{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T20:30:56Z","timestamp":1781469056468,"version":"3.54.1"},"reference-count":94,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>In the United States (U.S.), over 34% of individuals with Chronic kidney disease (CKD) are aged 65 or older. Understanding the quality of life (QoL) in this population is essential. While there has been research on the experiences of U.S.-born older adults on hemodialysis, there is limited data on the experiences of older immigrant adults with CKD.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Purpose<\/jats:title>\n<jats:p>This study aims to explore the perceived QoL of older immigrant adults living with stage 5 CKD, with a focus on how the disease impacts their cultural beliefs, practices, and overall well-being.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A qualitative, basic interpretive approach was employed to capture the lived experiences of older immigrant adults undergoing hemodialysis. Participants were selected based on predefined inclusion and exclusion criteria. The Short Blessed Test (SBT) was used to screen for cognitive impairment. Participants were recruited in the Mid-Hudson Valley Region of New York. Data were collected through semi-structured interviews. Thematic analysis was applied to the data to identify key themes and patterns in the participants\u2019 experiences.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>The findings revealed that the QoL of older immigrant adults on hemodialysis is shaped by complex interactions between family and social support, cultural and religious practices, balancing independence and dependence, health and illness perceptions, life adjustments to hemodialysis, emotional responses, and immigration adjustment. Participants highlighted the significance of spiritual and cultural beliefs in maintaining resilience and managing the emotional stress of the disease.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The study underscores the need for culturally competent care that integrates social, emotional, and spiritual support to improve the QoL of older immigrant adults on hemodialysis. The findings suggest that CKD care must extend beyond biomedical factors to include sociocultural and spiritual dimensions. The results emphasize the importance of holistic healthcare approaches that respect cultural values and provide support systems to enhance the QoL of this vulnerable group.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0322426","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:29:06Z","timestamp":1757093346000},"page":"e0322426","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Quality of life in older immigrant adults on hemodialysis"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4553-9832","authenticated-orcid":true,"given":"Demba","family":"Keita","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,9,5]]},"reference":[{"issue":"9","key":"pone.0322426.ref001","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-023507","article-title":"Work of being an adult patient with chronic kidney disease: a systematic review of qualitative studies","volume":"8","author":"J Roberti","year":"2018","journal-title":"BMJ Open"},{"issue":"3","key":"pone.0322426.ref002","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1007\/s11136-019-02349-9","article-title":"Quality of life in older adults receiving hemodialysis: a qualitative study","volume":"29","author":"RK Hall","year":"2020","journal-title":"Qual Life Res"},{"issue":"3","key":"pone.0322426.ref003","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1111\/jnu.12377","article-title":"The Roles of Social Support and Health Literacy in Self-Management Among Patients With Chronic Kidney Disease","volume":"50","author":"Y-C Chen","year":"2018","journal-title":"J Nurs Scholarsh"},{"issue":"6","key":"pone.0322426.ref004","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1007\/s10903-020-01054-x","article-title":"The Relationship Between Immigration Status and Chronic Kidney Disease Risk Factors in Immigrants and US-Born Adults","volume":"22","author":"AZ Dawson","year":"2020","journal-title":"J Immigr Minor Health"},{"key":"pone.0322426.ref005","author":"P Connor","year":"2019"},{"key":"pone.0322426.ref006","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/978-981-13-8871-2_1","article-title":"Prevalence and Disease Burden of Chronic Kidney Disease","volume":"1165","author":"J-C Lv","year":"2019","journal-title":"Adv Exp Med Biol"},{"issue":"1","key":"pone.0322426.ref007","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.kisu.2021.11.003","article-title":"Epidemiology of chronic kidney disease: an update 2022","volume":"12","author":"CP Kovesdy","year":"2022","journal-title":"Kidney Int Suppl (2011)"},{"key":"pone.0322426.ref008","volume-title":"Centers for Disease Control and Prevention. Chronic kidney disease in the United States 2021 [Internet","year":"2021"},{"issue":"2","key":"pone.0322426.ref009","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1093\/ckj\/sfx083","article-title":"Patterns of progression of chronic kidney disease at later stages","volume":"11","author":"F Caravaca-Font\u00e1n","year":"2018","journal-title":"Clin Kidney J"},{"issue":"1","key":"pone.0322426.ref010","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1681\/ASN.2012111134","article-title":"Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis","volume":"25","author":"D Cukor","year":"2014","journal-title":"J Am Soc Nephrol"},{"key":"pone.0322426.ref011","first-page":"174","article-title":"How health literacy affects participation in shared decision-making for culturally and linguistically diverse patients","volume":"17","author":"DM Muscat","year":"2018","journal-title":"Int J Equity Health"},{"issue":"1","key":"pone.0322426.ref012","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s12882-021-02255-8","article-title":"Exploring the experiences and perceptions of haemodialysis patients observing Ramadan fasting: a qualitative study","volume":"22","author":"NIH Adanan","year":"2021","journal-title":"BMC Nephrol"},{"issue":"1","key":"pone.0322426.ref013","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1053\/j.ackd.2014.07.003","article-title":"Dialysis for undocumented immigrants in the United States","volume":"22","author":"RA Rodriguez","year":"2015","journal-title":"Adv Chronic Kidney Dis"},{"issue":"5","key":"pone.0322426.ref014","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.3390\/ijerph8051631","article-title":"Protein-energy wasting and mortality in chronic kidney disease","volume":"8","author":"A Bonanni","year":"2011","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"pone.0322426.ref015","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1681\/ASN.2012050536","article-title":"Cognitive disorders and dementia in CKD: the neglected kidney-brain axis","volume":"24","author":"J-M Bugnicourt","year":"2013","journal-title":"J Am Soc Nephrol"},{"issue":"1","key":"pone.0322426.ref016","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1159\/000329097","article-title":"Relationship between uric acid and subtle cognitive dysfunction in chronic kidney disease","volume":"34","author":"B Afsar","year":"2011","journal-title":"Am J Nephrol"},{"issue":"2","key":"pone.0322426.ref017","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1159\/000444889","article-title":"Comparison of Outcomes with Arteriovenous Fistula and Arteriovenous Graft for Vascular Access in Hemodialysis: A Prospective Cohort Study","volume":"43","author":"HS Park","year":"2016","journal-title":"Am J Nephrol"},{"issue":"6","key":"pone.0322426.ref018","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1177\/17085381211041473","article-title":"Impact of arteriovenous fistulas versus arteriovenous grafts on vascular access performance in haemodialysis patients: A systematic review and meta-analysis","volume":"30","author":"S Hajibandeh","year":"2022","journal-title":"Vascular"},{"issue":"1","key":"pone.0322426.ref019","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/039463201402700101","article-title":"Cutaneous manifestations in patients with chronic renal failure on hemodialysis","volume":"27","author":"F Specchio","year":"2014","journal-title":"Int J Immunopathol Pharmacol"},{"key":"pone.0322426.ref020","doi-asserted-by":"crossref","first-page":"119","DOI":"10.4103\/0378-6323.25636","article-title":"Cutaneous manifestations in patients with chronic renal failure on hemodialysis","volume":"72","author":"P Udayakumar","year":"2006","journal-title":"Indian J Dermatol Venereol Leprol"},{"issue":"3","key":"pone.0322426.ref021","doi-asserted-by":"crossref","first-page":"389","DOI":"10.3390\/nu17030389","article-title":"Chrononutrition in Chronic Kidney Disease","volume":"17","author":"PC Castro-Mata","year":"2025","journal-title":"Nutrients"},{"issue":"1","key":"pone.0322426.ref022","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/sdi.12745","article-title":"Oxidative stress in hemodialysis: Causative mechanisms, clinical implications, and possible therapeutic interventions","volume":"32","author":"V Liakopoulos","year":"2019","journal-title":"Semin Dial"},{"issue":"2","key":"pone.0322426.ref023","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1111\/j.1755-6686.2012.00259.x","article-title":"Relationship between depression, clinical and biochemical parameters in patients undergoing haemodialysis","volume":"38","author":"C Bornivelli","year":"2012","journal-title":"J Ren Care"},{"issue":"4","key":"pone.0322426.ref024","first-page":"365","article-title":"Quality of life and religiousness in hemodialysis patients","volume":"46","author":"NL Bragazzi","year":"2013","journal-title":"Int J Psychiatry Med"},{"issue":"4","key":"pone.0322426.ref025","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1111\/jan.15107","article-title":"An integrative review: Chronic kidney disease awareness and the social determinants of health inequities","volume":"78","author":"C Iroegbu","year":"2022","journal-title":"J Adv Nurs"},{"issue":"1","key":"pone.0322426.ref026","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/jorc.12185","article-title":"Experiences of patients undergoing dialysis who are from ethnic and racial minorities","volume":"43","author":"N Nagpal","year":"2017","journal-title":"J Ren Care"},{"key":"pone.0322426.ref027","volume-title":"Chronic kidney disease in disadvantaged populations","author":"G Garcia-Garcia","year":"2017"},{"key":"pone.0322426.ref028","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1186\/s12889-022-13042-x","article-title":"Barriers and facilitators of health among older adult immigrants in the United States: an integrative review of 20 years of literature","volume":"22","author":"MM Hawkins","year":"2022","journal-title":"BMC Public Health"},{"key":"pone.0322426.ref029","year":"2022"},{"issue":"3","key":"pone.0322426.ref030","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/MNH.0000000000000315","article-title":"Recent trends in the prevalence of chronic kidney disease: not the same old song","volume":"26","author":"RK Hsu","year":"2017","journal-title":"Curr Opin Nephrol Hypertens"},{"issue":"7","key":"pone.0322426.ref031","doi-asserted-by":"crossref","first-page":"2664","DOI":"10.1093\/ndt\/gfs265","article-title":"Normal reference values for glomerular filtration rate: what do we really know?","volume":"27","author":"P Delanaye","year":"2012","journal-title":"Nephrol Dial Transplant"},{"issue":"5","key":"pone.0322426.ref032","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1111\/j.1525-139X.2011.00969.x","article-title":"Standardized definitions for hemodialysis vascular access","volume":"24","author":"T Lee","year":"2011","journal-title":"Semin Dial"},{"issue":"3","key":"pone.0322426.ref033","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s10823-012-9171-4","article-title":"Perceptions of successful aging among older Latinos, in cross-cultural context","volume":"27","author":"JM Hilton","year":"2012","journal-title":"J Cross Cult Gerontol"},{"issue":"3","key":"pone.0322426.ref034","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1310\/sci2003-167","article-title":"Definitions of quality of life: what has happened and how to move on","volume":"20","author":"MWM Post","year":"2014","journal-title":"Top Spinal Cord Inj Rehabil"},{"issue":"10302","key":"pone.0322426.ref035","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/S0140-6736(21)00519-5","article-title":"Chronic kidney disease","volume":"398","author":"K Kalantar-Zadeh","year":"2021","journal-title":"Lancet"},{"issue":"1","key":"pone.0322426.ref036","first-page":"1","article-title":"Introduction to qualitative research. Qualitative research in practice:","volume":"1","author":"SB Merriam","year":"2002","journal-title":"Examples for discussion and analysis"},{"key":"pone.0322426.ref037","doi-asserted-by":"crossref","unstructured":"Liamputtong P, Rice ZS. Qualitative research in global health research. Handbook of global health. 2021:213\u201338. https:\/\/doi.org\/10.1007\/978-3-030-05325-3_10-1","DOI":"10.1007\/978-3-030-45009-0_10"},{"issue":"13","key":"pone.0322426.ref038","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1177\/1049732315617444","article-title":"Sample Size in Qualitative Interview Studies: Guided by Information Power","volume":"26","author":"K Malterud","year":"2016","journal-title":"Qual Health Res"},{"issue":"4","key":"pone.0322426.ref039","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1080\/07317115.2021.1995561","article-title":"Mindfulness-Based Interventions for Older Adults with Dementia or Mild Cognitive Impairment: A Meta-Analysis","volume":"45","author":"A Han","year":"2022","journal-title":"Clin Gerontol"},{"issue":"8","key":"pone.0322426.ref040","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1080\/0142159X.2020.1755030","article-title":"Thematic analysis of qualitative data: AMEE Guide No. 131","volume":"42","author":"ME Kiger","year":"2020","journal-title":"Med Teach"},{"issue":"3","key":"pone.0322426.ref041","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1111\/sdi.12694","article-title":"Hemodialysis-induced cardiovascular disease","volume":"31","author":"S Ahmadmehrabi","year":"2018","journal-title":"Semin Dial"},{"issue":"3","key":"pone.0322426.ref042","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s10741-014-9460-9","article-title":"Chronic kidney disease and cardiovascular complications","volume":"20","author":"L Di Lullo","year":"2015","journal-title":"Heart Fail Rev"},{"key":"pone.0322426.ref043","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/B978-0-323-52978-5.00025-2","article-title":"Hemodialysis-associated infections.","volume-title":"Chronic kidney disease, dialysis, and transplantation","author":"DB Nguyen","year":"2019","edition":"5"},{"issue":"4","key":"pone.0322426.ref044","first-page":"537","article-title":"US renal data system 2020 annual data report: Epidemiology of kidney disease in the United States","volume":"75","author":"R Saran","year":"2020","journal-title":"Am J Kidney Dis"},{"key":"pone.0322426.ref045","doi-asserted-by":"crossref","DOI":"10.1093\/ndt\/gfy174","article-title":"Cardiovascular disease in dialysis patients","volume":"33","author":"M Cozzolino","year":"2018","journal-title":"Nephrol Dial Transplant"},{"issue":"3","key":"pone.0322426.ref046","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/j.jpainsymman.2011.09.019","article-title":"Religious beliefs and practices in end-stage renal disease: implications for clinicians","volume":"44","author":"BA Elliott","year":"2012","journal-title":"J Pain Symptom Manage"},{"issue":"11","key":"pone.0322426.ref047","doi-asserted-by":"crossref","first-page":"4267","DOI":"10.1111\/jocn.17373","article-title":"Culturally responsive care in haemodialysis: A scoping review","volume":"33","author":"S Aryal","year":"2024","journal-title":"J Clin Nurs"},{"issue":"7","key":"pone.0322426.ref048","doi-asserted-by":"crossref","first-page":"367","DOI":"10.52403\/ijhsr.20210750","article-title":"Supportive Therapy for Fatigue in Hemodialysis Patients","volume":"11","author":"R P","year":"2021","journal-title":"Int J Health Sci Res"},{"issue":"4","key":"pone.0322426.ref049","first-page":"335","article-title":"Self-perceived Burden on Caregivers, Anxiety and Depression among Chronic Kidney Disease Patients in Southern Nigeria","volume":"38","author":"OA Adejumo","year":"2021","journal-title":"West Afr J Med"},{"issue":"1","key":"pone.0322426.ref050","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1186\/s12882-024-03629-4","article-title":"The association between self-efficacy, perceived social support, and family resilience in patients undergoing hemodialysis: a cross-sectional study","volume":"25","author":"F Safi","year":"2024","journal-title":"BMC Nephrol"},{"key":"pone.0322426.ref051","doi-asserted-by":"crossref","first-page":"93","DOI":"10.2147\/IJNRD.S126615","article-title":"Anxiety and depression in patients with end-stage renal disease: impact and management challenges - a narrative review","volume":"11","author":"ZS Goh","year":"2018","journal-title":"Int J Nephrol Renovasc Dis"},{"issue":"10","key":"pone.0322426.ref052","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1007\/s11606-015-3233-6","article-title":"Discrimination in Healthcare Settings is Associated with Disability in Older Adults: Health and Retirement Study, 2008-2012","volume":"30","author":"SE Rogers","year":"2015","journal-title":"J Gen Intern Med"},{"issue":"1","key":"pone.0322426.ref053","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpainsymman.2020.07.014","article-title":"Psychological Adaptation to Serious Illness: A Qualitative Study of Culturally Diverse Patients With Advanced Chronic Kidney Disease","volume":"61","author":"D Nair","year":"2021","journal-title":"J Pain Symptom Manage"},{"issue":"5","key":"pone.0322426.ref054","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1007\/s11255-019-02129-x","article-title":"Religiosity, spirituality and quality of life of dialysis patients: a systematic review","volume":"51","author":"A Burlacu","year":"2019","journal-title":"Int Urol Nephrol"},{"issue":"2","key":"pone.0322426.ref055","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1159\/000477362","article-title":"Cultural Challenges in the Care of Refugees with End-Stage Renal Disease: What Western Nephrologists Should Know","volume":"137","author":"MA Sekkarie","year":"2017","journal-title":"Nephron"},{"issue":"3","key":"pone.0322426.ref056","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.appdev.2008.02.004","article-title":"Sociocultural factors, resilience, and coping: Support for a culturally sensitive measure of resilience","volume":"29","author":"CS Clauss-Ehlers","year":"2008","journal-title":"Journal of Applied Developmental Psychology"},{"issue":"1","key":"pone.0322426.ref057","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/s13012-019-0920-4","article-title":"Implementation effectiveness of health interventions for indigenous communities: a systematic review","volume":"14","author":"T Harding","year":"2019","journal-title":"Implement Sci"},{"issue":"3","key":"pone.0322426.ref058","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1002\/jcop.20202","article-title":"Religious Coping Among African Americans, Caribbean Blacks and Non-Hispanic Whites","volume":"36","author":"LM Chatters","year":"2008","journal-title":"J Community Psychol"},{"key":"pone.0322426.ref059","doi-asserted-by":"crossref","first-page":"278730","DOI":"10.5402\/2012\/278730","article-title":"Religion, spirituality, and health: the research and clinical implications","volume":"2012","author":"HG Koenig","year":"2012","journal-title":"ISRN Psychiatry"},{"issue":"8","key":"pone.0322426.ref060","doi-asserted-by":"crossref","first-page":"1852","DOI":"10.1007\/s12671-023-02194-5","article-title":"The Role of Religion and Spirituality in Adapting Mindfulness-Based Interventions for Black American Communities: A Scoping Review","volume":"14","author":"A Haidar","year":"2023","journal-title":"Mindfulness"},{"issue":"1","key":"pone.0322426.ref061","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/S0020-7489(03)00095-6","article-title":"Empowerment of patients with end-stage renal disease--a randomized controlled trial","volume":"41","author":"S-L Tsay","year":"2004","journal-title":"Int J Nurs Stud"},{"issue":"11","key":"pone.0322426.ref062","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1038\/ki.2008.62","article-title":"Functional dependencies among the elderly on hemodialysis","volume":"73","author":"WL Cook","year":"2008","journal-title":"Kidney Int"},{"issue":"4","key":"pone.0322426.ref063","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.semnephrol.2016.05.008","article-title":"The Economic Burden of Chronic Kidney Disease and End-Stage Renal Disease","volume":"36","author":"V Wang","year":"2016","journal-title":"Semin Nephrol"},{"issue":"7","key":"pone.0322426.ref064","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1007\/s11606-010-1292-2","article-title":"Supporting patient autonomy: the importance of clinician-patient relationships","volume":"25","author":"VA Entwistle","year":"2010","journal-title":"J Gen Intern Med"},{"issue":"24","key":"pone.0322426.ref065","doi-asserted-by":"crossref","first-page":"12934","DOI":"10.3390\/ijerph182412934","article-title":"Factors Influencing Self-Care Behavior and Treatment Adherence in Hemodialysis Patients","volume":"18","author":"H Kim","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"pone.0322426.ref066","doi-asserted-by":"crossref","first-page":"107630","DOI":"10.1016\/j.pec.2023.107630","article-title":"Teaching strategies for shared decision-making within the context of evidence-based healthcare practice: A scoping review","volume":"109","author":"E Lehane","year":"2023","journal-title":"Patient Educ Couns"},{"issue":"1","key":"pone.0322426.ref067","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1053\/j.ackd.2006.10.001","article-title":"The prevalence of symptoms in end-stage renal disease: a systematic review","volume":"14","author":"FEM Murtagh","year":"2007","journal-title":"Adv Chronic Kidney Dis"},{"issue":"12","key":"pone.0322426.ref068","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0168491","article-title":"Predictors of Health-Related Quality of Life in Patients with Co-Morbid Diabetes and Chronic Kidney Disease","volume":"11","author":"E Zimbudzi","year":"2016","journal-title":"PLoS One"},{"issue":"10","key":"pone.0322426.ref069","doi-asserted-by":"crossref","first-page":"2512","DOI":"10.1681\/ASN.2014101034","article-title":"Cause-specific deaths in non\u2013non-dialysis-dependent CKD","volume":"26","author":"SD Navaneethan","year":"2015","journal-title":"Journal of the American Society of Nephrology"},{"issue":"11","key":"pone.0322426.ref070","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1177\/0956797612446026","article-title":"The herding hormone: oxytocin stimulates in-group conformity","volume":"23","author":"M Stallen","year":"2012","journal-title":"Psychol Sci"},{"key":"pone.0322426.ref071","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/B978-0-323-52978-5.00025-2","article-title":"Hemodialysis\u2011associated infections.","volume-title":"Chronic kidney disease, dialysis, and transplantation","author":"DB Nguyen","year":"2019","edition":"5"},{"issue":"1","key":"pone.0322426.ref072","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.kint.2020.05.006","article-title":"Acute kidney injury in patients hospitalized with COVID-19","volume":"98","author":"JS Hirsch","year":"2020","journal-title":"Kidney Int"},{"issue":"8","key":"pone.0322426.ref073","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1096\/fba.2021-00002","article-title":"COVID-19 and care for patients with chronic kidney disease: Challenges and lessons","volume":"3","author":"S Divyaveer","year":"2021","journal-title":"FASEB Bioadv"},{"issue":"12","key":"pone.0322426.ref074","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1038\/s41581-020-00356-5","article-title":"COVID-19-associated acute kidney injury: consensus report of the 25th Acute Disease Quality Initiative (ADQI) Workgroup","volume":"16","author":"MK Nadim","year":"2020","journal-title":"Nat Rev Nephrol"},{"issue":"1","key":"pone.0322426.ref075","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1681\/ASN.2020050615","article-title":"AKI in Hospitalized Patients with COVID-19","volume":"32","author":"L Chan","year":"2021","journal-title":"J Am Soc Nephrol"},{"issue":"8","key":"pone.0322426.ref076","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1681\/ASN.2020040432","article-title":"Ultrastructural Evidence for Direct Renal Infection with SARS-CoV-2","volume":"31","author":"EA Farkash","year":"2020","journal-title":"J Am Soc Nephrol"},{"issue":"1","key":"pone.0322426.ref077","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.ekir.2016.09.005","article-title":"Depression in chronic kidney disease and end-stage renal disease: similarities and differences in diagnosis, epidemiology, and management","volume":"2","author":"S Shirazian","year":"2017","journal-title":"Kidney international reports"},{"issue":"1","key":"pone.0322426.ref078","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1186\/s12882-022-02837-0","article-title":"Psychosocial barriers and facilitators for adherence to a healthy lifestyle among patients with chronic kidney disease: a focus group study","volume":"23","author":"CK Cardol","year":"2022","journal-title":"BMC Nephrol"},{"issue":"5","key":"pone.0322426.ref079","doi-asserted-by":"crossref","first-page":"960","DOI":"10.2215\/CJN.00990207","article-title":"Renal provider recognition of symptoms in patients on maintenance hemodialysis","volume":"2","author":"SD Weisbord","year":"2007","journal-title":"Clin J Am Soc Nephrol"},{"issue":"7","key":"pone.0322426.ref080","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1177\/02692163241257583","article-title":"A systematic review on the impact of financial insecurity on the physical and psychological well-being for people living with terminal illness","volume":"38","author":"R Walker-Pow","year":"2024","journal-title":"Palliat Med"},{"issue":"4","key":"pone.0322426.ref081","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1002\/pon.3091","article-title":"Economic survivorship stress is associated with poor health-related quality of life among distressed survivors of hematopoietic stem cell transplantation","volume":"22","author":"JG Hamilton","year":"2013","journal-title":"Psychooncology"},{"issue":"5","key":"pone.0322426.ref082","article-title":"Antidepressants for treating depression in adults with end-stage kidney disease treated with dialysis","volume":"2016","author":"SC Palmer","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"pone.0322426.ref083","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1108\/S1479-354720230000014005","article-title":"Young-Adulthood Development in the Lived Experience of Persons With Kidney Failure: Challenges of Youth, Disability, and Transition","author":"NG Kutner","year":"2023","journal-title":"Research in Social Science and Disability. Emerald Publishing Limited"},{"issue":"2","key":"pone.0322426.ref084","first-page":"1","article-title":"Cognitive, Emotional, and Physical Functioning as Predictors of Paid Employment in People With Stroke, Traumatic Brain Injury, and Spinal Cord Injury","volume":"73","author":"AWK Wong","year":"2019","journal-title":"Am J Occup Ther"},{"issue":"1","key":"pone.0322426.ref085","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s12160-017-9918-9","article-title":"Depression Symptoms in Haemodialysis Patients Predict All-Cause Mortality but Not Kidney Transplantation: A Cause-Specific Outcome Analysis","volume":"52","author":"J Chilcot","year":"2018","journal-title":"Ann Behav Med"},{"key":"pone.0322426.ref086","doi-asserted-by":"crossref","first-page":"671571","DOI":"10.1155\/2011\/671571","article-title":"Prospective Changes in Health-Related Quality of Life and Emotional Outcomes in Kidney Transplantation over 6 Years","volume":"2011","author":"K Griva","year":"2011","journal-title":"J Transplant"},{"key":"pone.0322426.ref087","doi-asserted-by":"crossref","first-page":"3664","DOI":"10.1111\/jocn.13739","article-title":"Dietary and fluid restriction perceptions of patients undergoing haemodialysis: an exploratory study","volume":"26","author":"LI Hong","year":"2017","journal-title":"J Clin Nurs"},{"issue":"5","key":"pone.0322426.ref088","doi-asserted-by":"crossref","first-page":"626","DOI":"10.4103\/1735-9066.164514","article-title":"Supporting hemodialysis patients: A phenomenological study","volume":"20","author":"N Shahgholian","year":"2015","journal-title":"Iran J Nurs Midwifery Res"},{"issue":"2","key":"pone.0322426.ref089","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1080\/09650790600718035","article-title":"Resilience in the chronic illness experience","volume":"14","author":"D Kralik","year":"2006","journal-title":"Educational Action Research"},{"issue":"4","key":"pone.0322426.ref090","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1007\/s13187-011-0249-4","article-title":"Quality of life among immigrant Latina breast cancer survivors: realities of culture and enhancing cancer care","volume":"26","author":"M Lopez-Class","year":"2011","journal-title":"J Cancer Educ"},{"issue":"4","key":"pone.0322426.ref091","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-025009","article-title":"Underlying mechanisms of complex interventions addressing the care of older adults with multimorbidity: a realist review","volume":"9","author":"M Kastner","year":"2019","journal-title":"BMJ Open"},{"key":"pone.0322426.ref092","volume-title":"Qualitative research methods in psychology: Combining core approaches","author":"N Frost","year":"2021","edition":"2"},{"key":"pone.0322426.ref093","volume-title":"Qualitative research methods","author":"M Hennink","year":"2020","edition":"2"},{"key":"pone.0322426.ref094","article-title":"The meaning of contemplation for social qualitative research: Applications and examples [Internet].","author":"KT Konecki","year":"2021","journal-title":"Abingdon: Routledge"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0322426","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:29:53Z","timestamp":1757093393000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0322426"}},"subtitle":[],"editor":[{"given":"Jordan","family":"Llego","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,9,5]]},"references-count":94,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9,5]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0322426","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,5]]}}}