Abstract: SA-PO1118
National Survey of Assessment and Care of Older People Receiving Advanced Kidney Care at UK Kidney Units: The Kidney Older Person Assessment (EDNA) Survey
Session Information
- Geriatric Nephrology
November 08, 2025 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Geriatric Nephrology
- 1300 Geriatric Nephrology
Authors
- Nixon, Andrew C., Lancashire Teaching Hospitals NHS Foundation Trust, Preston, England, United Kingdom
- Goodeve, Jane, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, England, United Kingdom
- Smeeton, Nigel, University of Hertfordshire, Hatfield, England, United Kingdom
- Munro Wild, Helen Louise, University of Hertfordshire, Hatfield, England, United Kingdom
- Da Silva-Gane, Maria, University of Hertfordshire, Hatfield, England, United Kingdom
- Soreny, Cathy, Northern Care Alliance NHS Foundation Trust, Salford, England, United Kingdom
- Wellsted, David, University of Hertfordshire, Hatfield, England, United Kingdom
- Hancock, Alan, Northern Care Alliance NHS Foundation Trust, Salford, England, United Kingdom
- Aird, Rosalind Ann, Lister Kidney Patients Association, Stevenage, United Kingdom
- Baricevic-Jones, Ivona, Northern Care Alliance NHS Foundation Trust, Salford, England, United Kingdom
- Jones, Julia, University of Hertfordshire, Hatfield, England, United Kingdom
- Fotheringham, James, Northern General Hospital Sheffield Kidney Institute, Sheffield, England, United Kingdom
- Farrington, Ken, University of Hertfordshire, Hatfield, England, United Kingdom
- Hurst, Helen, Northern Care Alliance NHS Foundation Trust, Salford, England, United Kingdom
Group or Team Name
- EDNA Research Group.
Background
Frailty & other geriatric impairments are associated with adverse outcomes in chronic kidney disease (CKD). Comprehensive Geriatric Assessment (CGA) is the standard of care of older people; CGA identifies geriatric impairments & leads to a person-centred care plan to address health needs. The EDNA survey aimed to understand assessment & care of older people (>65 years old) attending advanced kidney care (AKC) clinics at UK kidney units.
Methods
Survey content was developed & feedback received from a patient advisory group. Cognitive interviews were conducted with 5 healthcare professionals (HCPs); the survey was piloted at 1 unit. The final survey was shared with UK kidney units & open Oct 2024 to Feb 2025.
Results
A total of 103 HCPs responded from 47 (70%) units; most were consultant nephrologists (47%) or clinical nurse specialists (23%). Assessments of geriatric impairments "sometimes", "usually" or "always" helped kidney treatment decision-making for 84%. Frailty (58%), functional status (57%) and comorbidity (57%) were the most reported geriatric impairments that helped kidney treatment decision-making. Figure 1 illustrates the proportion of responders that assessed specific domains in older people & the use of assessment tools. Only 13% of responders reported geriatricians were involved in frailty assessment. CGA was performed in 8 units; implementation barriers included time (49%), training (36%), funding (33%) & access to relevant services (33%).
Conclusion
Most UK kidney HCPs reported that assessments of geriatric impairments helped kidney treatment decision-making. However, assessments are not often performed using recognised assessment tools. CGA is feasible within AKC, although performed in few UK kidney units. Research determining clinical & cost-effectiveness of CGA within AKC is needed to advance its implementation.
Funding
- Government Support – Non-U.S.