Evidence map›Paper›PMID 32366220›Full record

ArticleBMC nephrology2020

Quality of life among caregivers of people with end-stage kidney disease managed with dialysis or comprehensive conservative care.

Karan K Shah, Fliss E M Murtagh, Kevin McGeechan, Susan M Crail, Aine Burns, Rachael L Morton

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 42 citations in OpenAlex.

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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

6 authors at 4 institutions in 2 countries.

Karan K ShahNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, The University of Sydney, 92-94 Parramatta Road, Camperdown, NSW, 2050, Australia. karan.shah@ctc.usyd.edu.au.ORCID 0000-0002-9838-0894
Fliss E M MurtaghWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Kingston upon Hull, UK.
Kevin McGeechanSchool of Public Health, The University of Sydney, Sydney, NSW, Australia.
Susan M CrailRoyal Adelaide Hospital, Adelaide, SA, Australia.
Aine BurnsRoyal Free Hospital, London NHS Foundation Trust, London, UK.
Rachael L MortonNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, The University of Sydney, 92-94 Parramatta Road, Camperdown, NSW, 2050, Australia.
The University of Sydney · AURoyal Adelaide Hospital · AURoyal Free London NHS Foundation Trust · GBUniversity of Hull · GB

Funding

National Health and Medical Research Council Early Career Researcher FellowshipSidney Sax Public Health Overseas Fellowship 1054216
6 · The paper itself

Abstract

backgroundTo measure health-related and care-related quality of life among informal caregivers of older people with end-stage kidney disease (ESKD), and to determine the association between caregiver quality of life and care recipient's treatment type.

methodsA prospective cross-sectional study was conducted. Three renal units in the UK and Australia were included. Informal caregivers of people aged ≥75 years with ESKD managed with dialysis or comprehensive conservative non-dialytic care (estimated glomerular filtration (eGFR) ≤10 mL/min/1.73m

resultsOf 63 caregivers, 49 (78%) were from Australia, 26 (41%) cared for an older person managed with dialysis, and 37 (59%) cared for an older person managed with comprehensive conservative care. Overall, 73% were females, and the median age of the entire cohort was 76 years [IQR 68-81]. When adjusted for caregiver sociodemographic characteristics, caregivers reported significantly worse carer experience (CES score 15.73, 95% CI 5.78 to 25.68) for those managing an older person on dialysis compared with conservative care. However, no significant difference observed for carer HRQoL (SF-6D utility index - 0.08, 95% CI - 0.18 to 0.01) for those managing an older person on dialysis compared with conservative care.

conclusionsOur data suggest informal caregivers of older people on dialysis have significantly worse care-related quality of life (and therefore greater need for support) than those managed with comprehensive conservative care. It is important to consider the impact on caregivers' quality of life when considering treatment choices for their care recipients.

Indexed as

CaregiversConservative TreatmentQuality of LifeRenal DialysisAgedAged, 80 and overCross-Sectional StudiesFemaleHumansKidney Failure, ChronicMaleProspective StudiesSurveys and QuestionnairesChronic renal insufficiencyConservative careInformal caregiversQuality of lifeRenal Dialysis

Identifiers

PMID32366220
PMCPMC7199363
OpenAlexW3021485402

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.