Peritoneal Dialysis
Conditions
Keywords
Surprise Question
Brief summary
The investigators will assess the prediction performance of the modified Surprise Question (Will the participant be surprised if this patient transfers to hemodialysis in the next 6 months?) for identification of peritoneal dialysis at high risk of transfer to hemodialysis. The investigators will also assess the prediction performance of a modified mortality surprise question (Will the participant be surprised if this patient dies in the next 6 months?).
Detailed description
Physicians and nurses will be asked two questions regarding each of their peritoneal dialysis patients: 1. Will the participant be surprised if this patient transfers to hemodialysis in the next 6 months? 2. Will the participant be surprised if this patient dies in the next 6 months? Patients will be followed for 6 months for outcomes (with two extra months for ascertainment of outcomes).
Interventions
OTHERno intervention
Observational Study
Sponsors
Satellite Healthcare
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients: Inclusion Criteria: * Incident and prevalent PD population at Satellite Healthcare
Exclusion criteria
* Age \< 18 years * Patients already enrolled in hospice * Patients on PD training * Patients on backup hemodialysis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Performance measures of the modified surprise question answered by the physicians as a prediction instrument for transfer to hemodialysis of peritoneal dialysis patients in 6 months. | at 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Factors associated with predictions made by the MD and nurse. | at baseline |
| Performance measures of the modified SQ Responses of the nurses to predict Transfers to hemodialysis | at 6 months |
| Performance measures of the mortality SQ Responses of the physician and nurses to predict death | at 6 months |
| Performance of prediction model for transfer to HD developed from variables obtained at baseline. | at 0 months |
| Evaluating the agreement of assessments made by the primary nephrologist and the primary nurse of the patient | at baseline |
| Rate of hospitalizations in patients identified as high risk by the surprise question. | at 6 months |
| Rate of peritonitis in patients identified as high risk by the surprise question. | at 6 months |
| Proportion of patients identified as high risk who transition to HD. | At time of transfer to hemodialysis, for those who transfer to hemodialysis within the observation period, which is 6 months from response to the surprise question |
| Proportion of patients who transition to HD who (i) start Home HD and those who (ii) start HD with AVF/AVG - in the whole group and among those identified high or low risk by the surprise question. | At time of transfer to hemodialysis, for those who transfer to hemodialysis within the observation period, which is 6 months from response to the surprise question |
| Comparison of performance of baseline variables model to performance of the SQ model, and to a model that combines baseline variables and the SQ. | at 6 month |
Countries
United States
Outcome results
None listed