Table 2 Characteristics of included quantitative and mixed-methods studies (n = 8)
Author (year) | Country | Study design | Participants | Key findings | Framework alignment | Extended themes |
|---|---|---|---|---|---|---|
Ma (2010) | China | Non-RCT | 150 PD-eligible patients | Predialysis education improved adherence (82.1% vs. 41.7%, P < 0.001) and work capacity recovery (68.0% vs. 38.9%, P < 0.001). | - Response patterns: Process (adherence); Outcome (work capacity recovery) - Intervention strategies | — |
Cho (2012) | South Korea | Retrospective cohort | 1218 advanced CKD patients | Multidisciplinary predialysis education reduced unplanned dialysis (8.7% vs. 24.2%, P < 0.001), hospital days (2.16 vs. 5.05 days/year, P = 0.024), and cardiovascular events (2.7% vs. 9.4%, HR = 0.24, P = 0.017). | - Response patterns: Outcome (unplanned dialysis, hospitalization, complications) - Intervention strategies | — |
Fishbane (2017) | USA | RCT | 130 advanced CKD patients | Home visits reduced hospitalization rates (0.61 vs. 0.92, RR = 0.66, P = 0.04). | - Response patterns: Outcome (hospitalization) - Intervention strategies | — |
Schanz (2017) | Germany | Retrospective cohort | 336 new dialysis patients | In-hospital education increased free dialysis choice (28.5–62.7%, P < 0.0001) and PD utilization (16.6–27.6%, P = 0.02). | - Response patterns: Outcome (autonomous decision-making) - Intervention strategies | — |
Shi (2019) | China | Retrospective cohort | 233 advanced CKD patients | Hierarchical management reduced RRT use (39.6% vs. 53.5%, P = 0.037) and temporary catheterization (77.4% vs. 96.7%, P = 0.003). | - Response patterns: Outcome (unplanned dialysis) - Intervention strategies | — |
Kaiser (2020) | Israel | Prospective cohort | 98 advanced CKD patients | Virtual CKD care improved knowledge levels (52.0–94.0%, P < 0.001) and home dialysis interest (36.0–68.0%, P = 0.047). | - Response patterns: Process (health literacy) - Intervention strategies | — |
Cervantes (2021) | USA | Mixed- methods | 26 undocumented patients transitioning from emergency to scheduled HD | 1. Anxiety and burden: Navigating care changes. 2. Outcomes: Restored hope and humanity. 3. Health gains: Quality-of-life improvements (P < 0.001) and symptom relief (P < 0.05). | - Transition nature: Change (negative emotions) - Transition conditions: Personal (negative psychology); Community (occupation); Society (stigma, insurance) - Response patterns: Process (rebuilding confidence, restoring dignity); Outcome (hope restoration, improvement in quality of life) | Transition conditions: Dialysis-related (symptoms) |
Hundemer (2023) | Canada | Retrospective cohort | 1070 advanced CKD patients | Social determinants (education: OR = 1.71, 95% CI = 1.09–2.69; employment: OR = 1.85, 95% CI = 1.18–2.92; marital status: OR = 1.44, 95% CI = 1.07–1.93) influenced transition to kidney failure. | Transition conditions: Community (occupation) | Transition conditions: Interpersonal (healthcare support) |