ArticleBMJ open2020
Examining patient distress and unmet need for support across UK renal units with varying models of psychosocial care delivery: a cross-sectional survey study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 17 citations in OpenAlex.
- Depression and anxiety in people with kidney disease: understanding symptom variability, patient experience and preferences for mental health support.Journal of nephrology · 2025Article
- Achieving consensus on psychosocial and physical rehabilitation management for people living with kidney disease.Clinical kidney journal · 2023Article
- Dialysis, Distress, and Difficult Conversations: Living with a Kidney Transplant.Healthcare (Basel, Switzerland) · 2022Article
- Exploring the role of the UK renal social worker: The nexus between health and social care for renal patients.PloS one · 2022Article
- The Suffering of Advanced Chronic Renal Patients and Their Relationship with Symptoms in Loja, Ecuador.International journal of environmental research and public health · 2021Observational
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Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine in-centre haemodialysis patients' emotional distress and need for support across UK renal units with varying models of psychosocial service provision.
designThe study used a cross-sectional survey design. Logistic regression analysis was used to examine patient distress, as captured by the Distress Thermometer, and need for support, across different renal units.
settingSeven renal units across England, Wales and Scotland. The units were purposively selected so that varying workforce models of renal psychosocial services were represented.
participantsIn total, 752 patients were on dialysis in the participating centres on the days of data collection. All adult patients, who could understand English, and with capacity (as determined by the nurse in charge), were eligible to participate in the study. The questionnaire was completed by 509 patients, resulting in an overall response rate of 67.7%. OUTCOME MEASURES: The prevalence of distress and patient-reported need for support.
resultsThe results showed that 48.9% (95% CI 44.5 to 53.4) of respondents experienced distress. A significant association between distress and models of renal psychosocial service provision was found (χ
conclusionsThe novel findings emphasise a need for increased incorporation of dedicated renal psychosocial staff into the renal care pathway. Importantly, these members of staff should be able to offer support for psychological as well as practical and social care-related issues.
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