Nephrology Provider Prognostic Perceptions and Care Delivered to Older Adults with Advanced Kidney Disease.

ABSTRACT:

Background and objectives

Prognostic uncertainty is one barrier that impedes providers in engaging patients with CKD in shared decision making and advance care planning. The surprise question has been shown to identify patients at increased risk of dying.

Design, setting, participants, & measurements

In our prospective observational study, 488 patients ≥60 years of age with CKD stage 4 or 5 were enrolled. Binary surprise question (i.e., "Would you be surprised if this patient died in the next 12 months?") responses were recorded, and dialysis planning preferences, presence of advance care planning documentation, and care preceding death were abstracted.

Results

The median patient age was 71 (65-77) years old. Providers responded no and yes to the surprise quest

SUBMITTER: Salat H 

PROVIDER: S-EPMC5672972 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature