dc.contributor.author | Chandler, S | |
dc.contributor.author | Purtell, L | |
dc.contributor.author | Berquier, I | |
dc.contributor.author | Bonner, A | |
dc.contributor.author | Healy, H | |
dc.contributor.author | Hepburn, K | |
dc.date.accessioned | 2021-05-14T01:49:45Z | |
dc.date.available | 2021-05-14T01:49:45Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 1320-5358 | |
dc.identifier.uri | http://hdl.handle.net/10072/404385 | |
dc.description.abstract | Aim: To evaluate how the COVID‐19 pandemic affected kidney supportive care (KSC) referrals and care.
Background: Our health service re‐designed delivery of the KSC service in response to COVID‐19, including transitioning to a telehealth model and prioritising advance care planning (ACP).
Methods: Activity was audited over two three‐month periods between 1 October‐31 December 2019 (PRE‐COVID‐19) and 11 March‐11 June 2020 (POST‐COVID‐19). Baseline demographics (age, gender), severity of kidney disease (eGFR, kidney replacement therapy [KRT]), patient functionality (resource utilization groups [RUG], Australian Karnofsky performance score [AKPS]), and reason for referral (advance care planning [ACP], decision making, symptom management, conservative management) were extracted from clinical records. Statistical analysis was performed in SPSS and included Chi square, independent T and Mann‐Whitney U tests as appropriate.
Results: Pre‐COVID‐19 there were 29 referrals, with median age 73 (IQR = 17), eGFR 13 (IQR = 7), 27.6% receiving KRT, mean RUG 5.76 (SD = 2.3) and AKPS 56.52 (SD = 12.03). There were 54 POST‐COVID‐19 referrals, median age 75 (IQR = 12.75), eGFR 14 (IQR = 8.75), 35.19% KRT, mean RUG 5.22 (SD = 2.7) and AKPS 60 (SD = 13.2). 92 patients were seen pre‐COVID‐19 and 135 POST‐COVID‐19. PRE vs POST‐COVID‐19 results showed that 44.8% vs 63% (p = 0.175) were referred for ACP, 13.8% vs 5.6% for decision making (p = 0.382), 31% vs 18.5% for symptom management (p = 0.308). Conservative management was indicated as the reason for referral, more frequently, pre‐COVID compared to post‐COVID (69% vs 29.6%, p = 0.001).
Conclusions: Meeting the needs of this vulnerable group of patients was a priority of the health service as evident in the increased activity through the clinic. The types of activities shifted, with a focus on ACP via a telehealth model, without a significant change in the characteristics of patients. | |
dc.language | English | |
dc.publisher | Wiley | |
dc.publisher.uri | https://onlinelibrary.wiley.com/doi/10.1111/nep.13799 | |
dc.relation.ispartofconferencename | 55th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology (ANZSN) | |
dc.relation.ispartofconferencetitle | Nephrology | |
dc.relation.ispartofdatefrom | 2020-11-28 | |
dc.relation.ispartofdateto | 2020-12-02 | |
dc.relation.ispartoflocation | Virtual | |
dc.relation.ispartofpagefrom | 52 | |
dc.relation.ispartofpageto | 52 | |
dc.relation.ispartofissue | S3 | |
dc.relation.ispartofvolume | 25 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.keywords | Science & Technology | |
dc.subject.keywords | Life Sciences & Biomedicine | |
dc.subject.keywords | Urology & Nephrology | |
dc.title | Kidney supportive care (KSC): Evaluating need in a time of crisis | |
dc.type | Conference output | |
dc.type.description | E3 - Conferences (Extract Paper) | |
dcterms.bibliographicCitation | Chandler, S; Purtell, L; Berquier, I; Bonner, A; Healy, H; Hepburn, K, Kidney supportive care (KSC): Evaluating need in a time of crisis, Nephrology, 2020, 25, pp. 52-52 | |
dc.date.updated | 2021-05-14T01:48:04Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Bonner, Ann J. | |