Abstract: PO1264
Association Between Peritoneal Dialysis (PD) Patient-Reported Family Member Assistance and Peritoneal Dialysis Modality Persistence
Session Information
- Peritoneal Dialysis - 1
October 22, 2020 | Location: On-Demand
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 703 Dialysis: Peritoneal Dialysis
Authors
- Washington, Jasmine T., Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Fissell, Rachel B., Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Umeukeje, Ebele M., Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Nair, Devika, Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Cavanaugh, Kerri L., Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Rust, Beth, Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Dunn, Amanda E., Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Schlundt, David G., Vanderbilt University, Nashville, Tennessee, United States
Background
Increasing the number of dialysis patients who start and maintain home therapies is an urgent national priority. PD patients perform their own dialysis procedures at home. Family members may assist with moving dialysate bags, catheter care, dialysis machine set-up and connections, and medication administration. Understanding and supporting caregivers is an important driver of successful home dialysis, necessary to inform program content and activities. This study describes associations between patient reported family member assistance with healthcare tasks, and modality persistence.
Methods
Prospective, single site, cohort study of adults receiving PD for kidney failure. A baseline survey assessing family assistance with healthcare tasks at home was administered during a routine outpatient visit. Longitudinal data were tested using Chi-squared (SPSS) for associations between patient reported family member assistance, and PD modality persistence at six months.
Results
This sample of N=100 patients was 57% male, 31% African American, and 4% Hispanic/other. Average age was 52 +/- 16 years. Most patients reported a family member provided help at home (65%). Among those reporting family member assistance, 20% reported help administering insulin, 65% reported help with the PD procedure, 54% managed medications, and 59% provided wound care. Also, 16% reported help with one or two tasks, 28% help with three tasks, 25% help with five tasks. Patients who self-identified as Black/Hispanic/other reported less family member assistance than whites (51% vs. 71%, p=0.04). In the 74% of the initial sample who completed 6 month follow-up, for patients reporting any family assistance compared to those reporting none, there was a trend toward higher PD modality persistence (86.4% vs. 70.4%, p=0.092).
Conclusion
Optimizing family assistance may be a strategy to promote PD modality persistence. More work is needed to better characterize the caregiver role and its impact on health outcomes specific to home dialysis.