Nephrology‐tailored geriatric assessment as decision‐making tool in kidney failure.
Background: Dialysis might not benefit all older patients with kidney failure, particularly those with multimorbid conditions and frailty. Patients' and healthcare professionals' awareness of the presence of geriatric impairments could improve outcomes by tailoring treatment plans and decisions for...
| Publicado en: | Journal of Renal Care Vol. 50; no. 2; pp. 112 - 128 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177398723&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177398723 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17556678 56RH jtl: Journal of Renal Care issn: 17556678 maglogo: Y pubinfo: dt: Jun2024 vid: 50 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 177398723 162964715 177398723 177398723 10.1111/jorc.12466 177398723 ppf: 112 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Nephrology‐tailored geriatric assessment as decision‐making tool in kidney failure. aug: au: Berkhout‐Byrne, Noeleen C. Voorend, Carlijn G. N. Meuleman, Yvette Mooijaart, Simon P. Brunsveld-Reinders, Anja H. Bos, Willem Jan W. Van Buren, Marjolijn affil: Department of Internal Medicine (Nephrology), Leiden University Medical Center, Leiden, The Netherlands sug: subj: Geriatric Assessment Patient Attitudes Attitude of Health Personnel Decision Making Kidney Failure, Chronic Therapy Nephrology Human Exploratory Research Qualitative Studies Dialysis Purposive Sample Thematic Analysis Quality of Life Renal Replacement Therapy Funding Source Aged Semi-Structured Interview Gerontologic Care Professional-Patient Relations Aged: 65+ years ab: Background: Dialysis might not benefit all older patients with kidney failure, particularly those with multimorbid conditions and frailty. Patients' and healthcare professionals' awareness of the presence of geriatric impairments could improve outcomes by tailoring treatment plans and decisions for individual patients. Objective: We aimed to explore the perspectives of patients and healthcare professionals on nephrology‐tailored geriatric assessment to fuel decision‐making for treatment choices in older patients with kidney failure. Design: In an exploratory qualitative study using focus groups, participants discussed perspectives on the use and value of nephrology‐tailored geriatric assessment for the decision‐making process to start or forego dialysis. Participants and Measurements: Patients (n = 18) with kidney failure, caregivers (n = 4), and professionals (n = 25) were purposively sampled from 10 hospitals. Interviews were audio‐recorded, transcribed verbatim and inductively analysed using thematic analysis. Results: Three main themes emerged that supported or impeded decision‐making in kidney failure: (1) patient psycho‐social situation; (2) patient‐related factors on modality choice; (3) organisation of health care. Patients reported feeling vulnerable due to multiple chronic conditions, old age, experienced losses in life and their willingness to trade longevity for quality of life. Professionals recognised the added value of nephrology‐tailored geriatric assessment in three major themes: (i) facilitating continual holistic assessment, (ii) filling the knowledge gap, and (iii) uncovering important patient characteristics. Conclusions: nephrology‐tailored geriatric assessment was perceived as a valuable tool to identify geriatric impairments in older patients with kidney failure. Integration of its outcomes can facilitate a more holistic approach to inform choices and decisions about kidney replacement therapy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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