A multi-centre qualitative study exploring the experiences of UK South Asian and white diabetic patients referred for renal care

Emma Wilkinson, Gurch Randhawa, John Feehally, Ken Farrington, Roger Greenwood, Peter Choi, Liz Lightstone

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


BACKGROUND: An exploration of renal complications of diabetes from the patient perspective is important for developing quality care through the diabetic renal disease care pathway.

METHODS: Newly referred South Asian and White diabetic renal patients over 16 years were recruited from nephrology outpatient clinics in three UK centres--Luton, West London and Leicester--and their experiences of the diabetes and renal care recorded.A semi-structured qualitative interview was conducted with 48 patients. Interview transcripts were analysed thematically and comparisons made between the White and South Asian groups.

RESULTS: 23 South Asian patients and 25 White patients were interviewed. Patient experience of diabetes ranged from a few months to 35 years with a mean time since diagnosis of 12.1 years and 17.1 years for the South Asian and White patients respectively. Confusion emerged as a response to referral shared by both groups. This sense of confusion was associated with reported lack of information at the time of referral, but also before referral. Language barriers exacerbated confusion for South Asian patients.

CONCLUSIONS: The diabetic renal patients who have been referred for specialist renal care and found the referral process confusing have poor of awareness of kidney complications of diabetes. Healthcare providers should be more aware of the ongoing information needs of long term diabetics as well as the context of any information exchange including language barriers.

Original languageEnglish
Pages (from-to)157
JournalBMC Nephrology
Publication statusPublished - 23 Nov 2012


  • Adult
  • Aged
  • Aged, 80 and over
  • Ambulatory Care
  • Asian Continental Ancestry Group
  • Diabetes Mellitus, Type 2
  • European Continental Ancestry Group
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Care
  • Qualitative Research
  • Quality of Health Care
  • Referral and Consultation
  • United Kingdom
  • Journal Article
  • Multicenter Study
  • Research Support, Non-U.S. Gov't


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