Evidence mapPaperPMID 41366756Full record

ReviewBMC nephrology2025

The role of social networks in supporting self-management in CKD: a narrative synthesis.

Becky Bonfield, Kristin Veighey, Tom Blakeman, Emma Murphy, Ivaylo Ivanov Vassilev

Abstract readReview
In one paragraph

Review in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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. Article
4 · The record

Corrections and comments

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

5 authors.

Becky BonfieldSchool of Health Sciences, University of Southampton, University Road, Southampton, UK. b.bonfield@soton.ac.uk.
Kristin VeigheyUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Tom BlakemanDivision of Population Health, Health Services Research and Primary Care, School of Health Sciences, The University of Manchester, Manchester, UK.
Emma MurphyCentre for Care Excellence, Coventry University and University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Ivaylo Ivanov VassilevSchool of Health Sciences, University of Southampton, University Road, Southampton, UK.

Funding

National Institute for Health and Care Research NIHR303069
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is a growing global health concern requiring effective self-management to mitigate progression and improve quality of life. While self-management is increasingly recognised as a socially embedded practice, the specific contributions of social network members to this process in CKD are not well understood.

objectiveTo synthesise and interpret existing literature on how social networks support individuals living with early-stage CKD and identify gaps in understanding.

methodsWe conducted a narrative review. Fourteen studies involving 560 participants-including individuals living with CKD, their social network members, healthcare professionals, peer mentors, and religious leaders-were analysed to explore the role of social networks in CKD self-management.

resultsFour key themes emerged: (1) The burden of kidney disease uncertainty (2), Everyday challenges of managing CKD (3), The loneliest disease, and (4) The role of peer support. Participants frequently reported emotional distress linked to diagnostic uncertainty and inconsistent information, especially from non-specialist providers. CKD management posed significant practical and psychological burdens, particularly for caregivers, who often felt unsupported and invisible within healthcare systems. Peer support-both informal and formal-played a crucial role in reducing isolation and providing context-specific guidance, especially when tailored to individual preferences and illness trajectories.

conclusionsThis is the first review to explore the role of social networks in supporting the self-management of people living with CKD. The studies highlighted that early-stage CKD is shaped by diagnostic uncertainty, limited formal support, and social invisibility. People with CKD rely on diverse social networks for self-management, yet unclear care pathways and inconsistent communication hinder this support. Integrated models that combine early specialist input, peer support, and trained generalists are needed. Recognising and supporting these networks is essential to reduce isolation, improve understanding, and enable meaningful engagement with self-management across the CKD trajectory.

Indexed as

Renal Insufficiency, ChronicSelf-ManagementSocial NetworkingSocial SupportHumansChronic kidney diseasePeer supportSelf-managementSocial networks

Identifiers

PMID41366756
PMCPMC12801623

What Socratic holds

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Registered trials

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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.