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. 2023 Jan 20;7:3. doi: 10.1186/s41687-022-00538-8

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© The Author(s) 2023

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — Relationship between thematic findings. PROM use supported an interdisciplinary approach to symptom management within the hemodialysis unit by highlighting the interrelatedness of symptoms and helping define team members’ roles and responsibilities to address patients’ evolving needs (Theme 1, blue). PROM use established a symptom data repository and streamlined communication channels that influenced interprofessional and patient-provider interactions (Theme 2, green). When symptoms persisted, PROMs prompted broader conversations between patients and their care team about illness perception and realistic goal setting (Theme 3, yellow)