Evidence map›Paper›PMID 42022248›Full record

ArticleKidney medicine2026

Perspectives on Peritoneal Dialysis and Kidney Transplant in Adolescents and Young Adults: A Qualitative Study.

Alexandra Bicki, Kimberly Koester, Gabriela Accetta Rojas, Elaine Ku

Abstract read
In one paragraph

Article in Kidney medicine, 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

4 authors.

Alexandra BickiDivision of Pediatric Nephrology, Department of Pediatrics, UCSF, San Francisco, CA.
Kimberly KoesterDivision of Prevention Science, Department of Medicine, UCSF, San Francisco, CA.
Gabriela Accetta RojasNemours Children's Hospital, Wilmington, DE.
Elaine KuDivision of Pediatric Nephrology, Department of Pediatrics, UCSF, San Francisco, CA.

Funding

UCSF-Kaiser Urological Epidemiology Research Career Development ProgramK12DK111028 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2016 to 2025
$5.3M
Identifying Facilitators and Barriers to Home Dialysis and Living Donor Kidney Transplantation among Adolescents and Young AdultsF32DK137551 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BICKI, ALEXANDRA · 2023 to 2025
$117k
NIDDK NIH HHS F32 DK137551NIDDK NIH HHS K12 DK111028
6 · The paper itself

Abstract

Rationale & Objective: Peritoneal dialysis and kidney transplantation confer better quality of life than hemodialysis, but uptake is low in adolescents and young adults. Our objective was to explore perspectives on peritoneal dialysis and living donor kidney transplantation among adolescents and young adults with chronic kidney disease. Study Design: A qualitative study using semistructured interviews. Setting & Participants: Thirteen adolescents and young adults with nondialysis-dependent chronic kidney disease and 10 of their parents were recruited from a single academic medical center in the San Francisco Bay Area, California, United States. Analytical Approach: Interview transcripts were analyzed qualitatively to identify prevalent themes. Results: Perspectives on peritoneal dialysis included the following: (1) lack of awareness of peritoneal dialysis as a treatment option; (2) negative impressions of dialysis based on anecdotes from people receiving hemodialysis; and (3) infectious concerns regarding home dialysis. Perspectives on living donor kidney transplantation included the following: (1) resistance to an illness-centered identity; (2) misperception and confusion regarding the waitlisting process; (3) "heavy guilt": the burden of responsibility for adverse outcomes after directed donation; and (4) ensuring living donor availability for the future. An overlapping theme of reliance on mothers for chronic kidney disease caregiving and potential donation was also identified. Limitations: This single-center study included patients referred to 1 kidney transplant center, and findings may be context specific. Conclusions: Adolescents and young adults with chronic kidney disease and their parents had low awareness of peritoneal dialysis and low levels of engagement in the search for donors. Some barriers were unique to this population and differed from those previously identified among older adults with kidney failure. Providers should be aware of these differences when counseling this younger population on kidney replacement therapy options.

Indexed as

adolescent and young adult (AYA)Adolescent healthchronic kidney diseasedecision makingdirected donationend-stage kidney disease (ESKD)end-stage renal disease (ESRD)health care transitionhome dialysiskidney failurelive donorliving kidney donationperitoneal dialysisqualitative research

Identifiers

PMID42022248
PMCPMC13097012

What OpenQuestion holds

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LicenceCC BY
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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.