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Personal profile

Research interests

I am a kidney doctor and am studying for a PhD. My research looks at how older people with kidney failure decide between dialysis (a kidney machine) and comprehensive conservative care (treatment of symptoms, social and psychological problems without dialysis).

Every day in the UK ten people older than 65 develop kidney failure. The ‘right’ treatment depends upon what is most important to an individual. Little research is available looking at what older patients with kidney disease want and what is important to them. We know they experience uncertainty when making up their minds. They can feel pressurised to start dialysis and those receiving it can regret starting.

I am currently running the UNPACK study, which will improve our understanding of how people make these decisions. It will help us to support them better and develop systems that better meet their needs. The study arose from my experiences caring for older people with kidney disease. I have treated hundreds of families approaching kidney failure. Research to improve care for people like them is vital.

External positions

Research fellow, UK Renal Registry

1 Aug 2014 → …

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Research Output

International Collaborative Efforts to Establish Kidney Health Surveillance Systems

Hole, B., Evans, K., Pyart, R., Davids, M. R., Gonzalez Bedat, C., Hanafusa, N., Harris, D. C. H., Jager, K. J., Jha, V., Johansen, K., McDonald, S., Masakane, I., Rosa Diez, G., Saran, R., Wetmore, J. & Caskey, F. J., 16 Jun 2020, (Accepted/In press) In : Kidney International.

Research output: Contribution to journalArticle (Academic Journal)

  • Supportive care for end-stage kidney disease: An integral part of kidney services across a range of income settings around the world

    Hole, B., Hemmelgarn, B., Brown, E., Brown, M., McCulloch, M. I., Zuniga, C., Andreoli, S. P., Blake, P. G., Couchoud, C., Cueto-Manzano, A., Dreyer, G., Garcia, G. G., Jager, K. J., McKnight, M., Morton, R. L., Murtagh, F., Naicker, S., Obrador, G., Perl, J., Rahman, M. & 8 others, Shah, K. D., van Biesen, W., Walker, R., Yeates, K., Zemchenkov, A., Zhao, M-H., Davies, S. J. & Caskey, F. J., Mar 2020, In : Kidney International Supplements. 10, 1, p. e86-e94 9 p.

    Research output: Contribution to journalReview article (Academic Journal)

  • 6 Citations (Scopus)


    • 2 Fellowship awarded competitively

    NIHR doctoral research fellowship

    Barny Hole (Speaker)

    1 Nov 20171 Nov 2021

    Activity: Other activity typesFellowship awarded competitively

    Academic Clinical Fellowship

    Barnaby Hole (Recipient)

    1 Aug 201431 Jul 2017

    Activity: Other activity typesFellowship awarded competitively