ArticleKidney medicine
Unmet Needs of Older Adults Receiving In-Center Hemodialysis: A Qualitative Needs Assessment.
Article in Kidney medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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
11 citing papers in PubMed, 19 citations in OpenAlex.
- Sleep disorders and sleep medications as risk factors for dementia in kidney transplant recipients: A retrospective cohort study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025Article
- Article
- Concordance of symptoms perceived by patients receiving haemodialysis and those reported by nurses and nephrologists: a cross-sectional, multicentre, observational study using the REIN registry.Clinical kidney journal · 2025Article
- Designing qualitative research with value in the clinical and epidemiological context: what, why and how.Clinical kidney journal · 2025Article
- Cognitive, functional, and social disparities in patients receiving dialysis: a multi-site survey.Frontiers in health services · 2025Article
- A benchmarking and evidence-informed gap analysis of the hemodialysis care provision in Iran.BMC health services research · 2024Article
- Geriatric Assessment in CKD Care: An Implementation Study.Kidney medicine · 2024Article
- Association of Potentially Inappropriate Medication Classes with Mortality Risk Among Older Adults Initiating Hemodialysis.Drugs & aging · 2023Article
- Living with frailty and haemodialysis: a qualitative study.BMC nephrology · 2022Article
- Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers.International journal of environmental research and public health · 2022Article
- Applying a Geriatrics Framework to Older Dialysis Patients' Needs: Getting There Is Half the Battle.Kidney medicineArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
RATIONALE &
objectiveAttention to geriatric impairments is not routinely provided to older adults receiving dialysis. Our objective was to identify patient and personnel perspectives on experiences with geriatric problems, unmet needs that may affect a patient's ability to maintain his or her functional status, and preferences for design of a geriatric model of care tailored to address the unmet needs. STUDY
designQualitative study using semi-structured interviews and focus groups. SETTING &
participants14 hemodialysis patients 55 years and older and 24 dialysis unit personnel (eg, nephrologists, nurses, patient care technicians, and social workers) representing 5 dialysis units. ANALYTICAL APPROACH: Content analysis to identify themes reflecting unmet needs and design considerations for a geriatric model of care for older adults receiving dialysis.
results4 themes (or unmet needs) identified from both patient and personnel transcripts were: (1) mobility, which referred to the insufficient mobility assessment and transportation services; (2) medications, which referred to insufficient attention to appropriate prescribing and medication self-management; (3) social support, which referred to insufficient support for activities of daily living and emotional problems; and (4) communication, which referred to insufficient patient-provider and interprofessional communication, including data transfer across separate health systems. Although participants generally acknowledged that an integrated model of care could result in benefits across all 4 areas of unmet need, they noted that the program design would need to minimize disruption of current workflow and practices in dialysis units. LIMITATIONS: The findings may not be broadly representative of all older adults receiving dialysis and dialysis unit personnel.
conclusionsThere is insufficient attention to mobility, medication management, social support, and communication needs for older adults receiving in-center hemodialysis. Addressing these unmet needs in a geriatric model of care and measuring its effectiveness are areas of future research.
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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.