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Volume 10
Issue 2
10.3390/children10020324
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Article
Peer-Review Record

Do We Need Palliative Care in Pediatric Nephrology? Patients’ and Caregivers’ Disease Experience

Children 2023, 10(2), 324; https://doi.org/10.3390/children10020324
by Nina Kubiak 1, Chiara Fehrenbach 2, Jenny Prüfe 3 and Julia Thumfart 2,*
Reviewer 1:
Brian Bieber
Reviewer 2:
Takamasa Miyauchi
Reviewer 3:
Cheng Xue
Children 2023, 10(2), 324; https://doi.org/10.3390/children10020324
Submission received: 23 December 2022 / Revised: 6 February 2023 / Accepted: 6 February 2023 / Published: 8 February 2023
(This article belongs to the Section Pediatric Nephrology & Urology)

Round 1

Reviewer 1 Report

The authors undertook a single-center qualitative study involving interviews with a small cohort of CKD patients ages 14-22 years and a separate group of parents caring for younger (< 14 years of age) CKD patients regarding medical history, coping with disease, quality of life, thinking about the future, and satisfaction with the care system. Comments are provided in the attached pdf. The authors are commended for exploring a very important set of issues in a particularly vulnerable population.

The background and discussion need to be expanded significantly. In particular the relationship between the presented results and pediatric palliative care (the focus as currently written) seems tenuous at best. The very small sample size is a significant limitation that should be clearly mentioned. The rationale for highlighting various themes (particularly when the sample size is so small) need to be mentioned - particularly if there were any a-priori decision points. Finally, comparing and contrasting the current results with similar studies in the adult CKD patient population would help highlight the unique needs of the pediatric population. 

Comments for author File: Comments.pdf

Author Response

see attached file

Author Response File: Author Response.docx

Reviewer 2 Report

It is very important theme for health care workers ,but very difficult to reveal clearly.

1: How about patient's financial situation?  Financial situation influence patient's character.

2:Why did you select the patients between 14 and 24 years old? Is it difficult to express own thinking below 14 years old patients?

Author Response

see attached file

Author Response File: Author Response.docx

Reviewer 3 Report

 A good job about palliative care in pediatric nephrology. The main limitations of this study are the limited number of patiets (n=5) and single center recruitment, which may lead to selection bias in patients and caregivers. Authors should collect sufficient cases to support their conclusion. The main results were language based instead of data.

Author Response

see attached file

Author Response File: Author Response.docx

Round 2

Reviewer 3 Report

None.

Author Response

Thanks for your comment.

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