year":"2012","unstructured":"Wong SPY, Kreuter W, O\u2019Hare AM (2012) Treatment intensity at the end of life in older adults receiving long-term dialysis. Arch Intern Med 172(8):661\u2013663","journal-title":"Arch Intern Med"},{"issue":"e1","key":"2193_CR25","doi-asserted-by":"crossref","first-page":"e660","DOI":"10.1136\/bmjspcare-2018-001630","volume":"14","author":"L Purtell","year":"2018","unstructured":"Purtell L, Sowa PM, Berquier I, Scuderi C, Douglas C, Taylor B et al (2018) The kidney supportive care programme: characteristics of patients referred to a new model of care. BMJ Support Palliat Care 14(e1):e660\u2013e668","journal-title":"BMJ Support Palliat Care"},{"issue":"3","key":"2193_CR26","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1038\/ki.2015.110","volume":"88","author":"SN Davison","year":"2015","unstructured":"Davison SN, Levin A, Moss AH, Jha V, Brown EA, Brennan F et al (2015) Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: Developing a roadmap to improving quality care. Kidney Int 88(3):447\u201359","journal-title":"Kidney Int"},{"key":"2193_CR27","unstructured":"Thomas KT, Armstrong Wilson J (2016) The Gold Standards Framework proactive identification guidance. 6 ed. The Gold Standards Framework: London: Royal College of General Practitioners"},{"key":"2193_CR28","unstructured":"The Gold Standards Fraemwork International. Origins and spread of GSF 2021 [Available from: https:\/\/www.gsfinternational.org.uk\/gsf-origins-and-spread#:~:text=The%20Gold%20Standards%20Framework%20and,Care%20Doctor%20in%20a%20hospice."},{"issue":"4","key":"2193_CR29","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.jpainsymman.2020.04.030","volume":"60","author":"AN Siriwardana","year":"2020","unstructured":"Siriwardana AN, Hoffman AT, Brennan FP, Li K, Brown MA (2020) Impact of renal supportive care on symptom burden in dialysis patients: a prospective observational cohort study. J Pain Symptom Manage 60(4):725\u2013736","journal-title":"J Pain Symptom Manage"},{"issue":"8","key":"2193_CR30","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.2215\/CJN.00180118","volume":"13","author":"A Chettiar","year":"2018","unstructured":"Chettiar A, Montez-Rath M, Liu S, Hall YN, O\u2019Hare AM, Kurella TM (2018) Association of inpatient palliative care with health care utilization and postdischarge outcomes among medicare beneficiaries with end stage kidney disease. Clin J Am Soc Nephrol 13(8):1180\u20131187","journal-title":"Clin J Am Soc Nephrol"},{"issue":"5","key":"2193_CR31","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/j.jpainsymman.2023.07.013","volume":"66","author":"A Collins","year":"2023","unstructured":"Collins A, Hui D, Davison SN, Ducharlet K, Murtagh F, Chang YK, Philip J (2023) Referral criteria to specialist palliative care for people with advanced chronic kidney disease: a systematic review. J Pain Symptom Manage 66(5):541\u201350.e1","journal-title":"J Pain Symptom Manage"},{"issue":"1","key":"2193_CR32","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1186\/s12904-023-01237-x","volume":"22","author":"X Wang","year":"2023","unstructured":"Wang X, Mo Y, Yuan Y, Zhou Y, Chen Y, Sheng J, Liu J (2023) Exploring the influencing factors of unmet palliative care needs in Chinese patients with end-stage renal disease undergoing maintenance hemodialysis: a cross-sectional study. BMC Palliat Care 22(1):113","journal-title":"BMC Palliat Care"},{"issue":"13","key":"2193_CR33","doi-asserted-by":"crossref","first-page":"3923","DOI":"10.3390\/jcm11133923","volume":"11","author":"I Lanini","year":"2022","unstructured":"Lanini I, Samoni S, Husain-Syed F, Fabbri S, Canzani F, Messeri A et al (2022) Palliative care for patients with kidney disease. J Clin Med 11(13):3923","journal-title":"J Clin Med"},{"key":"2193_CR34","doi-asserted-by":"publisher","DOI":"10.1080\/09699260.2024.2339095","author":"AL Cooper","year":"2024","unstructured":"Cooper AL, Tucknott S, Mazzer J, Martin-Robins D, Brown JA (2024) A period prevalence study of palliative care need in adult outpatients. Progr Palliat Care. https:\/\/doi.org\/10.1080\/09699260.2024.2339095","journal-title":"Progr Palliat Care."},{"key":"2193_CR35","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16148","author":"AL Cooper","year":"2021","unstructured":"Cooper AL, Mazzer J, Martin-Robins D, Brown JA (2021) A point prevalence study of palliative care need and referral rates in adult inpatients. J Clin Nurs. https:\/\/doi.org\/10.1111\/jocn.16148","journal-title":"J Clin Nurs"},{"issue":"6","key":"2193_CR36","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1038\/s41581-022-00542-7","volume":"18","author":"AK Bello","year":"2022","unstructured":"Bello AK, Okpechi IG, Osman MA, Cho Y, Htay H, Jha V et al (2022) Epidemiology of haemodialysis outcomes. Nat Rev Nephrol 18(6):378\u2013395","journal-title":"Nat Rev Nephrol"},{"issue":"3","key":"2193_CR37","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.ekir.2021.11.032","volume":"7","author":"A Crosthwaite","year":"2022","unstructured":"Crosthwaite A, Kerr PG (2022) CKD\u2014where have all the women gone? Kidney Int Rep 7(3):375\u2013377","journal-title":"Kidney Int Rep"},{"issue":"2","key":"2193_CR38","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.semnephrol.2022.04.001","volume":"42","author":"GG Garc\u00eda","year":"2022","unstructured":"Garc\u00eda GG, Iyengar A, Kaze F, Kierans C, Padilla-Altamira C, Luyckx VA (2022) Sex and gender differences in chronic kidney disease and access to care around the globe. Semin Nephrol 42(2):101\u2013113","journal-title":"Semin Nephrol"},{"issue":"14","key":"2193_CR39","doi-asserted-by":"crossref","first-page":"897","DOI":"10.21037\/atm.2020.03.62","volume":"8","author":"AG Kattah","year":"2020","unstructured":"Kattah AG, Garovic VD (2020) Understanding sex differences in progression and prognosis of chronic kidney disease. Ann Transl Med 8(14):897","journal-title":"Ann Transl Med"},{"key":"2193_CR40","unstructured":"Schwartzkopff KM, Kelly J, P otter C (2022) Review of kidney health among Aboriginal and Torres Strait Islander people. Aust Indig HealthBulletin. 20(4)"}],"container-title":["Journal of Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40620-024-02193-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40620-024-02193-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40620-024-02193-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:54:13Z","timestamp":1777564453000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/joneph\/article\/38\/2\/687\/8307221"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,27]]},"references-count":40,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["2193"],"URL":"https:\/\/doi.org\/10.1007\/s40620-024-02193-2","relation":{},"ISSN":["1724-6059"],"issn-type":[{"value":"1724-6059","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,27]]},"assertion":[{"value":"21 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}},{"value":"An application to undertake this research was submitted to the Royal Perth Hospital Human Research Ethics Committee. Approval was sought and gained (5782) to conduct a point prevalence study with a waiver of consent to audit patient medical records. Reciprocal approval for the study was obtained from Curtin University (HRE2023-0339).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Data were collected directly from patient medical records under a waiver of consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent to participate"}}]}}