Evidence map›Paper›PMID 34241814›Full record

ArticleJournal of nephrology2022

Perspectives on ability to work from patients' receiving dialysis and caregivers: analysis of data from the global SONG initiative.

Ramya Rajkumar, Amanda Baumgart, Adam Martin, Allison Tong, Nicole Evangelidis, Karine E Manera, Yeoungjee Cho, David W Johnson, Andrea Viecelli, Jenny Shen and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Changes in Employment Status After Initiation of Peritoneal and In-Center Hemodialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Observational
  2. Impact of CKD on Life Participation in Latin America.Kidney international reports · 2026
    Article
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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

15 authors.

Ramya RajkumarSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia. ramya.d.rajkumar@gmail.com.
Amanda BaumgartSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Adam MartinSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Allison TongSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Nicole EvangelidisSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Karine E ManeraSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Yeoungjee ChoFaculty of Medicine, University of Queensland, Brisbane, Australia.
David W JohnsonFaculty of Medicine, University of Queensland, Brisbane, Australia.
Andrea ViecelliFaculty of Medicine, University of Queensland, Brisbane, Australia.
Jenny ShenThe Lundquist Institute at Harbor-UCLA Medical Center, Torrance, USA.
Chandana GuhaSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Nicole Scholes-RobertsonSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Martin HowellSydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Jonathan C CraigCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
SONG-HD and SONG-PD initiativesfor the SONG-HD and SONG-PD initiatives

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients receiving dialysis have low employment rates, which compounds poorer health and socioeconomic outcomes. Reasons for under- and unemployment remain underexplored. We aimed to describe the perspectives of patients receiving hemodialysis (HD) or peritoneal dialysis (PD) and their caregivers on ability to work.

methodsData was derived from adult patients' and caregivers' responses from 26 focus groups, two international Delphi surveys and two consensus workshops conducted through the Standardized Outcomes in Nephrology (SONG-HD) and SONG-PD programs. Our secondary thematic analysis identified concepts around ability to work.

resultsFive hundred four patients and 146 caregivers from 86 countries were included. We identified five themes: financial pressures and instability (with subthemes of rationing the budget with increased expenditure, losing financial independence and threatened job security); struggling to meet expectations (burdened by sociocultural norms and striving to protect independence); contending with upheaval of roles and responsibilities (forced to establish a new routine to accommodate work, symptoms disrupting work, prioritizing work and other duties, and adjusting to altered capacity to work); enabling flexibility and control (employment driving decisions about dialysis modality and schedule, workplace providing occupational safety and adaptability, requiring organizational support and planning for a future career); and finding purpose and value (accepting and redefining identity, pride and fulfillment, and protecting mental well-being).

conclusionsEmployment enabled patients to maintain their identity, independence, financial security and mental health. Symptom burden, workplace inflexibility and juggling roles are major challenges. Interventions addressing motivation, workplace flexibility and safety, and establishing goals and routines could support patients' capacities to work, thereby improving overall well-being and productivity.

Indexed as

NephrologyPeritoneal DialysisAdultCaregiversEmploymentHumansRenal DialysisCareerEmploymentHemodialysisPeritoneal dialysisWork

Identifiers

What OpenQuestion holds

Textmetadata
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.