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Kidney Week

Abstract: FR-PO885

Acceptability of a Palliative Care Intervention for Older Adults Facing Dialysis Decisions: A Qualitative Study of Patients, Caregivers, and Their Nephrologists

Session Information

  • Geriatric Nephrology
    November 03, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Geriatric Nephrology

  • 1300 Geriatric Nephrology

Authors

  • Saeed, Fahad, University of Rochester Medical Center Department of Medicine, Rochester, New York, United States
  • Allen, Rebecca Jane, Mount St. Joseph University, Cincinnati, Ohio, United States
Background

Older adults in the US often receive kidney therapy (KT) that doesn't align with their goals. Palliative care specialists are experts in decision-making, but few palliative care decision-support interventions exist for older adults with advanced chronic kidney disease.

Methods

A trained research coordinator interviewed patients and nephrologists participating in the CKD-EDU study. Three coders analyzed the data using a thematic analysis approach to identify salient themes around the acceptability of the intervention and nephrologists' views on palliative care.

Results

The study included 20 patients with a mean age of 80.5 ± 4.9 years, of whom 10 (52%) were women, 16 (76%) were White, and 17 (81%) had an education level of ≥12th grade or higher. The study also included 24 nephrologists with a mean age of 43 ± 9.5 years, of whom 15 (63%) were men, 14 (58%) were White, and 12 (50%) had 0-5 years of experience in nephrology. Patients and caregivers found the intervention valuable due to personalized care, assistance with making decisions, and help with understanding prognostic information. Nephrologists appreciated support for their patients in making therapy decisions, assistance with symptom management, and help with a conservative kidney management pathway.

Conclusion

Both patients/caregivers and nephrologists found the intervention for kidney therapy decision-making to be acceptable and useful. Future studies assessing the effectiveness and implementation of palliative care services in routine clinical care are needed.

Funding

  • NIDDK Support