Evidence mapPaperPMID 39384645Full record

ArticlePediatric nephrology (Berlin, Germany)2025

"I won't ever feel normal": experience reported through photovoice by children with chronic kidney disease.

Alejandro Cerón, Maria Renee Ortiz Ortiz, Isabelle Nierman, Randall Lou-Meda

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Article in Pediatric nephrology (Berlin, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alejandro CerónDepartment of Anthropology, University of Denver, Denver, CO, USA. Alejandro.CeronValdes@du.edu.ORCID http://orcid.org/0000-0002-9031-4243
Maria Renee Ortiz OrtizDepartment of Public Health Sciences, California Baptist University, Riverside, CA, USA.ORCID http://orcid.org/0009-0002-7070-6941
Isabelle NiermanDepartment of Anthropology, University of Denver, Denver, CO, USA.
Randall Lou-MedaFundación para el Niño Enfermo Renal-FUNDANIER, Hospital Roosevelt, Guatemala City, Guatemala.ORCID http://orcid.org/0000-0002-1520-8715

Funding

University of Denver Faculty Research FundsUniversity of Denver no number
6 · The paper itself

Abstract

backgroundMuch of the global chronic kidney disease burden is experienced in low- and middle-income countries. Children living with chronic kidney disease (CKD) face medical and social challenges, and they need support at the individual and family levels. This study aimed to explore children's experiences living with kidney replacement therapy (KRT) who attend the largest pediatric nephrology department in Guatemala.

methodsThis qualitative study used photovoice and asked children to take pictures that represented what is like to live with CKD. Each child and their caregiver underwent an interview where the photos were used to elicit and facilitate discussion. The interviews were recorded, transcribed, and then analyzed using thematic analysis.

resultsEight children and their mothers participated in the study. Three themes were identified: interactions with the health system, changing and difficult family dynamics, and strains on social interactions. Children face social challenges including self-isolation and alienation. The family dynamics and familial structures often are forced to change, inducing stress. This is all exacerbated by the difficulties that arise in navigating the Guatemalan health system.

conclusionsPhotovoice techniques are a feasible way to understand the experiences of children and their families who face CKD. The disease affects all aspects of life and recognizing this while advising and administering care can help provide a comprehensive level of care. Health systems need to make efforts aimed at improving the quality of care as well as the multidisciplinary support available to children and their families.

Indexed as

PhotographyRenal Insufficiency, ChronicRenal Replacement TherapyAdolescentChildChild, PreschoolFamily RelationsFemaleGuatemalaHumansMaleQualitative ResearchChildrenChronic kidney diseaseCopingExperienceFamilyNeeds

Identifiers

PMID39384645

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.