Evidence map›Paper›PMID 34499133›Full record

ArticleJAMA network open2021

Perspectives on Kidney Disease Education and Recommendations for Improvement Among Latinx Patients Receiving Emergency-Only Hemodialysis.

Tessa K Novick, Santiago Diaz, Francisco Barrios, Doris Cubas, Kavyaa Choudhary, Paul Nader, Raymonda ElKhoury, Lilia Cervantes, Elizabeth A Jacobs

Open access · goldAbstract read
In one paragraph

Article in JAMA network open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Trainee Awareness of Transplant Barriers for Undocumented Immigrants.Journal of immigrant and minority health · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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

9 authors at 2 institutions in 1 country.

Tessa K NovickDivision of Nephrology, University of Texas at Austin, Dell Medical School, Austin.
Santiago DiazDepartment of Internal Medicine, University of Texas at Austin, Dell Medical School, Austin.
Francisco BarriosDepartment of Internal Medicine, University of Texas at Austin, Dell Medical School, Austin.
Doris CubasDepartment of Internal Medicine, University of Texas at Austin, Dell Medical School, Austin.
Kavyaa ChoudharyThe University of Texas at Austin, Austin.
Paul NaderDivision of Nephrology, University of Texas at Austin, Dell Medical School, Austin.
Raymonda ElKhouryDivision of Nephrology, University of Texas at Austin, Dell Medical School, Austin.
Lilia CervantesDivision of General Internal Medicine and Hospital Medicine, University of Colorado, Boulder.
Elizabeth A JacobsDepartment of Internal Medicine, University of Texas at Austin, Dell Medical School, Austin.
The University of Texas at Austin · USUniversity of Colorado Boulder · US

Funding

Impact of Health-related Social Needs on Dialysis OutcomesK23DK127153 · NIDDK · UNIVERSITY OF TEXAS AT AUSTIN · PI NOVICK, TESSA · 2021 to 2025
$945k
NIDDK NIH HHS K23 DK127153
6 · The paper itself

Abstract

Importance: In most states, undocumented Latinx immigrants with kidney failure receive dialysis in acute care settings on an emergency-only basis. How much kidney disease education Latinx immigrants receive and how to improve kidney disease education and outreach among Latinx populations are unknown. Objective: To understand the kidney disease educational gaps of Latinx individuals who need but lack access to scheduled outpatient dialysis. Design, Setting, and Participants: This qualitative study used semistructured interviews in a Texas hospital system from March 2020 to January 2021 with 15 individuals who received emergency-only dialysis when they were first diagnosed with kidney failure. Demographic information was collected, and a thematic analysis was performed using the constant comparative method on interviews after they were audio-recorded, translated, and transcribed verbatim. Data analysis was performed from April 2020 to February 2021. Main Outcomes and Measures: Subthemes and themes from semistructured interviews. Results: All 15 persons interviewed (9 male individuals [60%]; mean [SD] age, 51 [17] years) identified as Hispanic, 11 (73%) were born in Mexico, and none reported knowing about their kidney disease more than 6 months before starting dialysis. The themes identified were (1) lack of kidney disease awareness, (2) education provided was incomplete and poor quality, (3) lack of culturally concordant communication and care, (4) elements that Latinx patients receiving emergency-only dialysis want in their education, (5) facilitators of patient activation and coping, and (6) Latinx patient recommendations to improve community outreach. Conclusions and Relevance: Latinx adults receiving emergency-only dialysis are usually unaware of their kidney disease until shortly before or after they start dialysis, and the education they receive is poor quality and often not culturally tailored. Participants made feasible recommendations on how to improve education and outreach among Latinx communities.

Indexed as

Patient Education as TopicAdaptation, PsychologicalCommunicationCulturally Competent CareEmergency Service, HospitalFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHispanic or LatinoHumansKidney Failure, ChronicMaleMiddle AgedQualitative ResearchRenal DialysisTexas

Identifiers

PMID34499133
PMCPMC8430451
OpenAlexW3197269045

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.