Evidence map›Paper›PMID 33912756›Full record

ArticleKidney international reports2021

Quality of Life in Caregivers of Patients Randomized to Standard- Versus Extended-Hours Hemodialysis.

Melissa Nataatmadja, Rathika Krishnasamy, Li Zuo, Daqing Hong, Brendan Smyth, Min Jun, Janak R de Zoysa, Kirsten Howard, Jing Wang, Chunlai Lu and 6 more

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Associations between dyadic coping, mutuality, and quality of life among maintenance hemodialysis patients and caregivers: an actor-partner interdependence mediation model.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Epidemiology of haemodialysis outcomes.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

16 authors at 10 institutions in 4 countries.

Melissa NataatmadjaDepartment of Nephrology, Sunshine Coast University Hospital, Birtinya, Australia.
Rathika KrishnasamyDepartment of Nephrology, Sunshine Coast University Hospital, Birtinya, Australia.
Li ZuoDepartment of Nephrology, Peking University People's Hospital, Beijing, China.
Daqing HongRenal Department, Sichuan Provincial People's Hospital, Chengdu, China.
Brendan SmythThe George Institute for Global Health, UNSW, Sydney, Australia.
Min JunThe George Institute for Global Health, UNSW, Sydney, Australia.
Janak R de ZoysaDepartment of Medicine, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand.
Kirsten HowardSydney School of Public Health, University of Sydney, Australia.
Jing WangDepartment of Nephrology, First Affiliated Hospital of Dalain Medical University, Dalain, China.
Chunlai LuDepartment of Nephrology, Shanghai 85th Hospital, Shanghai, China.
Zhangsuo LiuDepartment of Nephrology, First Affiliated Hospital of Zhengzhou University, China.
Christopher T ChanDepartment of Nephrology, University Health Network, Toronto, Canada.
Alan CassMenzies School of Health Research, Charles Darwin University, Darwin, Australia.
Vlado PerkovicThe George Institute for Global Health, UNSW, Sydney, Australia.
Meg JardineThe George Institute for Global Health, UNSW, Sydney, Australia.
Nicholas A GrayDepartment of Nephrology, Sunshine Coast University Hospital, Birtinya, Australia.
Sunshine Coast University Hospital · AUThe George Institute for Global Health · AUCharles Darwin University · AUFirst Affiliated Hospital of Zhengzhou University · CNNorth Shore Hospital · NZPeking University · CNThe University of Sydney · AUUniversity Health Network · CAUniversity of Electronic Science and Technology of China · CNUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCaregivers are essential for the health, safety, and independence of many patients and incur financial and personal cost in this role, including increased burden and lower quality of life (QOL) compared to the general population. Extended-hours hemodialysis may be the preference of some patients, but little is known about its effects on caregivers.

methodsForty caregivers of participants of the ACTIVE Dialysis trial, who were randomized to 12 months extended (median 24 hours/wk) or standard (12 hours/wk) hemodialysis, were included. Utility-based QOL was measured by EuroQOL-5 Dimension-3 Level (EQ-5D-3L) and Short Form-6 Dimensions (SF-6D) and health-related QOL (HRQOL) was measured by the 36-Item Short Form Health Survey (SF-36) physical component summary (PCS) and mental component summary (MCS) and the Personal Wellbeing Index (PWI) at enrolment and then every 3 months until the end of the study.

resultsAt baseline, utility-based QOL and HRQOL were similar in both groups. At follow-up, caregivers of people randomized to extended-hours dialysis experienced a greater decrease in utility-based QOL measured by EQ-5D-3L compared with caregivers of people randomized to standard hours (-0.18±0.30 vs. -0.02±0.16,

conclusionPoorer utility-based QOL, as measured by the EQ-5D-3L, was observed in caregivers of patients receiving extended-hours hemodialysis in this small study. Though the findings are exploratory, the possibility that mode of dialysis delivery negatively impacts on caregivers supports the prioritization of research on burden and impact of service delivery in this population.

Indexed as

caregiverCo-ACTIVEextended dialysishemodialysisquality of life

Identifiers

PMID33912756
PMCPMC8071646
OpenAlexW3128405169

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.