Routinely measuring symptom burden and health-related quality of life in dialysis patients

Autor: Judith M Hoogendijk-van den Akker, Willem Jan W. Bos, Esmee M. van der Willik, Frans J. van Ittersum, Marc H Hemmelder, Friedo W. Dekker, Hans A.J. Bart, Yvette Meuleman
Přispěvatelé: Epidemiology and Data Science, Nephrology, ACS - Atherosclerosis & ischemic syndromes
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: CLINICAL KIDNEY JOURNAL, 14(6), 1535-1544. OXFORD UNIV PRESS
Clinical kidney journal, 14(6), 1535-1544. Oxford University Press
van der Willik, E M, Hemmelder, M H, Bart, H A J, van Ittersum, F J, Hoogendijk-van den Akker, J M, Bos, W J W, Dekker, F W & Meuleman, Y 2021, ' Routinely measuring symptom burden and health-related quality of life in dialysis patients : first results from the Dutch registry of patient-reported outcome measures ', Clinical kidney journal, vol. 14, no. 6, pp. 1535-1544 . https://doi.org/10.1093/ckj/sfz192
Clinical Kidney Journal
ISSN: 2048-8505
DOI: 10.1093/ckj/sfz192
Popis: BackgroundThe use of patient-reported outcome measures (PROMs) is becoming increasingly important in healthcare. However, incorporation of PROMs into routine nephrological care is challenging. This study describes the first experience with PROMs in Dutch routine dialysis care.MethodsA pilot study was conducted in dialysis patients in 16 centres. Patients were invited to complete PROMs at baseline and 3 and 6 months. PROMs consisted of the 12-item short-form and Dialysis Symptom Index to assess health-related quality of life (HRQoL) and symptom burden. Response rates, HRQoL and symptom burden scores were analysed. Qualitative research methods were used to gain insight into patients’ views on using PROMs in clinical practice.ResultsIn total, 512 patients (36%) completed 908 PROMs (24%) across three time points. Response rates varied from 6 to 70% among centres. Mean scores for physical and mental HRQoL were 35.6 [standard deviation (SD) 10.2] and 47.7 (SD 10.6), respectively. Patients experienced on average 10.8 (SD 6.1) symptoms with a symptom burden score of 30.7 (SD 22.0). Only 1–3% of the variation in PROM scores can be explained by differences between centres. Patients perceived discussing their HRQoL and symptom scores as insightful and valuable. Individual feedback on results was considered crucial.ConclusionsThe first results show low average response rates with high variability among centres. Dialysis patients experienced a high symptom burden and poor HRQoL. Using PROMs at the individual patient level is suitable and may improve patient–professional communication and shared decision making. Further research is needed to investigate how the collection and the use of PROMs can be successfully integrated into routine care to improve healthcare quality and outcomes.
Databáze: OpenAIRE
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