{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:00:40Z","timestamp":1787241640689,"version":"build-2736575974"},"reference-count":26,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["kireports.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Kidney International Reports"],"published-print":{"date-parts":[[2025,4]]},"DOI":"10.1016\/j.ekir.2025.01.011","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T13:13:02Z","timestamp":1737205982000},"page":"1076-1086","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Conservative Kidney Management in the Middle East and North Africa: Attitudes, Practices, and Implementation Barriers"],"prefix":"10.1016","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1943-9377","authenticated-orcid":false,"given":"Sahar H.","family":"Koubar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taha","family":"Hatab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah Abdul","family":"Razzak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imed","family":"Helal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ala","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulhafid","family":"Shebani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saleh","family":"Kaysi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gunderman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akram","family":"Al-Makki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara N.","family":"Davison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ekir.2025.01.011_bib1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.kint.2023.10.001","article-title":"Conservative kidney management and kidney supportive care: Core components of integrated care for people with kidney failure","volume":"105","author":"Davison","year":"2024","journal-title":"Kidney Int"},{"key":"10.1016\/j.ekir.2025.01.011_bib2","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1111\/nep.12586","article-title":"Survival outcomes of supportive care versus dialysis therapies for elderly patients with end-stage kidney disease: A systematic review and meta-analysis","volume":"21","author":"Foote","year":"2016","journal-title":"Nephrology (Carlton)"},{"key":"10.1016\/j.ekir.2025.01.011_bib3","doi-asserted-by":"crossref","first-page":"633","DOI":"10.2215\/CJN.07510715","article-title":"Comparative survival among older adults with advanced kidney disease managed conservatively versus with dialysis","volume":"11","author":"Verberne","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1016\/j.ekir.2025.01.011_bib4","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.2255","article-title":"Long-term outcomes among patients with advanced kidney disease who forgo maintenance dialysis: A systematic review","volume":"5","author":"Wong","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ekir.2025.01.011_bib5","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1186\/s12882-021-02516-6","article-title":"Does conservative kidney management offer a quantity or quality of life benefit compared to dialysis? A systematic review","volume":"22","author":"Buur","year":"2021","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.ekir.2025.01.011_bib6","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.kisu.2024.01.009","article-title":"Capacity for the management of kidney failure in the International Society of Nephrology Middle East region: Report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)","volume":"13","author":"Karam","year":"2024","journal-title":"Kidney Int Suppl (2011)"},{"key":"10.1016\/j.ekir.2025.01.011_bib7","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.kisu.2024.01.002","article-title":"Capacity for the management of kidney failure in the International Society of Nephrology Africa region: Report from the 2023 ISN Global Kidney Atlas (ISN-GKHA)","volume":"13","author":"Tannor","year":"2024","journal-title":"Kidney Int Suppl (2011)"},{"issue":"suppl2","key":"10.1016\/j.ekir.2025.01.011_bib8","doi-asserted-by":"crossref","first-page":"ii35","DOI":"10.1093\/ndt\/gfae129","article-title":"Global access and quality of conservative kidney management","volume":"39","author":"Hole","year":"2024","journal-title":"Nephrol Dial Transplant"},{"key":"10.1016\/j.ekir.2025.01.011_bib10","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.6.3.e34","article-title":"Improving the quality of Web surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES)","volume":"6","author":"Eysenbach","year":"2004","journal-title":"J\u00a0Med Internet Res"},{"key":"10.1016\/j.ekir.2025.01.011_bib11","author":"Hamadeh"},{"key":"10.1016\/j.ekir.2025.01.011_bib12","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1093\/ndt\/gfac009","article-title":"CKD-REIN study Collaborators. Barriers to conservative care from patients\u2019 and nephrologists\u2019 perspectives: The CKD-REIN study","volume":"37","author":"Hamroun","year":"2022","journal-title":"Nephrol Dial Transplant"},{"key":"10.1016\/j.ekir.2025.01.011_bib13","doi-asserted-by":"crossref","first-page":"2604","DOI":"10.1093\/ndt\/gft287","article-title":"Conservative care in Europe--nephrologists\u2019 experience with the decision not to start renal replacement therapy","volume":"28","author":"Van de Luijtgaarden","year":"2013","journal-title":"Nephrol Dial Transplant"},{"key":"10.1016\/j.ekir.2025.01.011_bib14","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1159\/000498994","article-title":"Conservative care, dialysis withdrawal, and palliative care: Results from a survey of a non-profit dialysis provider in Germany","volume":"44","author":"Pommer","year":"2019","journal-title":"Kidney Blood Press Res"},{"key":"10.1016\/j.ekir.2025.01.011_bib15","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.2215\/CJN.04840516","article-title":"Supportive care: Comprehensive conservative care in end-stage kidney disease","volume":"11","author":"Murtagh","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1016\/j.ekir.2025.01.011_bib16","doi-asserted-by":"crossref","first-page":"137","DOI":"10.3138\/jcfs.35.2.137","article-title":"Patriarchy in transition: Women and the changing family in the Middle East","volume":"35","author":"Moghadam","year":"2004","journal-title":"J\u00a0Comp Fam Stud"},{"key":"10.1016\/j.ekir.2025.01.011_bib17","series-title":"Arab MENA Countries: Vulnerabilities and Constraints Against Democracy on the Eve of the Global COVID-19 Crisis. Perspectives on Development in the Middle East and North Africa (MENA) Region","article-title":"Beyond patriarchy: Gender, Islam and the MENA region","author":"Solomon","year":"2021"},{"key":"10.1016\/j.ekir.2025.01.011_bib18","doi-asserted-by":"crossref","first-page":"1902","DOI":"10.2215\/CJN.13661215","article-title":"Supportive care: Communication strategies to improve cultural competence in shared decision making","volume":"11","author":"Brown","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1016\/j.ekir.2025.01.011_bib19","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1111\/jep.13260","article-title":"Person-centred shared decision making","volume":"25","author":"Tonelli","year":"2019","journal-title":"J\u00a0Eval Clin Pract"},{"key":"10.1016\/j.ekir.2025.01.011_bib20","doi-asserted-by":"crossref","first-page":"363","DOI":"10.34067\/KID.0000000000000367","article-title":"A\u00a0national survey of conservative kidney management practices for patients who forgo RRP","volume":"5","author":"Chotivatanapong","year":"2024","journal-title":"Kidney360"},{"key":"10.1016\/j.ekir.2025.01.011_bib23","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/MNH.0000000000000321","article-title":"Hard choices, better outcomes: A review of shared decision-making and patient decision aids around dialysis initiation and conservative kidney management","volume":"26","author":"Davis","year":"2017","journal-title":"Curr Opin Nephrol Hypertens"},{"key":"10.1016\/j.ekir.2025.01.011_bib24","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1016\/j.kisu.2019.11.002","article-title":"Framework for establishing integrated kidney care programs in low- and middle-income countries","volume":"10","author":"Tonelli","year":"2020","journal-title":"Kidney Int Suppl"},{"key":"10.1016\/j.ekir.2025.01.011_bib25","doi-asserted-by":"crossref","first-page":"e382","DOI":"10.1016\/S2214-109X(23)00570-3","article-title":"An update on the global disparities in kidney disease burden and care across world countries and regions","volume":"12","author":"Bello","year":"2024","journal-title":"Lancet Glob Health"},{"key":"10.1016\/j.ekir.2025.01.011_bib26","doi-asserted-by":"crossref","DOI":"10.1016\/j.semnephrol.2023.151396","article-title":"Teaching conservative kidney management and other palliative care skills in nephrology fellowships","volume":"43","author":"Leonberg-Yoo","year":"2023","journal-title":"Semin Nephrol"},{"key":"10.1016\/j.ekir.2025.01.011_bib27","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1053\/j.ajkd.2019.10.016","article-title":"Kidney supportive care: Core curriculum 2020","volume":"75","author":"Gelfand","year":"2020","journal-title":"Am J Kidney Dis"},{"key":"10.1016\/j.ekir.2025.01.011_bib28","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1038\/ki.2015.110","article-title":"Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: Developing a roadmap to improving quality care","volume":"88","author":"Davison","year":"2015","journal-title":"Kidney Int"},{"key":"10.1016\/j.ekir.2025.01.011_bib29","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-055248","article-title":"Shared decision-making in advanced kidney disease: A scoping review","volume":"12","author":"Engels","year":"2022","journal-title":"BMJ Open"}],"container-title":["Kidney International Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2468024925000117?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2468024925000117?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T01:00:01Z","timestamp":1747270801000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2468024925000117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["S2468024925000117"],"URL":"https:\/\/doi.org\/10.1016\/j.ekir.2025.01.011","relation":{},"ISSN":["2468-0249"],"issn-type":[{"value":"2468-0249","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Conservative Kidney Management in the Middle East and North Africa: Attitudes, Practices, and Implementation Barriers","name":"articletitle","label":"Article Title"},{"value":"Kidney International Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ekir.2025.01.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 International Society of Nephrology. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}