Dian Ratri
Universitas Muhammadiyah Yogyakarta

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Quality of Life in Palliative Care for Patients with Renal Failure: A Bibliometric Analysis Dian Ratri; Erna Rochmawati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1360

Abstract

Quality of life is a key outcome in palliative care for patients with chronic kidney disease (CKD), especially in advanced stages and patients undergoing dialysis. Although publications on QoL in palliative care for CKD continue to increase, the global knowledge landscape remains scattered and has not been comprehensively mapped through a bibliometric approach. Objective to map publication performance, the geographical distribution of country contributions, and the dynamics of research themes related to QoL in palliative care for CKD through bibliometric analysis. A bibliometric study was conducted using the Scopus database (Elsevier) with the range 10 years . The search strategy combined the keywords palliative care/support, CKD/ESRD/dialysis, and QoL/health-related QoL. The initial search yielded 1,077 documents, which were then narrowed down to 681 publications (last 10 years), 654 publications (Medicine and Nursing fields), and finally 561 documents (article and review types) for analysis. Descriptive analysis was used for annual publication trends (2016–2026) and country contributions, while keyword co-occurrence mapping, overlay maps, and density maps were performed using VOSviewer version 1.6.18. Publication production showed an increasing trend from 37 documents (2016) to a peak of 69 documents (2025), with 2026 recording 1 document that was likely temporary. Country contributions were dominated by the United States (198 documents), followed by the United Kingdom (92), Australia (74), and Canada (45). The co-occurrence map places the terms population and service context as central nodes (human/humans, male, aged, article) and shows major clusters reflecting (1) CKD themes and management related to dialysis/hemodialysis as well as palliative and conservative care, (2) comorbidities, symptoms, and clinical indicators related to disease burden (e.g., fatigue, pruritus, anemia, hypertension, sepsis, depression, creatinine, acute kidney failure), and (3) hospital service context and study design (hospitalization, observational/retrospective study). The overlay map indicates a strengthening of the themes of service outcomes and follow-up (follow-up, clinical outcome, hospitalization) as well as an increased focus on patient-centered approaches and psychosocial support (patient-centered care, nurse, interpersonal communication, qualitative research). The density map confirms the largest hotspots in the terms of population (male, aged) and kidney service/therapy themes (palliative care, dialysis/hemodialysis, CKD) that are interconnected with comorbidities and service outcomes. QoL research in CKD palliative care is growing consistently and is dominated by countries with established research ecosystems, with the main themes still strongly centered on the clinical and service context (dialysis/hemodialysis, CKD, comorbidities, inpatient outcomes). However, there are indications of a strengthening research direction towards patient-centered approaches, communication, caregivers, and qualitative methods. Future studies need to strengthen the measurement of QoL outcomes that are meaningful to patients and families, expand the geographical context, and evaluate palliative-nephrology integration models that can tangibly improve QoL.
Palliative Care in Patients with Kidney Failure: Bibliometric Analysis Dian Ratri; Erna Rochmawati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1422

Abstract

Palliative care for patients with kidney failure is increasingly recognized as an important approach to improving quality of life through symptom control, psychosocial and spiritual support, and strengthening shared decision-making, yet the global knowledge landscape remains fragmented and incompletely mapped. Mapping publication performance, geographic distribution of country contributions, and the dynamics of research themes related to palliative care in kidney failure patients through bibliometric analysis. A bibliometric study was conducted using the Scopus database spanning the last 10 years. The search strategy combined the keywords palliative care and kidney failure. From 4,730 initial findings, a gradual narrowing was performed to obtain 2,397 documents meeting the criteria, consisting of 1,974 research articles and 423 review articles. Descriptive analysis was used for annual publication trends and country contributions, while VOSviewer version 1.6.18 was used to map keyword co-occurrence, overlay maps, and density maps. Keyword mapping places demographic and clinical terms as central nodes, with primary clusters reflecting acute conditions and severity indicators including acute kidney injury and respiratory infectious complications, chronic kidney disease and dialysis therapy clusters linked to themes of palliative care, terminal care, quality of life, psychology, and conservative care, and geriatric clusters and service outcomes such as hospitalization, comorbidities, risk factors, length of stay, and mortality. The overlay map demonstrates a shift in themes from patient support and quality of life to a stronger focus on clinical outcomes, comorbidities, and infectious and respiratory contexts in the more recent period, while the density map highlights the largest hotspots in the elderly population and the kidney disorder theme networked with hospitalization outcomes.Palliative care research in patients with kidney failure is dominated by clinical themes and service outcomes, while patient-centered themes such as quality of life, psychology, and terminal and conservative care emerge as important but relatively less prominent. Strengthening studies measuring meaningful outcomes for patients and caregivers, standardizing terminology and reporting, and multicenter collaboration across countries are needed to reduce contextual bias and enhance global relevance.