A study to describe the health trajectory of patients with advanced renal disease who choose not to receive dialysis.

ABSTRACT:

Background

Some patients with end-stage renal failure (ESRF) are unlikely to benefit from dialysis and conservative management (CM) is offered as a positive alternative. Understanding the trajectory of illness by health care professionals may improve end-of-life care.

Methods

We aimed to describe the trajectory of functional status within our CM population through a prospective, observational study using the objective Timed Up and Go (TUG) test and subjective Barthel Index (BI) and health-related quality of life (HRQoL) [EuroQol 5D-5L (EQ-5D-5L)] measurements and correlating them with demographic and laboratory data and with sentinel events.

Results

There was a significant increase in TUG scores over the 6 months prior to death {2.24 [95% confidence interval (CI) 1.16

SUBMITTER: Kilshaw L 

PROVIDER: S-EPMC4886902 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature