Advance Care Planning in Older Adults with CKD: Patient, Care Partner, and Clinician Perspectives.

ABSTRACT:

Background

Older patients with advanced CKD are at high risk for serious complications and death, yet few discuss advance care planning (ACP) with their kidney clinicians. Examining barriers and facilitators to ACP among such patients might help identify patient-centered opportunities for improvement.

Methods

In semistructured interviews in March through August 2019 with purposively sampled patients (aged ≥70 years, CKD stages 4-5, nondialysis), care partners, and clinicians at clinics in across the United States, participants described discussions, factors contributing to ACP completion or avoidance, and perceived value of ACP. We used thematic analysis to analyze data.

Results

We conducted 68 semistructured interviews with 23 patients, 19 care partners, and 26 clini

SUBMITTER: Ladin K 

PROVIDER: S-EPMC8259659 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature