SynthesisBMJ open2020
Patients' and caregivers' perspectives on access to kidney replacement therapy in rural communities: systematic review of qualitative studies.
Synthesis in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Pooled it
- Peritoneal Dialysis Initiation Patterns by Health Service Area during an Era of Expansion.Journal of the American Society of Nephrology : JASN · 2026Article
- Beyond Dialysis Adequacy: Transportation Time and Pain as Quality-of-Life Predictors in Polish Hemodialysis Patients-A Single-Center Study.Journal of clinical medicine · 2026Article
- Progress of chronic kidney disease and associated predictors among patients under treatment at Gambi and Felege-Hiwote hospitals.Scientific reports · 2025Article
- Perspectives of adult advanced pre-dialysis chronic kidney disease patients about kidney replacement therapy in three referral hospitals in Rwanda.BMC nephrology · 2025Article
- National adult mortality trends due to chronic kidney disease-related atrial fibrillation in the United States from year 2011-2020.World journal of cardiology · 2025Article
- Facilitators and barriers to implementing the Diabetes Prevention Program in rural church settings: A qualitative study using the Consolidated Framework for Implementation Research.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Transition from Hospital to Home-Based Care for Older Adults in Southwestern Uganda: Informal Caregiver's Experiences.Journal of multidisciplinary healthcare · 2025Article
- A Retrospective Analysis of Mortality Due to Pneumonia and Renal Disease in a Midwestern Patient Population.Cureus · 2024Article
- Identifying the barriers to kidney transplantation for patients in rural and remote areas: a scoping review.Journal of nephrology · 2024Article
- Inequalities in the access to kidney care, revisiting the country mouse and the city mouse.Journal of nephrology · 2024Article
- The impact of rural status on pediatric chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2024Article
- Mortality and disability-adjusted life years in North Africa and Middle East attributed to kidney dysfunction: a systematic analysis for the Global Burden of Disease Study 2019.Clinical kidney journal · 2024Article
- Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary.The Medical journal of Australia · 2023Article
- Article
- Financial toxicity experienced by rural Australian families with chronic kidney disease.Nephrology (Carlton, Vic.) · 2023Article
- Final Stage of Chronic Kidney Disease with Conservative Kidney Management or Renal Replacement Therapy: A Primary-Care Population Study.Journal of clinical medicine · 2023Article
- Regional Differences in Medical Costs of Chronic Kidney Disease in the South Korean Population: Marginalized Two-Part Model.JMIR public health and surveillance · 2023Article
- Perspectives of a proposed patient navigator programme for people with chronic kidney disease in rural communities: Report from national workshops.Nephrology (Carlton, Vic.) · 2022Article
- Patients' Perspectives on Access to Dialysis and Kidney Transplantation in Rural Communities in Australia.Kidney international reports · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatients with chronic kidney disease (CKD) requiring kidney replacement therapy (KRT) in rural communities encounter many barriers in accessing equitable care and have worse outcomes compared with patients in urban areas. This study aims to describe the perspectives of patients and caregivers on access to KRT in rural communities to inform strategies to maximise access to quality care, and thereby reduce disadvantage, inequity and improve health outcomes.
setting18 studies (n=593 participants) conducted across eight countries (Australia, Canada, the UK, New Zealand, Ghana, the USA, Tanzania and India).
resultsWe identified five themes: uncertainty in navigating healthcare services (with subthemes of struggling to absorb information, without familiarity and exposure to options, grieving former roles and yearning for cultural safety); fearing separation from family and home (anguish of homesickness, unable to fulfil family roles and preserving sense of belonging in community); intense burden of travel and cost (poverty of time, exposure to risks and hazards, and taking a financial toll); making life-changing sacrifices; guilt and worry in receiving care (shame in taking resources from others, harbouring concerns for living donor, and coping and managing in isolation).
conclusionPatients with CKD in rural areas face profound and inequitable challenges of displacement, financial burden and separation from family in accessing KRT, which can have severe consequences on their well-being and outcomes. Strategies are needed to improve access and reduce the burden of obtaining appropriate KRT in rural communities.
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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.