Person centred care provision and care planning in chronic kidney disease: which outcomes matter? A systematic review and thematic synthesis of qualitative studies : Care planning in CKD: which outcomes matter?
Journal
BMC nephrology
ISSN: 1471-2369
Titre abrégé: BMC Nephrol
Pays: England
ID NLM: 100967793
Informations de publication
Date de publication:
13 09 2021
13 09 2021
Historique:
received:
22
01
2021
accepted:
29
07
2021
entrez:
14
9
2021
pubmed:
15
9
2021
medline:
25
2
2022
Statut:
epublish
Résumé
Explore priorities related to outcomes and barriers of adults with chronic kidney disease (CKD) regarding person centred care and care planning. Systematic review of qualitative studies. In July 2018 six bibliographic databases, and reference lists of included articles were searched for qualitative studies that included adults with CKD stages 1-5, not on dialysis or conservative management, without a previous kidney transplantation. Three independent reviewers extracted and inductively coded data using thematic synthesis. Reporting quality was assessed using the COREQ and the review reported according to PRISMA and ENTREQ statements. Forty-six studies involving 1493 participants were eligible. The period after diagnosis of CKD is characterized by feelings of uncertainty, social isolation, financial burden, resentment and fear of the unknown. Patients show interest in ways to return to normality and remain in control of their health in order to avoid further deterioration of kidney function. However, necessary information is often unavailable or incomprehensible. Although patients and healthcare professionals share the predominant interest of whether or not dialysis or transplantation is necessary, patients value many more outcomes that are often unrecognized by their healthcare professionals. We identified 4 themes with 6 subthemes that summarize these findings: 'pursuing normality and control' ('pursuing normality'; 'a search for knowledge'); 'prioritizing outcomes' ('reaching kidney failure'; 'experienced health'; 'social life'; 'work and economic productivity'); 'predicting the future'; and 'realising what matters'. Reporting quality was moderate for most included studies. Exclusion of non-English articles. The realisation that patients' priorities do not match those of the healthcare professionals, in combination with the prognostic ambiguity, confirms fatalistic perceptions of not being in control when living with CKD. These insights may contribute to greater understanding of patients' perspectives and a more person-centred approach in healthcare prioritization and care planning within CKD care.
Identifiants
pubmed: 34517825
doi: 10.1186/s12882-021-02489-6
pii: 10.1186/s12882-021-02489-6
pmc: PMC8438879
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
309Informations de copyright
© 2021. The Author(s).
Références
Nephrol Nurs J. 2008 Mar-Apr;35(2):147-55; quiz 156
pubmed: 18472683
Clin J Am Soc Nephrol. 2017 Apr 3;12(4):635-643
pubmed: 28389529
Am J Kidney Dis. 2015 Feb;65(2):233-9
pubmed: 25245300
EDTNA ERCA J. 2005 Jul-Sep;31(3):130-3
pubmed: 16363411
Can J Kidney Health Dis. 2018 Mar 23;5:2054358118763809
pubmed: 29636981
J Clin Epidemiol. 2020 Jul;123:69-79
pubmed: 32240769
Nephrol Nurs J. 2016 Nov-Dec;43(6):463-493
pubmed: 30550076
Prog Transplant. 2011 Jun;21(2):97-104; quiz 105
pubmed: 21736237
Kidney Int. 2008 Nov;74(9):1178-84
pubmed: 18668024
J Adv Nurs. 2013 Jan;69(1):194-204
pubmed: 22591030
Patient Prefer Adherence. 2017 Nov 29;11:1963-1973
pubmed: 29238172
BMC Med Res Methodol. 2012 Nov 27;12:181
pubmed: 23185978
BMC Med Res Methodol. 2021 Sep 12;21(1):184
pubmed: 34511068
Am J Kidney Dis. 2011 Mar;57(3):387-95
pubmed: 21168943
J Ren Care. 2010 Mar;36(1):9-15
pubmed: 20214703
Nurs Ethics. 2018 Dec;25(8):1017-1029
pubmed: 28095759
Clin Orthop Relat Res. 2020 Oct;478(10):2351-2363
pubmed: 32332242
Am J Kidney Dis. 2017 Jan;69(1):97-107
pubmed: 27497527
BMC Nephrol. 2016 Oct 19;17(1):155
pubmed: 27760524
Clin Kidney J. 2015 Dec;8(6):766-71
pubmed: 26613037
EDTNA ERCA J. 2001 Apr-Jun;27(2):72-4
pubmed: 11868751
J Ren Care. 2015 Dec;41(4):260-7
pubmed: 26417666
Health Expect. 2015 Oct;18(5):1018-29
pubmed: 23647805
J Ren Care. 2012 Dec;38(4):174-81
pubmed: 23176576
Ann Intern Med. 1984 Feb;100(2):258-68
pubmed: 6362512
Am J Kidney Dis. 2016 Sep;68(3):353-70
pubmed: 27020884
Nephrol Dial Transplant. 2016 Jan;31(1):133-41
pubmed: 26346314
Clin J Am Soc Nephrol. 2019 Apr 5;14(4):623-625
pubmed: 30814112
Nephrology (Carlton). 2014 Apr;19(4):234-43
pubmed: 24428274
J Clin Nurs. 2018 Apr;27(7-8):1561-1571
pubmed: 29240277
BMC Med Inform Decis Mak. 2019 Jan 8;19(1):3
pubmed: 30621670
Nephrol Dial Transplant. 2008 Dec;23(12):3953-9
pubmed: 18586764
Nephrol Dial Transplant. 2015 Nov;30(11):1885-92
pubmed: 26056174
J Health Serv Res Policy. 2005 Jan;10(1):45-53
pubmed: 15667704
Bone Joint J. 2019 Nov;101-B(11):1431-1437
pubmed: 31674251
Nephrology (Carlton). 2021 Dec;26(12):939-947
pubmed: 34138495
J Clin Nurs. 2012 Mar;21(5-6):897-904
pubmed: 22081948
J Dent. 2019 May;84:44-48
pubmed: 30862555
Clin Orthop Relat Res. 2019 Jun;477(6):1267-1279
pubmed: 31094833
Qual Health Res. 2006 Jan;16(1):162-8
pubmed: 16317183
BMJ Open. 2017 Jan 19;7(1):e013829
pubmed: 28104711
BMC Nephrol. 2017 Apr 3;18(1):119
pubmed: 28372582
Chronic Illn. 2016 Mar;12(1):18-28
pubmed: 26538568
Nephrol Dial Transplant. 2008 Oct;23(10):3206-14
pubmed: 18445638
Clin Nephrol. 2016 Aug;86(2):78-86
pubmed: 27345185
Nephrol Dial Transplant. 2015 Oct;30(10):1605-14
pubmed: 25982327
J Holist Nurs. 2014 Mar;32(1):35-43
pubmed: 23926216
J Ren Care. 2017 Dec;43(4):197-208
pubmed: 28612998
Neurosurg Focus. 2019 May 1;46(5):E5
pubmed: 31042660
Qual Health Res. 2016 Oct;26(12):1591-602
pubmed: 26130653
Am J Kidney Dis. 2017 Nov;70(5):602-610
pubmed: 28242134
Arch Gen Psychiatry. 1969 Sep;21(3):373-80
pubmed: 4896632
J Am Soc Nephrol. 2005 Jan;16(1):180-8
pubmed: 15563563
BMC Complement Altern Med. 2014 Dec 06;14:473
pubmed: 25481733
J Nurs Res. 2013 Jun;21(2):120-8
pubmed: 23681348
J Health Psychol. 2016 Dec;21(12):2788-2798
pubmed: 26060242
Nephrol Dial Transplant. 2020 Sep 1;35(9):1527-1538
pubmed: 30830157
J Hum Nutr Diet. 2011 Feb;24(1):86-95
pubmed: 21114553
CMAJ. 2011 Feb 8;183(2):E115-27
pubmed: 21149524
Syst Rev. 2018 Jun 13;7(1):84
pubmed: 29898785
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
J Clin Nurs. 2012 May;21(9-10):1215-22
pubmed: 22384863
Am J Kidney Dis. 2019 Sep;74(3):399-406
pubmed: 31031088
BMC Nephrol. 2016 May 16;17(1):48
pubmed: 27184894
Kidney Int. 2005 Jul;68(1):378-90
pubmed: 15954930
J Am Soc Nephrol. 2018 Dec;29(12):2870-2878
pubmed: 30385652
J Psychosom Res. 2020 Jul;134:110126
pubmed: 32387817
Clin J Am Soc Nephrol. 2016 Sep 7;11(9):1566-1573
pubmed: 27340288
Am J Kidney Dis. 2009 Apr;53(4):689-700
pubmed: 19216015
West J Nurs Res. 2009 Aug;31(5):627-47
pubmed: 19390053
BMJ. 2009 Jul 21;339:b2535
pubmed: 19622551
J Clin Epidemiol. 2017 Sep;89:136-141
pubmed: 28433678
PLoS One. 2014 Apr 03;9(4):e93069
pubmed: 24699666
Nephrol Dial Transplant. 2018 Jan 01;33(1):112-121
pubmed: 28096482
Curr Opin Nephrol Hypertens. 2017 Nov;26(6):442-449
pubmed: 28806191
JAMA. 2006 Jul 26;296(4):427-40
pubmed: 16868301
Eur Heart J. 2021 Apr 14;42(15):1476-1485
pubmed: 33769473
PLoS One. 2016 Jan 05;11(1):e0146615
pubmed: 26730708
Heart Lung. 2020 Sep - Oct;49(5):537-547
pubmed: 32127208
Kidney Int. 2011 Dec;80(12):1256-7
pubmed: 22126982
J Ren Care. 2013 Dec;39(4):200-7
pubmed: 24245971
BMJ Open. 2017 Mar 29;7(3):e014781
pubmed: 28360253
BMC Med Inform Decis Mak. 2017 Sep 21;17(1):137
pubmed: 28934951
Clin Kidney J. 2017 Dec;10(6):783-787
pubmed: 29250324
West J Nurs Res. 2003 Mar;25(2):153-78
pubmed: 12666641
BMJ. 2006 Oct 28;333(7574):886
pubmed: 16990294
BMJ. 2019 Jan 24;364:k5267
pubmed: 30679170
Nephrology (Carlton). 2017 May;22(5):374-381
pubmed: 27248507
Clin Kidney J. 2020 Feb 03;14(6):1535-1544
pubmed: 34285801
Br J Nurs. 2005 Jun 23-Jul 13;14(12):659-64
pubmed: 16010217
Soc Sci Med. 2014 Aug;114:49-56
pubmed: 24911508
J Ren Care. 2012 Mar;38(1):34-42
pubmed: 22369594
Am J Kidney Dis. 2003 Oct;42(4):813-20
pubmed: 14520633
Int J Behav Med. 2015 Aug;22(4):530-9
pubmed: 25298022
BMC Med Res Methodol. 2008 Jul 10;8:44
pubmed: 18616812
Am J Kidney Dis. 2015 Dec;66(6):951-61
pubmed: 26452499
Nephrol Dial Transplant. 2011 Dec;26(12):4038-46
pubmed: 21482637
Clin Epidemiol. 2017 Sep 05;9:451-464
pubmed: 28919820
Issues Ment Health Nurs. 2012 Nov;33(11):786-96
pubmed: 23146013