Optimising Staff-patient Communication in Advanced Renal disease (OSCAR) - 4-year NIHR-funded research study led by @Lucy_Selman. Follow for study updates!

Joined February 2019
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Did you know that at some renal units about 5% of older people have dialysis, while at others 95% do? This is partly due to how clinicians communicate about treatment options. In this new blog I discuss how the @OSCAR_study aims to tackle the problem #CKD #decisionmaking
New research kicking off later this year will investigate how kidney doctors engage with & support older people making the decision whether or not to have dialysis. Found out more about the @OSCAR_study by reading our latest blog by @Lucy_Selman kidneycareuk.org/news-and-ca…
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📣 New paper from @OSCAR_study online @CKJsocial: How do patient information documents present dialysis and conservative kidney management? A document analysis. academic.oup.com/ckj/advance… @UKKidney @ERAkidney 1/3
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Interesting to reflect on supportive care progress over past 10 years, as team at LGH ahead of the curve back then: doi.org/10.1159/000371888 @drjamesburton

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📢 New paper in @BMJ_Open led by @BarnyHole, from his brilliant PhD. ‘It’s basically ‘have that or die’’: a qualitative study of older patients’ choices between dialysis and conservative kidney management bmjopen.bmj.com/cgi/content/…
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Bored of the same old research methods? Why not join us⭐️in person⭐️5-6 June 2025 in sunny Oxford for our popular "Introduction to conversation analysis and health care encounters" 2 day course @OxQualiCourses @OxPrimaryCare phc.ox.ac.uk/study/short-cou…
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Looking forward to speaking at this @UKKidney event in March, sharing findings from @OSCAR_study
Are we getting it right when discussing dialysis & conservative management with patients? @Lucy_Selman shares findings from the OSCAR study at the AKC Summit. Be part of the conversation 🗣️ on 25 March in Birmingham. ⏳ Registration closes 11 March: bit.ly/49GOl1v
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Are you a clinician looking to learn more about grief and bereavement? Our new course, When Grief Gets Complicated, is now approved for 7 CPD points by @RCPhysicians. Starts 1 February. @capcbristol @PEoLCSW @rcgp
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This paper from @OSCAR_study builds on the CKMAPPS study, particularly qualitative data analysis by @SKGTonkinCrine @paulrsoton and colleagues, by showing how treatment decision-making is biased by the framing of dialysis and conservative management. bmcnephrol.biomedcentral.com…
Replying to @Lucy_Selman
In the second, more common approach, CKM is framed as subordinate. It is not presented as having potential benefit for the patient: the disadvantages of dialysis are not explicated, and neither are CKM’s potential advantages. See example Fig 4.
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Good to see our paper is featured here: Optimizing Communication of Treatment Choices in Advanced Kidney Disease physiciansweekly.com/optimiz… @OSCAR_study

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Thank you to all the people who participated in @OSCAR_study, the PPI members who support the study and the project advisory group. Watch this space for more outputs. @CSI_Linguist @BarnyHole @DrAWinterbottom @BekkerHilary @CACEnotes @toomuchaltitude @NIHRresearch
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We are integrating findings into communication training for renal clinicians. Follow @OSCAR_study for updates. Full paper: bmcnephrol.biomedcentral.com…
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📢 New paper: Communicating treatment options to older patients with advanced kidney disease: a conversation analysis study. bmcnephrol.biomedcentral.com… CA led by the brilliant Dr Chloe Shaw. Delighted the first @OSCAR_study paper is in the world 🎉 @NIHRresearch @CACEnotes
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We’re delighted to announce a partnership between @MSHospice @NoBarriersHere & @mariecurieuk for a new study Are you an LGBTQ person from a minoritised ethnic background? Do you want a say on equity in palliative care? Be part of our co-production team: shorturl.at/60TXI
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We, the medical profession, have to get right behind you on this @doctor_oxford. These terms are being used to mislead the public. These are not physicians nor cancer specialists @VictoriaAtkins @NHSEngland @AmandaPritchard.
Flagging this @wesstreeting in sincere hope you will address as likely next health secretary. The NHS has a duty of candour. That has to come from the top down. Spinning. Misleading. Misrepresenting truth to patients. All are completely unacceptable.
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Team members Dr Chloe Shaw and Dr Ryann Sowden are now back from the @ERAkidney conference in beautiful Stockholm, where they presented findings from @OSCAR_study on treatment decision-making in advanced kidney disease. 1/3
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@RyannSowden presented on how descriptions of treatment options in information resources are often biased and how this may influence patient understanding and decision-making. 2/3
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Dr Chloe Shaw presented Conversation Analytic findings regarding the presentation of treatment options to older patients. We found that clinicians tend to present dialysis as the default treatment & conservative management as subordinate. 3/3
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Very original work by @Lucy_Selman on @OSCAR_study using conversational analysis. Revealed 2 ways of presenting renal treatment options - dialysis as normative (audio example in slide) vs. conservative management as valid option. #EAPC2023 👏🏻👏🏻
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If you are missing #EAPC2023 and want to hear about more palliative care research, join our research network meeting this Thursday at 2pm UK time! @drpoco @capcbristol Register here (free): eventbrite.co.uk/e/palliativ…
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