{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:09:00Z","timestamp":1783814940048,"version":"3.55.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"vor","delay-in-days":34,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Nephrol"],"DOI":"10.1186\/s12882-026-04858-5","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T17:35:47Z","timestamp":1772040947000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A retrospective study on the current status of palliative care for patients who have chronic kidney failure in Japan: analysis of big data of the national insurance system"],"prefix":"10.1186","volume":"27","author":[{"given":"Kaichiro","family":"Tamba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Murahashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumio","family":"Kurosaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Shimizu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Kotani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"4858_CR1","first-page":"452","volume":"15","author":"K Tamba","year":"2022","unstructured":"Tamba K. CKM and palliative care. Jinzonaika [Japanese]. 2022;15:452\u201358.","journal-title":"Jinzonaika [Japanese]"},{"key":"4858_CR2","first-page":"2015","volume-title":"Brenner &amp; Rector\u2019s the kidney","author":"SN Davison","year":"2019","unstructured":"Davison SN. Supportive care in advance chronic Kidney disease. In: Yu ASL, editor. Brenner & Rector\u2019s the kidney. 11th ed. Elsevier; 2019. pp. 2015\u201335.","edition":"11th"},{"key":"4858_CR3","doi-asserted-by":"publisher","first-page":"579","DOI":"10.4009\/jsdt.53.579","volume":"53","author":"K Nitta","year":"2020","unstructured":"Nitta K, Masakane S, Hanabusa N, et al. 2019 Annual dialysis data report, JSDT Renal Data Registry. Nihon Toseki Igakkai Zasshi [Japanese]. 2020;53:579\u2013632.","journal-title":"Nihon Toseki Igakkai Zasshi [Japanese]"},{"key":"4858_CR4","unstructured":"Ministry of Health, Labour and Welfare, Director. General for statistics and information policy; 2019 vital-statistics monthly report. Annual total (approximate number). Japanese. 2021. https:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/jinkou\/geppo\/nengai19\/index.html. Accessed 1 Apr 2023."},{"key":"4858_CR5","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1007\/s10157-021-02163-z","volume":"26","author":"S Kubo","year":"2022","unstructured":"Kubo S, Noda T, Myojin T, et al. Tracing all patients who received insured dialysis treatment in Japan and the present situation of their number of deaths. Clin Exp Nephrol. 2022;26:360\u201367.","journal-title":"Clin Exp Nephrol"},{"key":"4858_CR6","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1038\/bmt.2012.244","volume":"48","author":"Y Kanda","year":"2013","unstructured":"Kanda Y. Investigation of the freely available easy-to-use software \u2018EZR\u2019 for medical statistics. Bone Marrow Transpl. 2013;48:452\u201358.","journal-title":"Bone Marrow Transpl"},{"key":"4858_CR7","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1016\/j.kint.2023.10.001","volume":"105","author":"SN Davison","year":"2024","unstructured":"Davison SN, Pommer W, Brown MA, et al. Conservative kidney management and kidney supportive care: core components of integrated care for people with kidney failure. Kidney Int. 2024;105:35\u201345.","journal-title":"Kidney Int"},{"key":"4858_CR8","unstructured":"Ministry of Health, Labour and Welfare. Supply and demand of medical drug preparations. Japanese. https:\/\/www.mhlw.go.jp\/bunya\/iyakuhin\/yakubuturanyou\/gyousei-gaikyo\/mayaku_jukyu.html. Accessed 2 Apr 2023."},{"key":"4858_CR9","unstructured":"Japanese Society for Palliative Medicine, Japanese Society of Nephrology, Japanese Society for Dialysis Therapy. Palliative care guidance for patients with renal failure. Japanese. 2025. https:\/\/jsn.or.jp\/medic\/data\/48f058f30841e187f8c906ec857080b16d984fea.pdf. Accessed 29 Dec 2025."},{"key":"4858_CR10","unstructured":"KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int. 2013;(Suppl3):5\u201314."},{"key":"4858_CR11","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1007\/s10157-009-0176-4","volume":"13","author":"K Tamba","year":"2009","unstructured":"Tamba K, Kusano E, Asano Y, et al. Physicians make different decisions from nephrologists at serum creatinine 2.0 mg\/dl. Clin Exp Nephrol. 2009;13:447\u201351.","journal-title":"Clin Exp Nephrol"}],"container-title":["BMC Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12882-026-04858-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12882-026-04858-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12882-026-04858-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:02:35Z","timestamp":1783814555000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12882-026-04858-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,25]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4858"],"URL":"https:\/\/doi.org\/10.1186\/s12882-026-04858-5","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-5120339\/v1","asserted-by":"object"}]},"ISSN":["1471-2369"],"issn-type":[{"value":"1471-2369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,25]]},"assertion":[{"value":"20 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 July 2026","order":6,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":7,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Article updated to correct the university name in text (page 2).","order":8,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The protocol for this study was reviewed and approved by Jichi Medical University Clinical Research Ethics Committee (approval number 19-120). Because the analyzed NDB data files contained only anonymized secondary data, the review board waived the requirement for informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"203"}}