Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/20319
Title: Changes in Symptom Burden in Dialysis Patients Assessed Using a Symptom-Reporting Questionnaire in Clinic.
Austin Authors: Moskovitch, Jeremy T;Mount, Peter F ;Davies, Matthew R P 
Affiliation: Kidney Laboratory, Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Department of Medicine, The University of Melbourne, Melbourne, Australia
Department of Nephrology, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Jan-2020
metadata.dc.date: 2019-02-13
Publication information: Journal of palliative care 20120; 35(1): 59-65
Abstract: To determine the prevalence, severity, and change in symptoms experienced by dialysis patients following the introduction of use of a symptom-reporting questionnaire in nephrology clinic. This is an observational study of 160 prevalent dialysis patients. Palliative care Outcome Scale symptom (POS-renal) questionnaires modified for patients with end-stage kidney disease were completed at baseline and follow-up (median 3 months), with results available to nephrologists at clinic appointments. The baseline prevalence of individual symptoms ranged from 15% to 66%. The most common symptoms were lack of energy (66%) and poor mobility (58%). The median number of symptoms was 7/17 (interquartile range [IQR]: 4-10). Forty-nine percent of patients rated at least 1 symptom as severe or overwhelming. At follow-up, the median number of symptoms experienced was unchanged at 7/17 (IQR: 3-10). However, there was considerable flux in symptom severity. On average, individual symptoms that were present at baseline improved in 56% of patients and worsened in 18%; only 26% had stable symptom severity. Individual symptoms newly occurred in 8% to 20% of patients between time points, with 77% of patients experiencing at least 1 new symptom. The percent of patients rating at least 1 symptom as severe or overwhelming was reduced from 49% to 39% ( P = .040). Use of the POS-renal questionnaire identified a high symptom burden. The presence and severity of symptoms changed dramatically over a short follow-up period, highlighting the need for regular surveillance of symptoms in the dialysis population. Routine use of a symptom questionnaire in clinic may be useful for the identification and management of symptoms in dialysis patients.
URI: http://ahro.austin.org.au/austinjspui/handle/1/20319
DOI: 10.1177/0825859719827315
ORCID: 0000-0001-7637-3661
0000-0001-8780-034X
PubMed URL: 30757953
Type: Journal Article
Subjects: chronic kidney disease
prevalence
questionnaires
renal dialysis
retrospective studies
surveys
Appears in Collections:Journal articles

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