Evidence map›Paper›PMID 34162354›Full record

ReviewBMC nephrology2021

Development of a preliminary conceptual model of the patient experience of chronic kidney disease: a targeted literature review and analysis.

Jennifer E Flythe, Niklas Karlsson, Anna Sundgren, Paul Cordero, Amanda Grandinetti, Henry Cremisi, Anna Rydén

Open access · goldAbstract readReview
In one paragraph

Review in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

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  10. A process-based approach to health-related quality of life as a "way of living".Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Review
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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

7 authors at 5 institutions in 3 countries.

Jennifer E FlytheDivision of Nephrology and Hypertension, Department of Medicine, University of North Carolina School of Medicine, 7024 Burnett-Womack CB #7155, Chapel Hill, NC, USA. jflythe@med.unc.edu.
Niklas KarlssonR&D Digital Health, AstraZeneca, Gothenburg, Sweden.
Anna SundgrenCardiovascular Renal & Metabolic late stage development, AstraZeneca, Gaithersburg, MD, USA.
Paul CorderoIQVIA, Reading, UK.
Amanda GrandinettiNorthern Illinois University, DeKalb, IL, USA.
Henry CremisiUS Medical Affairs, Renal, AstraZeneca, Wilmington, DE, USA.
Anna RydénR&D Digital Health, AstraZeneca, Gothenburg, Sweden.
AstraZeneca (Sweden) · SEAstraZeneca (United States) · USIQVIA (United Kingdom) · GBNorthern Illinois University · USUniversity of North Carolina at Chapel Hill · US

Funding

Investigating strategies to reduce fluid-related complications among hemodialysis patientsK23DK109401 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FLYTHE, JENNIFER E · 2016 to 2020
$992k
NIDDK NIH HHS K23 DK109401
6 · The paper itself

Abstract

backgroundPatient-reported outcome (PRO) instruments should capture the experiences of disease and treatment that patients consider most important in order to inform patient-centred care and product development. The aim of this study was to develop a preliminary conceptual model of patient experience in chronic kidney disease (CKD) based on a targeted literature review and to characterize existing PRO instruments used in CKD.

methodsPubMed, EMBASE and Cochrane databases and recent society meetings were searched for publications reporting signs/symptoms and life impacts of CKD. Concepts identified in the literature review were used to develop a preliminary conceptual model of patient experience of CKD, overall, and within patient subpopulations of differing CKD causes, severities and complications. PRO instruments, identified from PRO databases, CKD literature and CKD clinical trials, were assessed for content validity, psychometric strength and coverage of concepts in the literature review.

resultsIn total, 100 publications met criteria for analysis; 56 signs/symptoms and 37 life impacts of CKD were identified from these sources. The most frequently mentioned signs/symptoms were pain/discomfort (57% of publications) and tiredness/low energy/lethargy/fatigue (42%); the most commonly reported life impacts were anxiety/depression (49%) and decrements in physical functioning (43%). Signs/symptoms and life impacts varied across the subpopulations and were more frequent at advanced CKD stages. The preliminary conceptual model grouped signs/symptoms into seven domains (pain/discomfort; energy/fatigue; sleep-related; gastrointestinal-related; urinary-related; skin-/hair-/nails-related; and other) and life impacts into six domains (psychological/emotional strain; cognitive impairment; dietary habit disruption; physical function decrements; interference with social relationships; and other). Eleven PRO instruments were considered to be promising for use in CKD; all had limitations.

conclusionsAlthough preliminary, the proposed conceptual model highlights key PROs for people with CKD and is intended to spur development of more tailored PRO instruments to assess these concepts.

Indexed as

Models, PsychologicalPatient Reported Outcome MeasuresQuality of LifeActivities of Daily LivingAnxietyDepressionFatigueHumansPainPsychometricsRenal Insufficiency, ChronicChronic kidney disease (CKD)Conceptual modelHealth-related quality of life (HRQOL)Patient experiencePatient-reported outcome (PRO)

Identifiers

PMID34162354
PMCPMC8220773
OpenAlexW3173775248

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.