Evidence map›Paper›PMID 32076974›Full record

ArticleJournal of general internal medicine2020

The Experience of Primary Caregivers of Undocumented Immigrants with End-Stage Kidney Disease that Rely on Emergency-Only Hemodialysis.

Lilia Cervantes, Alaina L Carr, Christine C Welles, Jeff Zoucha, John F Steiner, Tracy Johnson, Mark Earnest, Claudia Camacho, Krithika Suresh, Romana Hasnain-Wynia

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

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  9. Death Anxiety in Caregivers of Chronic Patients.Healthcare (Basel, Switzerland) · 2024
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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 5 institutions in 2 countries.

Lilia CervantesDivision of Hospital Medicine, Denver Health, Denver, CO, USA. Lilia.Cervantes@dhha.org.ORCID 0000-0002-9912-5684
Alaina L CarrUniversity of Colorado, Denver, CO, USA.
Christine C WellesDivision of Hospital Medicine, Denver Health, Denver, CO, USA.
Jeff ZouchaDivision of Hospital Medicine, Denver Health, Denver, CO, USA.
John F SteinerInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO, USA.
Tracy JohnsonAmbulatory Care Services, Denver Health, Denver, CO, USA.
Mark EarnestDivision of General Internal Medicine, University of Colorado, Denver, CO, USA.
Claudia CamachoDivision of Hospital Medicine, Denver Health, Denver, CO, USA.
Krithika SureshUniversity of Colorado School of Public Health, Denver, CO, USA.
Romana Hasnain-WyniaOffice of Research, Denver Health, Denver, CO, USA.
Denver Health Medical Center · USUniversity of Colorado Denver · USCervantes Institute · ESColorado School of Public Health · USKaiser Permanente · US

Funding

Improving Outcomes for Latinos on Hemodialysis with Limited English ProficiencyK23DK117018 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI CERVANTES, LILIA · 2018 to 2022
$1.1M
Doris Duke Charitable Foundation 2015212NIDDK NIH HHS K23 DK117018NIDDK NIH HHS K23DK117018
6 · The paper itself

Abstract

backgroundUndocumented immigrants with end-stage kidney disease (ESKD) who rely on emergency-only hemodialysis (dialysis only after an emergency department evaluation) face psychosocial distress. Emergency-only hemodialysis (EOHD) is likely burdensome for primary caregivers as well.

objectiveTo understand the experience of primary caregivers of undocumented immigrants with ESKD who rely on emergency-only hemodialysis. DESIGN, SETTING, AND

participantsA qualitative, semi-structured interview study to assess the experiences of primary caregivers of undocumented immigrants with ESKD at a safety-net hospital in Denver, Colorado from June 28 to November 15, 2018. Applied thematic analysis was used to analyze interviews. MAIN OUTCOMES AND MEASURES: Themes and subthemes.

resultsTwenty primary caregiver participants had a mean (SD) age of 46 (17), 13 (65%) were female, 7 (35%) were in an adult child caregiver role, and 13 (65%) were spouses. Five themes and 17 subthemes (in parentheses) were identified: (1) Caregiver role (providing emotional, physical, and economic support, advocacy and care navigation), (2) Caregiver burden (anxiety related to patient and personal death, emotional exhaustion and personal illness, struggle with finances, self-care and redefining relationship), (3) Unpredictable EOHD (acute episodes of illness that trigger emergency, stress when patient is denied dialysis, impact on work and sleep, and emotional relief after a session of EOHD), (4) Effect on children (dropping out or missing school, psychosocial distress, children assuming caregiver responsibilities, and juggling multi-generational caregiving of children), (5) Faith and appreciation (comfort in God and appreciation of healthcare). CONCLUSIONS AND RELEVANCE: Caregivers of undocumented immigrants with ESKD who rely upon EOHD experience caregiver burden and distress. The impact of EOHD on caregivers should be considered when assessing the consequences of excluding undocumented immigrants from public insurance programs.

Indexed as

Kidney Failure, ChronicUndocumented ImmigrantsAdultAdult ChildrenCaregiversColoradoFemaleHumansMaleMiddle AgedRenal Dialysishealth disparitieshealth services researchhemodialysisimmigrantsundocumented

Identifiers

PMID32076974
PMCPMC7403248
OpenAlexW3008928907

What OpenQuestion holds

Textmetadata
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.