Journal article
Case-control study of end-of-life treatment preferences and costs following advance care planning for adults with end-stage kidney disease
M Sellars, RL Morton, JM Clayton, A Tong, D Mawren, W Silvester, D Power, R Ma, KM Detering
Nephrology | WILEY | Published : 2019
DOI: 10.1111/nep.13230
Abstract
Aim: The aim of the present study was to examine the efficacy of advance care planning (ACP) to improve the likelihood that end-stage kidney disease (ESKD) patient’s preferences will be known and adhered to at end-of-life. Methods: A case-control study of a nurse-led ACP programme in adults with ESKD from a major tertiary hospital. The primary outcome was the proportion of patients whose preferences were known (by substitute decision maker and/or clinicians) and adhered to by their treating doctors. Secondary measures were health system resource use and costs ($AUD) for a nurse-led ACP intervention in the last 12-months of life. Results: In total, 57 cases (38 men, mean age 73.8 years) a..
View full abstractGrants
Awarded by Australian National Health and Medical Research Council Fellowship
Awarded by National Health and Medical Research Council Fellowship
Funding Acknowledgements
We thank Ms. Diane Chaffers for her role in facilitating advance care planning with patients and caregivers during the period of the study. MS is supported by a University of Sydney Postgraduate Award and the Ramsay Health Care Foundation Top-Up Scholarship. RM is supported by an Australian National Health and Medical Research Council Fellowship (1054216). AT is supported by a National Health and Medical Research Council Fellowship (1106716). The funders had no role in study design; collection, analysis, and interpretation of data; writing the report; or the decision to submit the report for publication.