Scoping Review of Kidney Patients and Providers Perspectives on Disaster Management
Introduction: Patients with kidney disease are uniquely vulnerable to disasters and the need to understand stakeholder experiences to improve disaster preparedness has been highlighted. We aimed to explore the existing literature capturing patient and provider perspectives, identify research gaps, a...
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| Language: | English |
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Elsevier
2025-05-01
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| Series: | Kidney International Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468024925001202 |
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| author | Elie Fadel Shreya Udupa Isabelle Ethier Alessia N. Paparella Lindsay Hales Caroline Stigant Laura Horowitz Catherine Weber Shaifali Sandal |
| author_facet | Elie Fadel Shreya Udupa Isabelle Ethier Alessia N. Paparella Lindsay Hales Caroline Stigant Laura Horowitz Catherine Weber Shaifali Sandal |
| author_sort | Elie Fadel |
| collection | DOAJ |
| description | Introduction: Patients with kidney disease are uniquely vulnerable to disasters and the need to understand stakeholder experiences to improve disaster preparedness has been highlighted. We aimed to explore the existing literature capturing patient and provider perspectives, identify research gaps, and develop research priorities in disaster management. Methods: This was a scoping review of the empirical literature that has explored the lived experience and preparedness of patients, caregivers, or healthcare professionals during natural or human-caused disasters. A content analysis using an inductive approach was conducted. Results: Of the 11,146 titles and abstracts screened, 22 met our inclusion criteria and emerged from Japan (n = 8), USA (n = 8), Syria (n = 2), Turkey (n = 2), China (n = 1), and Europe (n = 1, related to the Russian invasion of Ukraine). The outcomes examined were variable focusing on the following 4 aspects of disaster management: (i) identifying patient-level issues (preparedness, personal challenges, and psychosocial impact); (ii) damage assessment (infrastructure and equipment, personnel, and patient outcomes); (iii) response assessment (hemodialysis treatments delivered or missed, delivery of other kidney replacement therapies, and identifying practice gaps); and (iv) system assessment (examining capabilities and addressing surge capacity). The studies were at risk of survivor bias and most only used an investigator-designed survey for data collection. There was a dearth of evidence capturing the perspectives of caregivers, and pediatric and other vulnerable patients. Conclusion: The literature examining patient and provider perspectives or experiences is scarce and at risk of bias. Methodological, population, outcome, process, and impact priorities are proposed to guide future research initiatives and generate evidence to inform context and disaster-specific relief efforts. |
| format | Article |
| id | doaj-art-24aed80fb93e4a3ebfa7ef8bb85248e4 |
| institution | Kabale University |
| issn | 2468-0249 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Kidney International Reports |
| spelling | doaj-art-24aed80fb93e4a3ebfa7ef8bb85248e42025-08-20T03:25:54ZengElsevierKidney International Reports2468-02492025-05-011051346135910.1016/j.ekir.2025.02.030Scoping Review of Kidney Patients and Providers Perspectives on Disaster ManagementElie Fadel0Shreya Udupa1Isabelle Ethier2Alessia N. Paparella3Lindsay Hales4Caroline Stigant5Laura Horowitz6Catherine Weber7Shaifali Sandal8Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, CanadaFaculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, CanadaDivision of Nephrology, Department of Medicine, Centre hospitalier de l'Université de Montréal, Montreal, Quebec, Canada; Health Innovation and Evaluation hub, Centre de Recherche du Centre Hospitalier de l’Université de Montréal, Montréal, Quebec, CanadaLibrary Services, McGill University Health Centre, Montreal, Quebec, CanadaLibrary Services, McGill University Health Centre, Montreal, Quebec, CanadaDivision of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDivision of Nephrology, Department of Medicine, McGill University Health Centre, Montreal, Quebec, CanadaDivision of Nephrology, Department of Medicine, McGill University Health Centre, Montreal, Quebec, CanadaDivision of Nephrology, Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada; MEDIC, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; Division of Clinical and Translational Research, Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada; Correspondence: Shaifali Sandal, Royal Victoria Hospital Glen Site, D05-7176, 1001 Decarie Blvd, Montreal, Quebec, Canada.Introduction: Patients with kidney disease are uniquely vulnerable to disasters and the need to understand stakeholder experiences to improve disaster preparedness has been highlighted. We aimed to explore the existing literature capturing patient and provider perspectives, identify research gaps, and develop research priorities in disaster management. Methods: This was a scoping review of the empirical literature that has explored the lived experience and preparedness of patients, caregivers, or healthcare professionals during natural or human-caused disasters. A content analysis using an inductive approach was conducted. Results: Of the 11,146 titles and abstracts screened, 22 met our inclusion criteria and emerged from Japan (n = 8), USA (n = 8), Syria (n = 2), Turkey (n = 2), China (n = 1), and Europe (n = 1, related to the Russian invasion of Ukraine). The outcomes examined were variable focusing on the following 4 aspects of disaster management: (i) identifying patient-level issues (preparedness, personal challenges, and psychosocial impact); (ii) damage assessment (infrastructure and equipment, personnel, and patient outcomes); (iii) response assessment (hemodialysis treatments delivered or missed, delivery of other kidney replacement therapies, and identifying practice gaps); and (iv) system assessment (examining capabilities and addressing surge capacity). The studies were at risk of survivor bias and most only used an investigator-designed survey for data collection. There was a dearth of evidence capturing the perspectives of caregivers, and pediatric and other vulnerable patients. Conclusion: The literature examining patient and provider perspectives or experiences is scarce and at risk of bias. Methodological, population, outcome, process, and impact priorities are proposed to guide future research initiatives and generate evidence to inform context and disaster-specific relief efforts.http://www.sciencedirect.com/science/article/pii/S2468024925001202dialysisdisaster preparednessdisaster responsehealthcare professionalspatient experiencepatient perspective |
| spellingShingle | Elie Fadel Shreya Udupa Isabelle Ethier Alessia N. Paparella Lindsay Hales Caroline Stigant Laura Horowitz Catherine Weber Shaifali Sandal Scoping Review of Kidney Patients and Providers Perspectives on Disaster Management Kidney International Reports dialysis disaster preparedness disaster response healthcare professionals patient experience patient perspective |
| title | Scoping Review of Kidney Patients and Providers Perspectives on Disaster Management |
| title_full | Scoping Review of Kidney Patients and Providers Perspectives on Disaster Management |
| title_fullStr | Scoping Review of Kidney Patients and Providers Perspectives on Disaster Management |
| title_full_unstemmed | Scoping Review of Kidney Patients and Providers Perspectives on Disaster Management |
| title_short | Scoping Review of Kidney Patients and Providers Perspectives on Disaster Management |
| title_sort | scoping review of kidney patients and providers perspectives on disaster management |
| topic | dialysis disaster preparedness disaster response healthcare professionals patient experience patient perspective |
| url | http://www.sciencedirect.com/science/article/pii/S2468024925001202 |
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