Reliability and Utility of the Surprise Question in CKD Stages 4 to 5.

ABSTRACT:

Background

Prognostic uncertainty is one barrier to engaging in goals-of-care discussions in chronic kidney disease (CKD). The surprise question ("Would you be surprised if this patient died in the next 12 months?") is a tool to assist in prognostication. However, it has not been studied in non-dialysis-dependent CKD and its reliability is unknown.

Study design

Observational study.

Setting & participants

388 patients at least 60 years of age with non-dialysis-dependent CKD stages 4 to 5 who were seen at an outpatient nephrology clinic.

Predictor

Trinary (ie, Yes, Neutral, or No) and binary (Yes or No) surprise question response.

Outcomes

Mortality, test-retest reliability, and blinded inter-rater reliability.

Measurements

Baseline comorbid conditi

SUBMITTER: Javier AD 

PROVIDER: S-EPMC5771496 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature