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The Impact of the COVID-19 Pandemic on Patients With CKD: Systematic Review of Qualitative Studies.


ABSTRACT:

Rationale & objective

COVID-19 disproportionately affects people with co-morbidities, including chronic kidney disease (CKD). The aim of this study was to describe the impact of COVID-19 on people with CKD and their caregivers.

Study design

A systematic review of qualitative studies.

Setting & study populations

Primary studies that reported the experiences and perspectives of adults with CKD and/or caregivers were eligible.

Search strategy & sources

MEDLINE, Embase, PsycINFO, CINAHL were searched from database inception to October 2022.

Data extraction

Two authors independently screened the search results. Full texts of potentially relevant studies were assessed for eligibility. Any discrepancies were resolved by discussion with another author.

Analytical approach

A thematic synthesis was used to analyze the data.

Results

Thirty-four studies involving 1962 participants were included. Four themes were identified: exacerbating vulnerability and distress (looming threat of COVID-19 infection, intensifying isolation, aggravating pressure on families); uncertainty in accessing health care (overwhelmed by disruption of care, confused by lack of reliable information, challenged by adapting to telehealth, skeptical about vaccine efficacy and safety); coping with self-management (waning fitness due to decreasing physical activity, diminishing ability to manage diet, difficulty managing fluid restrictions, minimized burden with telehealth, motivating confidence and autonomy); and strengthening sense of safety and support (protection from lockdown restrictions, increasing trust in care, strengthened family connection).

Limitations

Non-English studies were excluded and the inability to delineate themes based on stage of kidney and treatment modality.

Conclusions

Uncertainty in accessing health care during the COVID-19 pandemic exacerbated vulnerability, emotional distress, and burden, and led to reduced capacity to self-manage among patients with CKD and their caregivers. Optimizing telehealth and access to educational and psychosocial support may improve self-management, and the quality and effectiveness of care during a pandemic, mitigating potentially catastrophic consequences in people with CKD.

SUBMITTER: Natale P 

PROVIDER: S-EPMC10270732 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Publications

The Impact of the COVID-19 Pandemic on Patients With CKD: Systematic Review of Qualitative Studies.

Natale Patrizia P   Zhang Jing J   Scholes-Robertson Nicole N   Cazzolli Rosanna R   White David D   Wong Germaine G   Guha Chandana C   Craig Jonathan J   Strippoli Giovanni G   Stallone Giovanni G   Gesualdo Loreto L   Jaure Allison A  

American journal of kidney diseases : the official journal of the National Kidney Foundation 20230616 4


<h4>Rationale & objective</h4>COVID-19 disproportionately affects people with comorbidities, including chronic kidney disease (CKD). We describe the impact of COVID-19 on people with CKD and their caregivers.<h4>Study design</h4>A systematic review of qualitative studies.<h4>Setting & study populations</h4>Primary studies that reported the experiences and perspectives of adults with CKD and/or caregivers were eligible.<h4>Search strategy & sources</h4>MEDLINE, Embase, PsycINFO, CINAHL searched f  ...[more]

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