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Troubled but in good hands: A qualitative study on patient experiences in diuresis renography examinations
Örebro University, School of Health Sciences. Department of Radiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-2239-6793
Örebro University, School of Medical Sciences. Department of Radiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0003-3253-8967
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Radiology.
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0001-7352-8234
2024 (English)In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 30, no 5, p. 1398-1404Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Diuresis renography is a nuclear medicine examination that can distinguish between obstructive and non-obstructive uropathy. Renography has been investigated before, but not from a patient perspective. The aim of this study was to gain knowledge and understanding of patient experiences with the diuresis renography process.

METHODS: The study had a qualitative descriptive design; data was collected through semi-structured interviews with 17 adult patients that had recently undergone diuresis renography. The transcripts were analysed using inductive qualitative content analysis to identify their manifest and latent content.

RESULTS: One main theme was identified: 'Not smooth all the way through, but still in good hands'. The participants understood the necessity of the performed renography and endured the examination despite its worrying elements. They were bothered by diuretic effects, worried about radioactivity and felt isolated during the imaging. The technologists' caring and informative approach eased their experience. The main theme was identified from three subthemes: 'I experienced inconvenience', 'I was worried' and 'I felt safe'.

CONCLUSION: The participants experienced worry throughout the renography process but were still satisfied with the examination, mostly because of the technologists being involved. Communication and interaction between patient and technologist are important for creating a good experience. Improved knowledge of patient experiences during renographies could be used to develop patient information and increase technologists' awareness of factors patients may experience as troubling.

IMPLICATIONS FOR PRACTICE: This study describes issues that contribute to both negative and positive experiences. Improved professional awareness and knowledge about these issues can contribute to the development of patient information and professional encounters, and may improve patients' compliance and overall experience.

Place, publisher, year, edition, pages
Elsevier, 2024. Vol. 30, no 5, p. 1398-1404
Keywords [en]
Interview study, Patient experience, Qualitative study, Renography
National Category
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-114521DOI: 10.1016/j.radi.2024.06.009ISI: 001315503200001PubMedID: 38944581Scopus ID: 2-s2.0-85197021420OAI: oai:DiVA.org:oru-114521DiVA, id: diva2:1880225
Available from: 2024-07-01 Created: 2024-07-01 Last updated: 2026-01-07Bibliographically approved
In thesis
1. Renography - methodological aspects and patient experiences
Open this publication in new window or tab >>Renography - methodological aspects and patient experiences
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Renography is a nuclear medicine examination that assesses the relative renal function of a patient’s kidney. The methodology includes intravenous administration of a radiopharmaceutical and dynamic image acquisition on a gamma camera. Some renographies can be supplemented with a diuretic, furosemide, to differentiate between obstruction and no obstruction. The overall aim was to improve the renography methodology to be both feasible and effective in clinical practice. Study I was a systematic review with the aim of identifying a preferred time point at which a diuretic should be administered in relation to radiopharmaceutical administration. The review revealed that several time points can be used, with no method being superior to the others. Study II was a retrospective study aimed at calculating a threshold to be used when deciding whether furosemide is required in a renography. A cut-off value of the remaining activity in the kidneys seven minutes into the examination was calculated, suitable to be used in clinical practice. Study III was a prospective study evaluating the renography acquisition time needed for physicians to conclude whether or not obstruction was present in kidneys and investigating whether a postvoid image would improve diagnostics. The results revealed the postvoid image to be valuable in some diuresis renographies. It was possible to shorten the acquisition time in renographies that did not involve a diuretic but generally not possible in diuresis renographies. Study IV used an inductive qualitative design involving interviews with adult diuresis renography patients. The study aimed at gaining an understanding of the examination process from a patient perspective. The results showed that patients experienced worries and inconveniences before, during and after the examination but still felt safe and well cared for by the working professionals.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2026. p. 87
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 346
Keywords
Nuclear medicine, Patient perspective, Renography
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-124428 (URN)9789175297323 (ISBN)9789175297330 (ISBN)
Public defence
2026-01-30, Örebro universitet, Campus USÖ, hörsal X3, Södra Grev Rosengatan 32, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2025-10-15 Created: 2025-10-15 Last updated: 2026-01-09Bibliographically approved

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Bäck, Anna-KarinGeijer, HåkanSavvopoulos, ChristosAnderzen-Carlsson, Agneta

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