Full-text sections checked
Europe PMC full-text XML: Results/Discussion; publisher supplement PDF, Methods pp. 1–3 and Tables S1–S5
Checked 16 October 2026 · All 20 Songkhla dialysis centers after the November 2025 flood
Thai/English summaries are project paraphrases, not official translations or endorsement of the original study.
Research question
Which infrastructure dependencies disrupted dialysis during catastrophic urban flooding?
Method and context
Postdisaster leadership survey of all 20 centers, 15 December 2025–15 January 2026; descriptive center-level analysis.
Study summary
Examines service interruption, utility failures, adaptive delivery and crisis coordination.
Findings
Eleven centers suspended services, with a four-day median interruption among them; water loss and physical access were prominent barriers.
Contribution
Identifies dependencies for drafting continuity plans and shared incident coordination.
Interpretation limits
Authors cite center reports, unverified patient data and one province; neither death causation nor dialysis-modality superiority is established.
A question for further research
Our question: can CPX test backup water, redundant communications and intercenter transfers together?
A starting point for a study design: extend the literature search, specify methods and outcomes, and assess ethics requirements for the data and participants.
Connect evidence to KSEC / OBE
Project-proposed critical-appraisal evidence, not research findings or accreditation criteria from the original authors.
- K
- Explain the question, concepts and findings with locators in the original.
- S
- Compare methods, variables and limitations with another study before designing a test or CPX.
- E
- Separate reported results from your proposals, cite originals and examine implications for vulnerable groups.
- C
- Record responses to critique and revisions after new evidence. Observe behaviour repeatedly, not from a single reading.
Related learning modules
- HADR foundations and people-centred assistance
- HADR logistics and resource allocation
- EOC, common operating picture and crisis decisions
Related knowledge domains
Original-study citation
Uraiwan Parinyasiri; Talerngsak Kanjanabuch; Theerachai Thammathiwat; Pornpen Sangthawan; Sirin Jiwakanon; Warangkana Pichaiwong; Vuddhidej Ophascharoensuk (2026). When the Water Stops: Dialysis Service Disruption During Catastrophic Urban Flooding in Southern Thailand. Kidney International Reports, 11(8), 106569. https://doi.org/10.1016/j.ekir.2026.106569
Verify details against the original and format for your journal or institution. Titles and author names follow the source.