Evidence map›Paper›PMID 41965518›Full record

ArticleBMC nephrology2026

Canadian healthcare provider perspectives and practices in the provision of sexual health support for people with chronic kidney disease: a mixed methods study.

Shannan Love, Sabrina Jassemi, Maoliosa Donald, Dwight Sparkes, Sandra Dumanski, Clare McKeaveney, Heather Beanlands, Janine Farragher, Lori Harwood, Joanne Kappel and 8 more

Abstract read
In one paragraph

Article in BMC nephrology, 2026. 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

18 authors.

Shannan LoveUniversity of Calgary, Calgary, Canada.
Sabrina JassemiUniversity of Calgary, Calgary, Canada.
Maoliosa DonaldUniversity of Calgary, Calgary, Canada.
Dwight SparkesCan-SOLVE CKD Patient Partner, Vancouver, Canada.
Sandra DumanskiUniversity of Calgary, Calgary, Canada.
Clare McKeaveneyQueen's University Belfast, Belfast, Northern Ireland.
Heather BeanlandsUniversity of Alberta, Edmonton, Canada.
Janine FarragherToronto Metropolitan University, Toronto, Canada.
Lori HarwoodUniversity of Toronto, Toronto, Canada.
Joanne KappelLondon Health Sciences Centre, London, Canada.
Gillian CrysdaleUniversity of Calgary, Calgary, Canada.
Kaitlin AhrenholzCan-SOLVE CKD Patient Partner, Vancouver, Canada.
Laurinda FerreiraCan-SOLVE CKD Patient Partner, Vancouver, Canada.
Maria DelgadoCan-SOLVE CKD Patient Partner, Vancouver, Canada.
Nancy VerdinCan-SOLVE CKD Patient Partner, Vancouver, Canada.
Betty PearsonCan-SOLVE CKD Patient Partner, Vancouver, Canada.
Brenda R HemmelgarnCollege of Medicine, University of Saskatchewan, Saskatoon, Canada.
Meghan J ElliottUniversity of Calgary, Calgary, Canada. meghan.elliott@albertahealthservices.ca.

Funding

CIHR GR023126/GR024093
6 · The paper itself

Abstract

backgroundPeople with non-dialysis-dependent chronic kidney disease (CKD) have identified sexual health as an important aspect of kidney care and a research priority, yet limited information is available on how sexual health is provided within multidisciplinary clinics. We aimed to explore the perceptions, needs, and practices of healthcare providers in Canadian multidisciplinary CKD clinics related to sexual health support for individuals with non-dialysis-dependent CKD.

methodsWe used a convergent mixed methods design involving a self-administered online survey and semi-structured interviews to collect information from healthcare providers working in CKD clinics. The survey included questions related to providers’ understanding of sexual health, current practices, and perceived gaps in how sexual health is addressed in routine CKD care, and was analyzed using descriptive statistics. We undertook follow-up interviews with a subset of survey respondents to elaborate on perspectives about sexual health support, which we analyzed using inductive, content analysis.

resultsThirty-three nurses, 23 nephrologists, 9 allied health professionals, and 8 administrators completed the survey between September and December 2023. Five survey respondents participated in an interview. Quantitative and qualitative results were integrated and summarized in four themes describing current perceptions and practices in the provision of sexual health support for patients with non-dialysis-dependent CKD: (1) Mismatch between perceived value and ability to respond; (2) Roles and processes for integrating sexual health into CKD care; (3) Insufficient knowledge and competence in sexual health provider practices; (4) Influence of patient and provider characteristics in sexual health discussions. Key barriers to integrating sexual health into routine care were lack of knowledge, experience, and training; insufficient time and competing priorities; lack of resources; need for clarity in scope of practice; and concern for patient discomfort. Providers suggested access to credible, appropriate resources and clear expectations and guidelines around sexual health care provision for providers working in CKD clinics and other specialty areas (e.g., primary care) to support sexual health care for those with non-dialysis-dependent CKD.

conclusionsWe identified variability in care practices among healthcare providers from multidisciplinary CKD clinics. Identified barriers will inform strategies to enhance sexual health supports for individuals with non-dialysis-dependent CKD.

Indexed as

Attitude of Health PersonnelHealth PersonnelRenal Insufficiency, ChronicSexual HealthAdultCanadaFemaleHumansMaleMiddle AgedSurveys and QuestionnairesChronic kidney diseasePatient-centered carePatient-oriented researchReproductive healthSexual health

Identifiers

PMID41965518
PMCPMC13195893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.