Evidence map›Paper›PMID 29934388›Full record

ArticleBMJ open2018

Older kidney transplantation candidates' expectations of improvement in life and health following kidney transplantation: semistructured interviews with enlisted dialysis patients aged 65 years and older.

Kjersti Lønning, Karsten Midtvedt, Kristian Heldal, Marit Helen Andersen

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01760733 (Improved Selection of Elderly), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01760733 active not recruitingnot on this map

Improved Selection of Elderly (> 65 Years) for Kidney Transplantation

TypeobservationalSponsorSykehuset TelemarkRan2012 to 2030Enrolled289ConditionsQuality of Life, End Stage Renal Disease, End Stage Renal Failure on Dialysis
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kjersti LønningDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-3755-0447
Karsten MidtvedtDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Kristian HeldalFaculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Marit Helen AndersenDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim was to study the expectations of improvement in life and health following kidney transplantation (KTx) in a population of wait-listed patients ≥65 years with end-stage kidney disease.

designQualitative research with individual in-depth interviews.

settingPatients on dialysis enlisted for a KTx from a deceased donor were included from an ongoing study of older patients' perspectives on KTx. Qualitative face-to-face interviews were conducted in a safe and familiar setting, and were analysed thematically using the theoretical framework of lifespan. INFORMANTS: Fifteen patients (median age 70 years, range 65-82) from all parts of Norway were interviewed. Informants were included consecutively until no new information was gained.

resultsTwo main themes were evident: receiving a kidney is getting life back and grasp the chance. In addition, the themes 'hard to loose capacity and strength', 'reduced freedom' and 'life on hold' described the actual situation and thereby illuminated the informants' expectations. The informants tried to balance positive expectations and realism towards KTx, and they were hoping to become free from dialysis and to live a normal life.

conclusionThis study shows that older KTx candidates comprise a heterogeneous group of patients who take individual approaches that allow them to maintain autonomy and control while waiting for a transplant. This study provides new knowledge about the older KTx candidates relevant for clinicians, patients and researchers.

Indexed as

Kidney TransplantationQuality of LifeAgedAged, 80 and overFemaleHumansInterviews as TopicKidney Failure, ChronicMaleNorwayQualitative ResearchRenal DialysisTime FactorsTissue DonorsWaiting Listsend stage kidney diseaseolder renal patientspatient perspectivequalitative researchrenal transplantation

Identifiers

PMID29934388
PMCPMC6020985

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.