SynthesisInternational journal of environmental research and public health2021
Association between Financial Hardship and Symptom Burden in Patients Receiving Maintenance Dialysis: A Systematic Review.
Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Kidney supportive care in advanced chronic kidney disease: a qualitative meta-synthesis of healthcare professionals perspectives and attitudes.BMC nephrology · 2025Pooled it
- Comparison of the effect of aerobic and resistance training on fatigue, quality of life and biochemical factors in hemodialysis patients.Scientific reports · 2025Trial
- Illness perception and its relationship with nursing care behaviors in hemodialysis patients: A cross-sectional descriptive study.Medicine · 2026Article
- Impacts of Financial Toxicity on Patients Receiving Dialysis: An Exploratory Qualitative Study.Kidney360 · 2026Article
- Transplantation and Employment Earnings in Kidney Transplant Recipients.JAMA network open · 2026Article
- PaCE CKD: A Multinational Survey of Financial Burden and Work Productivity in Patients with Chronic Kidney Disease and Caregivers.Advances in therapy · 2026Article
- Prevalence, severity and multidimensional factors associated with pain among hemodialysis patients: A cross-sectional study in a resource-limited healthcare system.SAGE open medicine · 2026Article
- An Integrated, Evidence-Guided Framework for Chronic Kidney Disease Self-Management: Behavioral Mechanisms, Implementation Strategies, and Real-World Application.Kidney & blood pressure research · 2026Review
- Financial Toxicity in ESKD.Kidney360 · 2025Article
- Factors influencing the psychological well-being of patients undergoing haemodialysis in Taiwan: an observational study.BMJ open · 2025Observational
- Assessing Quality of Life in Hemodialysis Patients in Kazakhstan: A Cross-Sectional Study.Journal of clinical medicine · 2025Article
- Quality of Life in Patients with CKD With Catastrophic Health Care Expenditures: A National Study From Thailand.Kidney medicine · 2025Article
- Development and feasibility pilot study of positive psychological intervention for maintenance hemodialysis patients in China.Frontiers in psychology · 2025Article
- Detection of Financial Toxicity in Italian Uremic Patients: A Single Center Cross-Sectional Study.International journal of nephrology and renovascular disease · 2025Article
- Advancing gender equity to improve kidney care for women: a patient perspective.Nature reviews. Nephrology · 2025Article
- Sleep disturbance as a mediator of the relationship between perceived stress and demoralization in hemodialysis patients: a structural equation modeling analysis.Frontiers in psychiatry · 2025Article
- Financial Toxicity and Kidney Disease in Children and Adults: A Scoping Review.International journal of nephrology and renovascular disease · 2025Review
- A comprehensive systematic review of pharmacological and non-pharmacological depression interventions for patients on dialysis.SAGE open medicine · 2025Review
- Factors influencing fatigue among patients undergoing hemodialysis: a multi-center cross-sectional study.The Libyan journal of medicine · 2024Article
- The Socioeconomic Impact of Transport Costs for Adult Patients Requiring Haemodialysis: A Mixed Methods Study.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany patients on maintenance dialysis experience financial hardship. Existing studies are mainly cost analyses that quantify financial hardship in monetary terms, but an evaluation of its impact is also warranted. This review aims to explore the definition of financial hardship and its relationship with symptom burden among patients on dialysis.
methodsA literature search was conducted in November 2020, using six electronic databases. Studies published in English that examined the associations between financial hardship and symptom burden were selected. Two reviewers independently extracted data and appraised the studies by using the JBI Critical Appraisal Checklists.
resultsFifty cross-sectional and seven longitudinal studies were identified. Studies used income level, employment status, healthcare funding, and financial status to evaluate financial hardship. While relationships between decreased income, unemployment, and overall symptom burden were identified, evidence suggested that several symptoms, including depression, fatigue, pain, and sexual dysfunction, were more likely to be associated with changes in financial status.
conclusionOur findings suggest that poor financial status may have a negative effect on physical and psychological well-being. However, a clear definition of financial hardship is warranted. Improving this assessment among patients on dialysis may prompt early interventions and minimize the negative impact of financial hardship.
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Registered trials
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