Evidence map›Paper›PMID 35034481›Full record

SynthesisThe journal of vascular access2023

Patients' experiences of cannulation of arteriovenous access for haemodialysis: A qualitative systematic review.

Catherine Fielding, Louise Bramley, Carol Stalker, Sarah Brand, Suzanne Toft, Heather Buchanan

Registry-linked trialOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The journal of vascular access, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06845605 (A Qualitative Exploration Study of Healthcare Professionals' Perspectives in Haemodialysis Needling to Enhance Patients' Overall Experience), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% 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.

NCT06845605 recruitingnot on this mapstarted 2024, after this paper: background citation

A Qualitative Exploration Study of Healthcare Professionals' Perspectives in Haemodialysis Needling to Enhance Patients' Overall Experience

TypeobservationalSponsorEast and North Hertfordshire NHS TrustRan2024 to 2025Enrolled16ConditionsPerspective of Healthcare Professionals Haemodialysis Needling, Dialysis
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
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  6. Article
  7. Article
  8. Article
  9. Developing and Evaluating a Home Hemodialysis Training Program-A Quality Improvement Study.Hemodialysis international. International Symposium on Home Hemodialysis · 2025
    Article
  10. Article
  11. Article
  12. 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

6 authors at 4 institutions in 1 country.

Catherine FieldingUniversity Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.ORCID 0000-0002-2507-9275
Louise BramleyNottingham University Hospitals NHS Trust, Nottingham, UK.
Carol StalkerUniversity of Derby, Derby, UK.
Sarah BrandNottingham University Hospitals NHS Trust, Nottingham, UK.
Suzanne ToftUniversity Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
Heather BuchananUniversity of Nottingham, Nottingham, UK.
Nottingham University Hospitals NHS Trust · GBUniversity Hospitals of Derby and Burton NHS Foundation Trust · GBUniversity of Derby · GBUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCannulation is an essential part of haemodialysis with arteriovenous access. Patients' experiences of cannulation for haemodialysis are problematic but poorly understood. This review aims to synthesise findings related to patients' experiences of cannulation for haemodialysis from qualitative studies, providing a fuller description of this phenomenon.

methodsEligibility criteria defined the inclusion of studies with a population of patients with end-stage kidney disease on haemodialysis. The phenomena of interest was findings related to patients' experiences of cannulation for haemodialysis and the context was both in-centre and home haemodialysis. MedLine, CINAHL, EMBASE, EMCARE, BNI, PsycInfo and PubMed were last searched between 20/05/2019 and 23/05/2019. The quality of studies was assessed using the using Joanna Briggs Critical Appraisal Checklist for Qualitative Research. Meta-aggregation was used to synthesise findings and CERQual to assess the strength of accumulated findings.

resultsThis review included 26 studies. The subject of included studies covered cannulation, pain, experiences of vascular access, experiences of haemodialysis and a research priority setting exercise. From these studies, three themes were meta-aggregated: (1) Cannulation for haemodialysis is an unpleasant, abnormal and unique procedure associated with pain, abnormal appearance, vulnerability and dependency. (2) The necessity of cannulation for haemodialysis emphasises the unpleasantness of the procedure. Success had multiple meanings for patients and patients worry about whether the needle insertion will be successful. (3) Patients survive unpleasant, necessary and repetitive cannulation by learning to tolerate cannulation and exerting control over the procedure. Feeling safe can help them tolerate cannulation better and the cannulator can invoke feeling safe. However, some patients still avoid cannulation, due to its unpleasantness.

conclusionsCannulation is a pervasive procedure that impacts on patients' experiences of haemodialysis. This review illuminates further patients' experiences of cannulation for haemodialysis, indicating how improvements can be made to cannulation. REGISTRATION: PROSPERO (CRD42019134583).

Indexed as

CatheterizationKidney Failure, ChronicHemodialysis, HomeHumansPainQualitative ResearchRenal Dialysisarteriovenous accesscannulationHaemodialysispatients’ experiencesvascular access

Identifiers

PMID35034481
PMCPMC10631276
OpenAlexW4206329700

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.