Evidence map›Paper›PMID 40623890›Full record

ArticleBMJ open2025

Patient and caregiver perspectives on treatment strategies and care priorities of childhood steroid-sensitive nephrotic syndrome: a qualitative study.

Augustina Okpere, Susan Samuel, Kathryn King-Shier, Lorraine Hamiwka, Meghan Elliott

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Augustina OkpereDepartment of Pediatrics, University of Calgary, Calgary, Alberta, Canada.ORCID http://orcid.org/0009-0003-1663-6863
Susan SamuelDepartment of Pediatrics, The University of British Columbia, Vancouver, British Columbia, Canada.
Kathryn King-ShierDepartment of Nursing, University of Calgary, Calgary, Alberta, Canada.
Lorraine HamiwkaDepartment of Pediatric Nephrology, Alberta Children's Hospital, Calgary, Alberta, Canada.
Meghan ElliottDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada meghan.elliott@albertahealthservices.ca.ORCID http://orcid.org/0000-0002-5434-2917

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe explored the experiences of treatment strategies for steroid-sensitive nephrotic syndrome (SSNS) and care priorities among children living with the condition and their caregivers.

designA qualitative study using semistructured interviews. Data were analysed using reflexive thematic analysis. We coded transcripts in duplicate and developed themes that integrate key concepts across roles.

settingSouthern Alberta, Canada.

participantsA purposive sample of children aged 8-18 years, with SSNS and their caregivers from a paediatric nephrotic syndrome cohort.

results28 individuals (10 children and 18 caregivers) participated in this study. All had experienced a relapse after initial diagnosis and steroid treatment. Participants identified how their experiences with SSNS treatments influenced their willingness to accept further steroids and other second-line agents. Findings are elaborated across the following four themes: (1) reluctant acceptance of steroids (

conclusionsChildren with SSNS and their caregivers expressed a dislike of steroids and a desire for individualised treatment protocols. Investigation into therapeutic alternatives for SSNS should integrate patients' preferences, values and care priorities.

Indexed as

CaregiversNephrotic SyndromeSteroidsAdaptation, PsychologicalAdolescentAlbertaChildFemaleHumansInterviews as TopicMaleQualitative ResearchRecurrenceSteroidsCaregiversChildQUALITATIVE RESEARCH

Identifiers

PMID40623890
PMCPMC12258286

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Registered trials

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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.