Journal article
Costs and outcomes of advance care planning and end-of-life care for older adults with endstage kidney disease: A person-centred decision analysis
M Sellars, JM Clayton, KM Detering, A Tong, D Power, RL Morton
Plos One | PUBLIC LIBRARY SCIENCE | Published : 2019
Abstract
Background Economic evaluations of advance care planning (ACP) in people with chronic kidney disease are scarce. However, past studies suggest ACP may reduce healthcare costs in other settings. We aimed to examine hospital costs and outcomes of a nurse-led ACP intervention compared with usual care in the last 12 months of life for older people with end-stage kidney disease managed with haemodialysis. Methods We simulated the natural history of decedents on dialysis, using hospital data, and modelled the effect of nurse-led ACP on end-of-life care. Outcomes were assessed in terms of patients' end-of-life treatment preferences being met or not, and costs included all hospital based care. Model..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
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.