Evidence map›Paper›PMID 38087643›Full record

ArticleLupus science & medicine2023

Canadian patient experiences of lupus nephritis: a qualitative analysis.

Francesca S Cardwell, Susan J Elliott, Megan R W Barber, Kim Cheema, Sydney George, Adrian Boucher, Ann Elaine Clarke

Abstract read
In one paragraph

Article in Lupus science & medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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.

Francesca S CardwellDepartment of Geography and Environmental Management, University of Waterloo, Waterloo, Ontario, Canada fcardwel@uwaterloo.ca.ORCID 0000-0002-7393-466X
Susan J ElliottDepartment of Geography and Environmental Management, University of Waterloo, Waterloo, Ontario, Canada.
Megan R W BarberDivision of Rheumatology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Kim CheemaDivision of Nephrology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Sydney GeorgeHealth Outcomes and Economics, GSK, Mississauga, Ontario, Canada.
Adrian BoucherHealth Outcomes and Economics, GSK, Mississauga, Ontario, Canada.
Ann Elaine ClarkeDivision of Rheumatology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLupus nephritis (LN) is one of the most severe manifestations of SLE; however, we know little about the lived experience of LN. This research investigates patient experiences and perspectives of (1) LN diagnosis; (2) living with LN; and (3) LN healthcare and treatment.

methodsPatients aged ≥18 years with biopsy-proven pure or mixed International Society of Nephrology/Renal Pathology Society class III, IV or V LN were purposefully recruited from a Canadian lupus cohort to participate in semistructured in-depth interviews.

resultsThirty patients with LN completed the interviews. The mean (SD) age was 42.1 (16.4) years, and 86.7% were female. Participants described challenges seeking, receiving and adjusting to a LN diagnosis, and some reported that their diagnosis process took weeks to years. While 16 participants were provided resources by healthcare providers to help them through the process of diagnosis, the need for accessible LN-specific information at diagnosis was highlighted (n=18). Participants also described the unpredictability of living with LN, particularly related to impacts on physical and mental health, relationships, leisure activities, employment and education, and family planning. While most (n=26) participants reported a positive impression of their care, the side effects of LN medications and the need to increase patient and societal awareness/understanding of LN were highlighted in the context of healthcare and treatment.

conclusionsThe unpredictability of living with LN, the heavy treatment burden and a lack of patient/societal awareness substantially affect the lived experience of LN. These findings will inform the development of LN-specific patient resources to increase understanding of LN and improve well-being for patients.

Indexed as

Lupus Erythematosus, SystemicLupus NephritisAdolescentAdultCanadaFemaleHumansKidneyMalePatient Outcome AssessmentLupus NephritisQualitative researchQuality of Life

Identifiers

PMID38087643
PMCPMC10729228

What OpenQuestion holds

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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.