{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T01:40:59Z","timestamp":1792460459908,"version":"4.5.0"},"reference-count":64,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R61AG086824"],"award-info":[{"award-number":["R61AG086824"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with kidney disease face complex treatment decisions amid prognostic uncertainty. These decisions may be particularly challenging for older adults, who often experience cognitive and functional changes and rely on caregivers. However, limited evidence describes treatment decision\u2010making interventions for older adults, including the decision points addressed, use of decision aids, and geriatric\u2010relevant SDM features, including caregiver involvement, values clarification, multiple touchpoints, and prognostic information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a scoping review of studies examining kidney failure treatment decision\u2010making interventions that included \u2265\u20091 older patient(s) (\u2265\u200965) with advanced kidney disease. We searched seven databases from inception through 4\/2026. We characterized interventions by decision point, type of decision support provided, outcomes, exclusive enrollment of older adults, and presence of geriatric\u2010relevant SDM features.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 32 studies (of 2060 screened), representing 26 interventions. Seven interventions examined conservative kidney management versus dialysis, five dialysis modality, five dialysis versus transplant, and nine multiple treatment options. Among these, 11 (42%) included caregivers, 20 (77%) had multiple touchpoints, 19 (73%) included values clarification, and 12 (46%) incorporated prognostic data. Most interventions (22, 85%) incorporated decision aids. Of 137 outcomes reported, 13 (9%) were clinical. Nine interventions (35%) were evaluated exclusively among older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patient decision aids were common in kidney failure treatment decision\u2010making interventions, but incorporation of geriatric\u2010relevant SDM features varied across decision points, and few interventions were evaluated exclusively among older adults. Future interventions should tailor geriatric\u2010relevant SDM features to specific treatment decisions to best support older adults in making kidney failure treatment decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70773","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T01:31:37Z","timestamp":1792459897000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Scoping Review on Decision\u2010Making Interventions for Kidney Failure Treatment Options by the Kidney Disease Aging Research Collaborative"],"prefix":"10.1111","author":[{"given":"Maya N.","family":"Clark\u2010Cutaia","sequence":"first","affiliation":[{"name":"School of Nursing University of Delaware College of Health Professions  Newark Delaware 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7387-5479","authenticated-orcid":false,"given":"Malika","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine, NYU Langone Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"McAdams\u2010DeMarco","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine, NYU Langone Health  New York New York USA"},{"name":"Department of Population Health NYU Grossman School of Medicine, NYU Langone Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasheeda K.","family":"Hall","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine Duke University School of Medicine  Durham North Carolina USA"},{"name":"Renal Section Durham Veterans Affairs Healthcare 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