Evidence map›Paper›PMID 33154061›Full record

ArticleBMJ open2020

Patient needs and priorities for patient navigator programmes in chronic kidney disease: a workshop report.

Chandana Guha, P Lopez-Vargas, Angela Ju, Talia Gutman, Nicole Jane Scholes-Robertson, Amanda Baumgart, Germaine Wong, Jonathan Craig, Tim Usherwood, Sharon Reid and 12 more

Open access · goldAbstract read
In one paragraph

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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Are your kidneys okay? Detect early to protect kidney health.Kidney research and clinical practice · 2026
    Article
  6. Article
  7. Patient involvement in nephrology research.Nature reviews. Nephrology · 2025
    Article
  8. Are your kidneys ok? Detect early to protect kidney health.Clinical and experimental nephrology · 2025
    Article
  9. Are Your Kidneys Ok? Detect Early to Protect Kidney Health.American journal of hypertension · 2025
    Review
  10. Article
  11. The Role of Aboriginal Kidney Health Mentors in the Transplant Journey: A Qualitative Evaluation.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  12. Article
  13. Involving Patients in the Design of Clinical Trials in Nephrology.Journal of the American Society of Nephrology : JASN · 2025
    Article
  14. Are Your Kidneys Ok? Detect Early to Protect Kidney Health.Canadian journal of kidney health and disease · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Patient-centred clinical trial design.Nature reviews. Nephrology · 2022
    Review
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

22 authors at 5 institutions in 1 country.

Chandana GuhaSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia chandana.guha@sydney.edu.au.ORCID 0000-0002-0767-4185
P Lopez-VargasSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Angela JuSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Talia GutmanSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Nicole Jane Scholes-RobertsonSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-8260-0453
Amanda BaumgartSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Germaine WongSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Jonathan CraigCollege of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.
Tim UsherwoodWestmead Clinical School, The University of Sydney, Sydney, New South Wales, Australia.
Sharon ReidSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Vanessa CullenForward Thinking Design, Quakers Hill, New South Wales, Australia.
Martin HowellSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-9740-712X
Rabia KhalidSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Armando Teixeira-PintoSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Kate WyburnCollaborative Transplant Research Group, Royal Prince Alfred Hospital and Bosch Institute, Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia.
Shaundeep SenDepartment of Renal Medicine, Concord Repatriation Hospital, Concord, New South Wales, Australia.
Tanya SmolonogovDepartment of Renal Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
Vincent W LeeCentre for Kidney Research, The Children's Hospital, Westmead, New South Wales, Australia.
Gopala K RanganCentre for Transplant and Renal Research, The Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Andrea Matus GonzalesSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Allison TongSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
PAVE-CKD workshop investigators
The University of Sydney · AUChildren's Hospital at Westmead · AUConcord Repatriation General Hospital · AUFlinders University · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePatients with early chronic kidney disease (CKD) face challenges in accessing healthcare, including delays in diagnosis, fragmented speciality care and lack of tailored education and psychosocial support. Patient navigator programmes have the potential to improve the process of care and outcomes. The objective of this study is to describe the experiences of patients on communication, access of care and self-management and their perspectives on patient navigator programmes in early CKD. DESIGN, SETTING AND

participantsWe convened a workshop in Australia with 19 patients with CKD (all stages including CKD Stage 1 to 5 not on dialysis, 5D (dialysis), and 5T (transplant)) and five caregivers. All of them were over 18 years and English-speaking. Transcripts from the workshop were analysed thematically.

resultsFour themes that captured discussions were: lost in the ambiguity of symptoms and management, battling roadblocks while accessing care, emotionally isolated after diagnosis and re-establishing lifestyle and forward planning. Five themes that focussed on patient navigator programmes were: trust and credibility, respecting patient choices and readiness to accept the programme, using accessible language to promote the programme, offering multiple ways to engage and communicate and maintaining confidentiality and privacy. Of the 17 features identified as important for a patient navigator programme, the top five were delivery of education, psychosocial support, lifestyle modification, communication and decision-making support and facilitating care.

conclusionPatient navigator services can address gaps in services around health literacy, communication, psychosocial support and coordination across multiple healthcare settings. In comparison to the existing navigator programmes, and other services that are aimed at addressing these gaps, credible, accessible and flexible patient navigator programmes for patients with early CKD, that support education, decision-making, access to care and self-management designed in partnership with patients, may be more acceptable to patients.

Indexed as

Patient NavigationRenal Insufficiency, ChronicAustraliaCaregiversHumansRenal DialysisChronic renal failureQUALITATIVE RESEARCHQuality in health care

Identifiers

PMID33154061
PMCPMC7646342
OpenAlexW3094700303

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.