Mapping Multidimensional Illness Trajectories of Patients With End-stage Kidney Disease
Study Details
Study Description
Brief Summary
Patients with end-stage kidney disease (ESKD) must manage not only the demands of dialysis and comorbid conditions but also associated symptoms and acute life-threatening events that contribute to functional limitations and increased risk of mortality. Yet little is known about the trajectories of quality of life dimensions in patients with ESKD when they experience acute life-threatening episodes, to guide palliative care for this population. In this prospective, descriptive study, we will identify trajectories of symptoms, physical functioning, psychosocial needs, and emotional and spiritual well-being in 200 patients with ESKD who are at a high risk of experiencing acute life-threatening events and mortality within 12 months.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Outcome Measures
Primary Outcome Measures
- Symptoms, physical functioning, psychosocial needs, spiritual well-being, cognitive functioning [12 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
aged 18 years or older;
-
receiving either Hemodialysis or Peritoneal dialysis
-
on dialysis either < 3 months or ≥ 6 months with a Charlson Comorbidity Index (CCI) score ≥ 5
Exclusion Criteria:
-
Patients who are enrolled in hospice or too sick to participate in questionnaire completion will not be eligible.
-
Kidney transplant candidates will be excluded because their illness trajectories after transplant are likely to differ.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | UNC Hospitals and outpatient dialysis clinics | Chapel Hill | North Carolina | United States | 27514 |
Sponsors and Collaborators
- University of North Carolina, Chapel Hill
- National Institute of Nursing Research (NINR)
Investigators
- Principal Investigator: Mi-Kyung Song, PhD, RN, FAAN, University of North Carolina, Chapel Hill
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- R01NR013359
- R01NR013359