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Patients' experiences after CKD diagnosis: a meta-ethnographic study and systematic review

Patients' experiences after CKD diagnosis: a meta-ethnographic study and systematic review
Patients' experiences after CKD diagnosis: a meta-ethnographic study and systematic review

Background: chronic kidney disease (CKD) is often asymptomatic at first diagnosis and awareness of CKD is low among the general population. Thus, individuals who are unexpectedly identified to have CKD may struggle to adjust to living with this diagnosis. This study aims to synthesize qualitative research exploring patients’ views/experiences of the diagnosis of CKD and how they adjust to it.

Study design: systematic review and meta-ethnography

Setting and Population: adult patients with CKD stage 1-5

Search Strategy & Sources: MEDLINE, PsycINFO, CINAHL, EMBASE and Web of Science were searched from the earliest date available to November 2015. Qualitative studies were selected that explored patients’ views and experiences of a CKD diagnosis and how they adjust to it.

Analytical approach: meta-ethnography was adopted to synthesize the findings.

Results: ten studies involving 596 patients with CKD from secondary care settings were included. Seven key themes were identified: 1) a challenging diagnosis 2) diverse beliefs about causation 3) anticipated concerns about progression 4) delaying disease progression 5) unmet informational needs 6) psychosocial impact of CKD 7) adjustment to life with CKD.

Limitations: the review is limited to the views and experiences of participants in the included studies which were mostly conducted in high income countries. Papers not written in English were excluded. The transferability of the findings to other populations may be limited.

Conclusions: this synthesis highlighted variation in patients’ understanding of CKD, an overall lack of information on the trajectory of CKD and a need for psychosocial support especially in later stages to help patients adjust to living with CKD. Future research that acknowledges CKD as a condition with diverse complicating morbidities and that explores how patients’ information and psychosocial needs vary according to severity and co-morbid conditions would be beneficial. This will support delivery of comprehensible, timely and targeted information about CKD and practical advice about recommended lifestyles changes to manage symptoms and reduce risk of future complicating illness.

0272-6386
656-665
Teasdale, Emma
f156de5f-e83e-40c0-aafa-0c95dd17aa80
Leydon, Geraldine
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Fraser, Simon
135884b6-8737-4e8a-a98c-5d803ac7a2dc
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Taal, Maarten
8081a518-58bf-4e0e-aa9e-144acce42d85
Tonkin-Crine, Sarah
65679835-9bdc-48b6-92f3-cc6322cccc4f
Teasdale, Emma
f156de5f-e83e-40c0-aafa-0c95dd17aa80
Leydon, Geraldine
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Fraser, Simon
135884b6-8737-4e8a-a98c-5d803ac7a2dc
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Taal, Maarten
8081a518-58bf-4e0e-aa9e-144acce42d85
Tonkin-Crine, Sarah
65679835-9bdc-48b6-92f3-cc6322cccc4f

Teasdale, Emma, Leydon, Geraldine, Fraser, Simon, Roderick, Paul, Taal, Maarten and Tonkin-Crine, Sarah (2017) Patients' experiences after CKD diagnosis: a meta-ethnographic study and systematic review. American Journal of Kidney Diseases, 70 (5), 656-665. (doi:10.1053/j.ajkd.2017.05.019).

Record type: Article

Abstract

Background: chronic kidney disease (CKD) is often asymptomatic at first diagnosis and awareness of CKD is low among the general population. Thus, individuals who are unexpectedly identified to have CKD may struggle to adjust to living with this diagnosis. This study aims to synthesize qualitative research exploring patients’ views/experiences of the diagnosis of CKD and how they adjust to it.

Study design: systematic review and meta-ethnography

Setting and Population: adult patients with CKD stage 1-5

Search Strategy & Sources: MEDLINE, PsycINFO, CINAHL, EMBASE and Web of Science were searched from the earliest date available to November 2015. Qualitative studies were selected that explored patients’ views and experiences of a CKD diagnosis and how they adjust to it.

Analytical approach: meta-ethnography was adopted to synthesize the findings.

Results: ten studies involving 596 patients with CKD from secondary care settings were included. Seven key themes were identified: 1) a challenging diagnosis 2) diverse beliefs about causation 3) anticipated concerns about progression 4) delaying disease progression 5) unmet informational needs 6) psychosocial impact of CKD 7) adjustment to life with CKD.

Limitations: the review is limited to the views and experiences of participants in the included studies which were mostly conducted in high income countries. Papers not written in English were excluded. The transferability of the findings to other populations may be limited.

Conclusions: this synthesis highlighted variation in patients’ understanding of CKD, an overall lack of information on the trajectory of CKD and a need for psychosocial support especially in later stages to help patients adjust to living with CKD. Future research that acknowledges CKD as a condition with diverse complicating morbidities and that explores how patients’ information and psychosocial needs vary according to severity and co-morbid conditions would be beneficial. This will support delivery of comprehensible, timely and targeted information about CKD and practical advice about recommended lifestyles changes to manage symptoms and reduce risk of future complicating illness.

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More information

Accepted/In Press date: 20 May 2017
e-pub ahead of print date: 29 July 2017
Published date: November 2017

Identifiers

Local EPrints ID: 412740
URI: http://eprints.soton.ac.uk/id/eprint/412740
ISSN: 0272-6386
PURE UUID: 4f43d28f-07c4-4279-b638-8009b66449bf
ORCID for Emma Teasdale: ORCID iD orcid.org/0000-0001-9147-193X
ORCID for Geraldine Leydon: ORCID iD orcid.org/0000-0001-5986-3300
ORCID for Simon Fraser: ORCID iD orcid.org/0000-0002-4172-4406
ORCID for Paul Roderick: ORCID iD orcid.org/0000-0001-9475-6850

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Date deposited: 28 Jul 2017 16:30
Last modified: 16 Mar 2024 05:34

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Contributors

Author: Emma Teasdale ORCID iD
Author: Simon Fraser ORCID iD
Author: Paul Roderick ORCID iD
Author: Maarten Taal
Author: Sarah Tonkin-Crine

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