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Outcomes and care priorities for older people living with frailty and advanced chronic kidney disease: a multi-professional scoping review.
- Source :
- Age & Ageing; Dec2022, Vol. 51 Issue 12, p1-10, 10p, 1 Diagram, 3 Charts, 1 Graph
- Publication Year :
- 2022
-
Abstract
- The growing older population with advanced chronic kidney disease (ACKD stages 4–5) poses a challenge for healthcare worldwide. The high prevalence of frailty and associated adverse health outcomes highlights concerns for management and interventions specific to this population. The aim was to objectively review the evidence relating to older people (≥65 years) living with frailty and ACKD. More specifically how frailty is identified, what interventions have been studied and what outcomes have been reported including outcomes important to patients, families and carers. A scoping review was undertaken following the PRISMA-Scr guidelines. Nine databases were searched and a review team of five people followed a process using defined inclusion and exclusion criteria. Data were then analysed to answer the specific questions of the review. The World Health Organization's International Classification of Functioning Disability and Health was used to map outcomes across the domains. A total of 90 studies were included. The most reported frailty measure was the frailty phenotype. The most reported outcomes were mortality, hospitalisation and healthcare utilisation. Health-related quality of life was the most common patient-reported outcome measure. There were few intervention studies and limited evidence of patient and carer perspectives. This scoping review highlights important areas for further research in older people living with frailty and ACKD. This includes a 'gold standard' measure for identifying frailty, interventions and improvements in outcome measures that matter to patients (including studies that focus on carers and carer burden) and priority setting for future research. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of chronic kidney failure
THERAPEUTICS
EVALUATION of medical care
FRAIL elderly
SYSTEMATIC reviews
MORTALITY
RENAL replacement therapy
HEALTH outcome assessment
MEDICAL care use
QUALITY assurance
HOSPITAL care
QUALITY of life
LITERATURE reviews
HEMODIALYSIS
ELDER care
PHENOTYPES
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 51
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 161116530
- Full Text :
- https://doi.org/10.1093/ageing/afac296