R SHETTIGAR1, J SCHOLLUM3, S DERRETT2, A SAMARANAYAKA2, B MCNOE2, R WALKER2
1Christchurch Hospital, 2University of otago, 3Dunedin Public Hospital
Background: The DOS65+ (Dialysis Outcomes in Those Aged ≥65 Years) Study is an accelerated cohort study of older New Zealanders with chronic kidney disease stage 5 (CKD5).
Aim: Identifying patient-reported health outcomes in patients more than 65 years of age at 24 months and 36 months of dialysis relative to characteristics at 12 months and 24 months.
Methods: We recruited dialysis patients over the age of 65 years. We conducted interviews at baseline, and then follow up interviews were conducted at 12, 24, and 36 months, respectively. The health outcome question was compared to one year ago, how would you rate your health in general now? Answers were grouped into the same or better or worse. Patients who died in the preceding year were grouped in the worse health outcome. Data collected included demographics, social factors like the degree of satisfaction with social relationships, sense of community, the modality of dialysis, quality of life.
Results: At baseline, there were 225 participants. The total number of participants at 12, 24, and 36 months was 154, 120, and 80.
Analysis at 24 months and 36 months showed patients who were Maori and Pacific (p =0.01), less than three comorbidities (p =0.01), on peritoneal dialysis (p=0.01), with no problems with ADLs (p= 0.03), who reported a strong sense of community and satisfaction with social relationships reported better health outcomes. 58% of the study population at 24 months and 61% at 36 months reported to be feeling the same or better compared to 12 months ago.
Conclusions: It is essential to consider the factors mentioned above while considering dialysis as a treatment modality in the elderly population.
Reshma Shettigar is a final year advanced trainee in Nephrology. Her key interest in Nephrology is renal transplantation and dialysis in older people.