Evidence map›Paper›PMID 38363464›Full record

SynthesisAdvances in therapy2024

Development of a Conceptual Model for the Patient Experience of Immunoglobulin A Nephropathy (IgAN): A Qualitative Literature Review.

Natalie V J Aldhouse, Helen Kitchen, Tamara Al-Zubeidi, Madeleine Thursfield, Randall Winnette, Sandi See Tai, Linda Zhu, Cecilia Freitas, Nicolas Garnier, Christine L Baker

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Advances in therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

10 authors at 2 institutions in 2 countries.

Natalie V J AldhouseClinical Outcomes Assessment, Clarivate, London, UK. natalie.aldhouse@clarivate.com.ORCID 0000-0001-6573-7431
Helen KitchenClinical Outcomes Assessment, Clarivate, London, UK.
Tamara Al-ZubeidiClinical Outcomes Assessment, Clarivate, London, UK.
Madeleine ThursfieldClinical Outcomes Assessment, Clarivate, London, UK.
Randall WinnettePfizer Inc, New York, NY, USA.
Sandi See TaiPfizer Inc, Collegeville, PA, USA.
Linda ZhuPfizer Inc, Collegeville, PA, USA.
Cecilia FreitasPfizer Inc, New York, NY, USA.
Nicolas GarnierPfizer Inc, New York, NY, USA.
Christine L BakerPfizer Inc, New York, NY, USA.
Pfizer (United States) · USHealth Economics and Outcomes Research (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmunoglobulin A nephropathy (IgAN) is a kidney disorder that can lead to progressive kidney disease. Currently, there lacks a comprehensive overview of the symptoms and impacts experienced by those living with IgAN that would help inform the selection or development of fit-for-purpose clinical outcome assessments (COA) to be used in clinical trials. The aim of this study was to develop a conceptual model of the adult and pediatric patient experience of IgAN, including disease signs and symptoms, treatment side effects, and impact on functioning and well-being.

methodsThis study comprised a systematic review and thematic analysis of qualitative studies with adults and children diagnosed with IgAN. Data sources were identified through an electronic database search of journal articles (MEDLINE, Embase, PsycINFO; June 2021), hand-searching of conference proceedings, patient advocacy group websites, and gray literature. Non-English articles were excluded. Identified data (patient/caregiver quotes, author summaries, and interpretations of patient experiences) were extracted from articles. Extracted data were qualitatively analyzed, aided by ATLAS.ti v7. Codes were applied to data; concepts (i.e., symptoms) were identified, named, and refined. A conceptual model was developed by grouping related concepts into domains.

resultsIn total, five sources were identified for analysis: two journal articles, two online anthologies of patient stories, and one patient organization-sponsored "Voice of the Patient" meeting report. Conceptual model symptom domains included swelling/puffiness (edema), pain/aches/discomfort, fatigue, weight gain, sleep problems, urinary problems, and gastrointestinal problems. Impact domains included emotional/psychological well-being, physical functioning/activities of daily living, social functioning, work/school, and relationships.

conclusionsSecondary analysis of published qualitative literature permitted development of a novel conceptual model depicting the patient experience of IgAN; however, its depth is limited by a lack of available literature. Further qualitative research is recommended to refine and/or confirm the concepts and domains, determine any relationships between them, and explore the outcomes that are most meaningful to patients. The refined model will provide a useful tool to inform the selection, development, and/or amendment of COAs for use in future IgAN clinical trials.

Indexed as

Glomerulonephritis, IGAAdultChildHumansQualitative ResearchQuality of LifeBerger’s diseaseClinical outcome assessmentsImmunoglobulin A nephropathy (IgAN)Patient experiencePatient-reported outcomesQualitative

Identifiers

PMID38363464
PMCPMC10960907
OpenAlexW4391882064

What OpenQuestion holds

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LicenceCC BY-NC
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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.