Nephrology Provider Surprise Question Response and Hospitalizations in Older Adults with Advanced CKD.

ABSTRACT:

Background

Older adults with advanced non-dialysis-dependent chronic kidney disease (NDD-CKD) face a high risk of hospitalization and related adverse events.

Methods

This prospective cohort study followed nephrology clinic patients ≥60 years old with NDD-CKD stages 4-5. After an eligible patient's office visit, study staff asked the patient's provider to rate the patient's risk of death within the next year using the surprise question ("Would you be surprised if this patient died in the next 12 months?") with a 5-point Likert scale response (1, "definitely not surprised" to 5, "very surprised"). We used a statewide database to ascertain hospitalization during follow-up.

Results

There were 488 patients (median age 72 years, 51% female, 17% black) with median estimated

SUBMITTER: Ramer SJ 

PROVIDER: S-EPMC7789871 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature