ArticleKidney medicine2026
Examining Quality-of-Life Priorities of Older Adults Receiving Hemodialysis: A Q-Methodology Study.
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.
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.
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.
Who cites it
1 citing paper in PubMed.
- Determinants of Quality of Life Among Hemodialysis Patients: Roles of Associated Comorbidities, Smoking, Climate Change, and Residence.Journal of nutrition and metabolism · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Rationale & Objective: Older adults represent the fastest-growing demographic group initiating hemodialysis (HD) in the United States. Compared with older adults who do not receive HD, they commonly report a lower quality of life (QOL). However, their perspectives on QOL are poorly understood. The objective of this study was to identify and characterize QOL priorities of older adults receiving HD. Study Design: Cross-sectional study using Q-methodology. Setting & Participants: Participants were recruited from dialysis centers in and around Durham, North Carolina. Each participant sorted 35 QOL statements based on the level of agreement (eg, agree, disagree, or neutral). Analytical Approach: Factor analysis of the Q-sorts was performed using the PQ Method software. Factors were interpreted and described as QOL priorities. Demographic and clinical characteristics were summarized overall and based on factors. Results: 29 older adults were recruited with a mean age of 76.2 ± 5.6 years, a median dialysis vintage of 3 (1-4.8) years, and 18 (62.1%) women. Ten (34%) participants screened positive for frailty questionnaire responses and 16 (55.2%) participants reported using an assisted device. Factor analysis revealed the following 2 distinct QOL prioritization profiles: (1) "Everyday Well-Being" and (2) "Safety and Security." "Everyday Well-Being," defined using 16 Q-sorts, represented a perspective that highly valued cognitive function (memory/thinking ability), spirituality, adequate pain control, and well-functioning dialysis access. "Safety and Security," defined using 11 Q-sorts, represented a perspective that highly valued socioeconomic stability, including financial stability, access to reliable transportation, and safety. We observed no difference in age, dialysis vintage, or performance on cognitive, physical function, and frailty assessments between participants whose Q-sorts defined each prioritization profile. Limitations: Cross-sectional design, confinement to 1 geographical region. Conclusions: Using Q-methodology, we identified 2 dominant profiles of QOL priorities among older adults receiving HD. These findings highlight heterogeneity in what matters most to older adults receiving HD and the need for personalized, patient-centered approaches to evaluating and improving their QOL.
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