Evidence map›Paper›PMID 39834314›Full record

ArticlePalliative & supportive care2025

Evaluating palliative care's role in symptom management for CKD patients in Egypt: A quasi-experimental approach.

Ateya Megahed Ibrahim, Ishraga A Mohamed, Marwa A Shahin, Takwa Rashwan Mohamed Abd-El Hady, Elsayeda Hamdy Nasr Abdelhalim, Donia Elsaid Fathi Zaghamir, Doaa Bahig Anwr Akl, Laila Zeidan Ghazy Mohammed, Fatma Abdelhalim Moustafa Ahmed

Abstract read
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In one paragraph

Article in Palliative & supportive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Health-related quality of life in chronic kidney disease patients in low- and lower-middle income countries: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. 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.

Ateya Megahed IbrahimNursing College, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.ORCID https://orcid.org/0000-0001-8192-0017
Ishraga A MohamedCritical Care Nursing, Department of Nursing, College of Applied Medical Science, Jeddah University, Jeddah, Saudi Arabia.
Marwa A ShahinNursing Program, Batterjee Medical College, Jeddah, Saudi Arabia.
Takwa Rashwan Mohamed Abd-El HadyNursing Administration Department, Faculty of Nursing, Port Said University, Port Said, Egypt.
Elsayeda Hamdy Nasr AbdelhalimNursing College, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Donia Elsaid Fathi ZaghamirNursing College, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Doaa Bahig Anwr AklAssistant Professor of Pediatric Nursing, Faculty of Nursing, Aswan University, Aswan, Egypt.ORCID https://orcid.org/0009-0008-4436-0899
Laila Zeidan Ghazy MohammedLecturer in Medical-Surgical Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt.
Fatma Abdelhalim Moustafa AhmedMedical-Surgical Nursing Department, Faculty of Nursing, Mansoura University, Egypt.ORCID https://orcid.org/0000-0002-0465-4066

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesChronic kidney disease (CKD) is a global health challenge that affects patients' symptom burden and quality of life. Palliative care interventions show promise in addressing the multiple needs of CKD patients, focusing on symptom management, psychosocial support, and advance care planning. This study aimed to evaluate the effectiveness of palliative care interventions in improving symptom management in patients with CKD.

methodsThe study used a quasi-experimental research design with a sample size of 128 participants diagnosed with CKD. Participants were selected based on strict criteria to ensure consistency of palliative care interventions. Non-probability purposive sampling was used to select participants. Data were collected using validated instruments such as the Edmonton Symptom Assessment System, Kidney Disease Quality of Life-Short Form, Palliative Performance Scale, Dialysis Symptom Index and Functional Assessment of Chronic Illness Therapy-Fatigue. These instruments provided robust measures of symptom severity, quality of life, performance status, symptom burden, and fatigue. The intervention consisted of 4 sessions designed to address symptom management, psychosocial support, and advance care planning strategies.

resultsPost-intervention, CKD patients showed significant improvements across multiple measures. Pain decreased from 6.2 to 4.8 ( SIGNIFICANCE OF THE

resultsThe results highlight the potential of palliative care interventions to improve outcomes and well-being for people with CKD. By addressing their complex needs, these interventions offer valuable lessons for nephrology and palliative care practice, emphasizing holistic approaches to patient care. The findings add to the evidence supporting the integration of palliative care into CKD management, highlighting its value in improving patient outcomes and quality of life.

Indexed as

Palliative CareRenal Insufficiency, ChronicAdultAgedEgyptFemaleHumansMaleMiddle AgedQuality of LifeSurveys and Questionnairesadvance care planningChronic kidney diseasepalliative care interventionsquality oflifesymptom management

Identifiers

PMID39834314
PMCPMC13166459

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.