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Abstract: TH-PO300

Patient Satisfaction Score in Relation to Hemodialysis Guidelines and Practices: A European Multicenter Analysis

Session Information

Category: Dialysis

  • 701 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Drozdz, Maciej B., DaVita Poland, Krakow, Poland
  • Frazao, Joao M., Nephrology and Infectiology Research and Development Group, INEB, and School of Medicine, Porto University, Portugal, Porto, Portugal
  • Brzosko, Szymon, DaVita Poland, Bialystok, Poland
  • Silva, Fatima Ferreira, Davita Portugal, Alfragide, Portugal
  • Kleophas, Werner, DaVita Germany, Dusseldorf, Germany
  • Alsuwaida, Abdulkareem, King Saud University, Riyadh, Saudi Arabia
  • Krishnan, Mahesh, DaVita, Inc, Denver, Colorado, United States
  • Jacobson, Stefan H., Danderyd Hospital, Stockholm, Sweden
Background

Understanding patient values and exploring their preferences is critical to caring for the dialysis population. Little is known about the factors that influence patient satisfaction compared with other measured clinical indices of care. We investigated these factors in an international European multicenter descriptive analysis.

Methods

We enrolled 845 HD patients from 13 DaVita centers in Poland (8 centers, n=453) and Portugal (5 centers, n=392). An anonymous patient survey was conducted (14 questions; 5-grade scale: “agree completely” to “disagree”) focusing on patient satisfaction with their care at the local facility. Practices, demographic, and laboratory data were analyzed for the same month that the survey was performed and correlated to the survey results at the facility level.

Results

The survey response rate was 81% (range 72-100%). Mean (SD) age was 68 (14) years; 53% were male. Mean Charlson comorbidity index was 7.1 (3.0); 76.3% used AVF, 16.5% used CVC. Mean (SD) Kt/V was 1.8 (0.4), albumin was 39.5 (4.3) g/L, phosphorus was 4.7 (1.3) mg/dL and PTH was 512 (481) pg/mL Mean (SD) patient satisfaction score (0-10) was high 9.1 (1.6) and the net promoter score was 71. High scores (> 90% agree) were observed for all but one of the 14 questions (“I’m happy with my transportation provider”; 85% agree). Spearman correlation analyses at the facility level showed that patients involved in decision making had higher Kt/V (p=0.02). Patients who agreed that their “chairs and linen were comfortable” had lower phosphorus (p=0.02) and higher Kt/V (p<0.001). Patients “happy with their transportation provider” had higher Kt/V (p=0.002) and lower phosphorus (p<0.05) and patients who agreed that their “treatment started on time” had higher Kt/V (p=0.05). The overall satisfaction score was higher with low Kt/V (p=0.004) and high phosphorus (p<0.05).

Conclusion

Patient satisfaction surveys provide a critical perspective on the quality of patient-centered healthcare delivery. Information derived from direct evaluation of patient experience of care can be used to identify areas for improvement and support changes in care provision with the aim of improving the overall quality of care for patients.

Funding

  • Commercial Support