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Kidney Week

Abstract: TH-PO315

Prevalence of Frailty and Symptom Burden in Patients on Staff-Assisted Peritoneal Dialysis

Session Information

  • Home Dialysis - I
    November 02, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 802 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

  • Hussein, Wael F., Satellite Healthcare, San Jose, California, United States
  • Weinhandl, Eric D., Satellite Healthcare, San Jose, California, United States
  • Abra, Graham E., Satellite Healthcare, San Jose, California, United States
Background

Peritoneal dialysis (PD) is a preferred modality for patients with clinical or psychosocial consideration, but self-care can be challenging for some individuals. Staff-assisted PD offers support for patients to start or remain on PD. This study aims to evaluate the physical, cognitive, and emotional status of patients receiving staff-assisted PD.

Methods

Patients who received staff-assisted PD by April 2023 were included. Physical function was evaluated by the Clinical Frailty Scale (CFS; score >=5 indicating frailty), and the Katz Activities of Daily Living (ADL) surveys. Symptom burden (physical and emotional), cognition, and patient activation were evaluated using the Integrated Palliative Outcome Score (IPOS)-Renal survey, the Quick Mild Cognitive Impairment Screen (QMCI), and the Patient Activation Measures (PAM)-13-item survey, respectively. Surveys were completed after initiation of assistance. Descriptive analysis was performed on completed surveys.

Results

A total of 72 patients received staff-assisted PD. CFS, ADL, IPOS-Renal, QMCI, and PAM were completed by 72 (100%), 51(71%), 68(94%), 42 (58%), and 46 (64%) patients respectively.
Frailty was identified by the CFS survey in 28% of patients, and 29% of ADL respondents were dependent in at least one activity. Of those who completed the IPOS-Renal survey, physical symptoms of moderate or worse severity were reported by 79% of patients, with weakness and poor mobility being the most common physical symptoms, while anxiety and depression at a moderate or worse severity was reported by 40% and 28% of the patients respectively. Mild cognitive impairment and dementia were identified in 15% and 28% respectively of those who completed the QMCI survey. Low activation (levels 1 and 2) was observed in 37% of patients.

Conclusion

Patients referred to staff-assisted PD experience significant physical and psychosocial challenges, underscoring the need for these programs to support home dialysis.