Evidence map›Paper›PMID 31101693›Full record

ArticleBMJ open2019

How do patients from South Asian backgrounds experience life on haemodialysis in the UK? A multicentre qualitative study.

Shivani Sharma, Madeline King, Roisin Mooney, Andrew Davenport, Clara Day, Neill Duncan, Kirit Modi, Maria Da Silva-Gane, David Wellsted, Ken Farrington

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  10. Palliative Care in Patients with End-Stage Renal Disease: A Meta Synthesis.International journal of environmental research and public health · 2021
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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

10 authors at 6 institutions in 1 country.

Shivani SharmaPsychology and Sports Sciences, University of Hertfordshire, Hatfield, UK.
Madeline KingPsychology and Sports Sciences, University of Hertfordshire, Hatfield, UK.
Roisin MooneyPsychology and Sports Sciences, University of Hertfordshire, Hatfield, UK.
Andrew DavenportEdgware Kidney Care Unit, Royal Free NHS Foundation Trust, London, UK.
Clara DayRenal Unit, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Neill DuncanNorthwick Park Hospital Dialysis Centre, Imperial College Healthcare NHS Trust, London, UK.
Kirit ModiNational Kidney Federation, Nottingham, UK.
Maria Da Silva-GaneRenal Medicine, Lister Hospital, Stevenage, UK.
David WellstedCentre for Health Services and Clinical Research, University of Hertfordshire, Hatfield, UK.
Ken FarringtonRenal Unit, Lister Hospital, Stevenage, UK.
University of Hertfordshire · GBLister Hospital · GBKidney Care UK · GBNorthwick Park Hospital · GBQueen Elizabeth Hospital · GBRoyal Free London NHS Foundation Trust · GB

Funding

Department of Health PB-PG-1112-29078
6 · The paper itself

Abstract

objectivesEnd-stage kidney disease disproportionately affects people of South Asian origin. This study aimed to uncover the lived experiences of this group of patients on centre-based haemodialysis (HD), the most prevalent dialysis modality.

designThe study utilised a qualitative focus group methodology. Seven focus groups were conducted across four NHS Trusts in the UK including three in Gujarati and two each in Punjabi and Urdu. This provided an inclusive opportunity for South Asian patients to contribute in their language of origin. A total of 24 patients participated. Focus groups were facilitated by bilingual project workers and data were forward translated and analysed using thematic analysis.

resultsFour themes were identified. This included (1) 'treatment imposition', which comprised of the restrictive nature of HD, the effects of treatment and the feeling of being trapped in an endless process. (2) The 'patient-clinician relationship' centred around the impact of a perceived lack of staff time, and inadequacies in the quality of interactions. (3) 'Coping strategies' highlighted the role of cognitive reappraisal, living in the moment and family support networks in facilitating adjustment. (4) 'Pursuit of transplantation' included equating this form of treatment with restoring normality, alongside cultural factors limiting hopefulness for receiving an organ.

conclusionsIn general, the experiences of South Asian patients receiving HD were not unique to this ethnic group. We did find distinct issues in relation to interactions with healthcare professionals, views on access to transplantation and the importance of family support networks. The study provides useful insights which may help enhance culturally tailored renal care.

Indexed as

Adaptation, PsychologicalAsian PeopleKidney Failure, ChronicQuality of LifeAdultCulturally Competent CareEvaluation Studies as TopicFemaleFocus GroupsHumansMaleMiddle AgedMinority HealthQuality ImprovementRenal DialysisUnited Kingdomethnic minoritieshaemodialysispatient experiencesqualitativequality of lifeSouth Asian

Identifiers

PMID31101693
PMCPMC6530367
OpenAlexW2946087991

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.