Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland

A. Nimmo; S. Bell; C. Brunton; J. Campbell; A. Doyle; B. Mackinnon; R. K. Peel; S. Robertson; I. Shilliday; E. Spalding; J. P. Traynor; W. Metcalfe; The Scottish Renal Registry (SRR)

doi:10.1093/qjmed/hcx180

Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland

A. Nimmo (Lead / Corresponding author)
, S. Bell
, C. Brunton
, J. Campbell
, A. Doyle
, B. Mackinnon
, R. K. Peel
, S. Robertson
, I. Shilliday
, E. Spalding
, J. P. Traynor
, W. Metcalfe
, The Scottish Renal Registry (SRR)

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

232 Downloads (Pure)

Abstract

Background: Patient reported outcome measures (PROMs) can evaluate the quality of health in patients with established renal failure. There is limited experience of their use within national renal registries.

Aim: To describe the Scottish Renal Registry’s (SRR) experience of collecting PROMS in the haemodialysis population and correlate PROMS to demographic and clinical parameters.

Design: Retrospective observational cross-sectional study.

Methods: Haemodialysis patients in Scotland were invited to complete the KDQOL™-36 questionnaire on the day of the annual SRR census in 2015 and 2016. Questionnaires were linked to census demographic and clinical variables.

Results: In 2016 738 questionnaires were linked to census data (39% of prevalent haemodialysis population). Response rates differed with age (≥ 65 years 42%, < 65 years 36%) [χ2 p=0.006]; duration of renal replacement therapy (<1 year 46%, ≥1 < 5 years 38%, ≥ 5 years 33%) [χ2 p=0.002] and social class (Scottish Index of Multiple Deprivation (SIMD) Class 1 32%, Class 2 41%, Class 3 40%, Class 4 48%, Class 5 40%) [χ2 p<0.001]. There were significant differences in PROMs with age, SIMD quintile and primary renal diagnosis. Achieving a urea reduction ratio of >65% and dialysing through arteriovenous access were associated with significantly higher PROMs. PROMs were not affected by haemoglobin or phosphate concentration.

Conclusions: Routine collection of PROMs is feasible and can identify potentially under-recognised and treatable determinants to quality of life. The association between attaining recommended standards of care and improved PROMs is striking. Individual and population-wide strategies are required to improve PROMs.

Original language	English
Pages (from-to)	15-21
Number of pages	7
Journal	QJM : an International Journal of Medicine
Volume	111
Issue number	1
Early online date	18 Sept 2017
DOIs	https://doi.org/10.1093/qjmed/hcx180
Publication status	Published - 1 Jan 2018

Keywords

Hemodialysis
Hemoglobin
Censuses
Demography
Phosphates
Scotland
Kidney
Urea reduction ratio
Patient reported outcome measures
Age Distribution
Prevalence
Humans
Middle Aged
Male
Scotland
Young Adult
Renal Dialysis/statistics & numerical data
Adult
Female
Registries
Renal Insufficiency/therapy
Surveys and Questionnaires
Retrospective Studies
Patient Reported Outcome Measures
Cross-Sectional Studies
Analysis of Variance
Adolescent
Quality of Life
Sex Distribution
Aged

ASJC Scopus subject areas

General Medicine

Access to Document

10.1093/qjmed/hcx180

Author Accepted Manuscript
This is a pre-copyedited, author-produced version of an article accepted for publication in QJM: An International Journal of Medicine following peer review. The version of record A Nimmo, S Bell, C Brunton, J Campbell, A Doyle, B MacKinnon, R K Peel, S Robertson, I Shilliday, E Spalding, J.P Traynor, W Metcalfe; Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland, QJM: An International Journal of Medicine, , hcx180 is available online at: https://doi.org/10.1093/qjmed/hcx180
Accepted author manuscript, 277 KB

Cite this

Nimmo, A., Bell, S., Brunton, C., Campbell, J., Doyle, A., Mackinnon, B., Peel, R. K., Robertson, S., Shilliday, I., Spalding, E., Traynor, J. P., Metcalfe, W., & The Scottish Renal Registry (SRR) (2018). Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland. QJM : an International Journal of Medicine, 111(1), 15-21. https://doi.org/10.1093/qjmed/hcx180

@article{4c5a1bd6aaf640d18fe8f26f346fdffb,

title = "Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland",

abstract = "Background: Patient reported outcome measures (PROMs) can evaluate the quality of health in patients with established renal failure. There is limited experience of their use within national renal registries. Aim: To describe the Scottish Renal Registry{\textquoteright}s (SRR) experience of collecting PROMS in the haemodialysis population and correlate PROMS to demographic and clinical parameters. Design: Retrospective observational cross-sectional study. Methods: Haemodialysis patients in Scotland were invited to complete the KDQOL{\texttrademark}-36 questionnaire on the day of the annual SRR census in 2015 and 2016. Questionnaires were linked to census demographic and clinical variables. Results: In 2016 738 questionnaires were linked to census data (39\% of prevalent haemodialysis population). Response rates differed with age (≥ 65 years 42\%, < 65 years 36\%) [χ2 p=0.006]; duration of renal replacement therapy (<1 year 46\%, ≥1 < 5 years 38\%, ≥ 5 years 33\%) [χ2 p=0.002] and social class (Scottish Index of Multiple Deprivation (SIMD) Class 1 32\%, Class 2 41\%, Class 3 40\%, Class 4 48\%, Class 5 40\%) [χ2 p<0.001]. There were significant differences in PROMs with age, SIMD quintile and primary renal diagnosis. Achieving a urea reduction ratio of >65\% and dialysing through arteriovenous access were associated with significantly higher PROMs. PROMs were not affected by haemoglobin or phosphate concentration. Conclusions: Routine collection of PROMs is feasible and can identify potentially under-recognised and treatable determinants to quality of life. The association between attaining recommended standards of care and improved PROMs is striking. Individual and population-wide strategies are required to improve PROMs.",

keywords = "Hemodialysis , Hemoglobin , Censuses , Demography , Phosphates , Scotland , Kidney , Urea reduction ratio , Patient reported outcome measures , Age Distribution, Prevalence, Humans, Middle Aged, Male, Scotland, Young Adult, Renal Dialysis/statistics \& numerical data, Adult, Female, Registries, Renal Insufficiency/therapy, Surveys and Questionnaires, Retrospective Studies, Patient Reported Outcome Measures, Cross-Sectional Studies, Analysis of Variance, Adolescent, Quality of Life, Sex Distribution, Aged",

author = "A. Nimmo and S. Bell and C. Brunton and J. Campbell and A. Doyle and B. Mackinnon and Peel, \{R. K.\} and S. Robertson and I. Shilliday and E. Spalding and Traynor, \{J. P.\} and W. Metcalfe and \{The Scottish Renal Registry (SRR)\}",

note = "Funding: Scottish Renal Registry.",

year = "2018",

month = jan,

day = "1",

doi = "10.1093/qjmed/hcx180",

language = "English",

volume = "111",

pages = "15--21",

journal = "QJM : an International Journal of Medicine",

issn = "1460-2725",

publisher = "Oxford University Press",

number = "1",

}

Nimmo, A, Bell, S, Brunton, C, Campbell, J, Doyle, A, Mackinnon, B, Peel, RK, Robertson, S, Shilliday, I, Spalding, E, Traynor, JP, Metcalfe, W & The Scottish Renal Registry (SRR) 2018, 'Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland', QJM : an International Journal of Medicine, vol. 111, no. 1, pp. 15-21. https://doi.org/10.1093/qjmed/hcx180

TY - JOUR

T1 - Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland

AU - Nimmo, A.

AU - Bell, S.

AU - Brunton, C.

AU - Campbell, J.

AU - Doyle, A.

AU - Mackinnon, B.

AU - Peel, R. K.

AU - Robertson, S.

AU - Shilliday, I.

AU - Spalding, E.

AU - Traynor, J. P.

AU - Metcalfe, W.

AU - The Scottish Renal Registry (SRR)

N1 - Funding: Scottish Renal Registry.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Patient reported outcome measures (PROMs) can evaluate the quality of health in patients with established renal failure. There is limited experience of their use within national renal registries. Aim: To describe the Scottish Renal Registry’s (SRR) experience of collecting PROMS in the haemodialysis population and correlate PROMS to demographic and clinical parameters. Design: Retrospective observational cross-sectional study. Methods: Haemodialysis patients in Scotland were invited to complete the KDQOL™-36 questionnaire on the day of the annual SRR census in 2015 and 2016. Questionnaires were linked to census demographic and clinical variables. Results: In 2016 738 questionnaires were linked to census data (39% of prevalent haemodialysis population). Response rates differed with age (≥ 65 years 42%, < 65 years 36%) [χ2 p=0.006]; duration of renal replacement therapy (<1 year 46%, ≥1 < 5 years 38%, ≥ 5 years 33%) [χ2 p=0.002] and social class (Scottish Index of Multiple Deprivation (SIMD) Class 1 32%, Class 2 41%, Class 3 40%, Class 4 48%, Class 5 40%) [χ2 p<0.001]. There were significant differences in PROMs with age, SIMD quintile and primary renal diagnosis. Achieving a urea reduction ratio of >65% and dialysing through arteriovenous access were associated with significantly higher PROMs. PROMs were not affected by haemoglobin or phosphate concentration. Conclusions: Routine collection of PROMs is feasible and can identify potentially under-recognised and treatable determinants to quality of life. The association between attaining recommended standards of care and improved PROMs is striking. Individual and population-wide strategies are required to improve PROMs.

AB - Background: Patient reported outcome measures (PROMs) can evaluate the quality of health in patients with established renal failure. There is limited experience of their use within national renal registries. Aim: To describe the Scottish Renal Registry’s (SRR) experience of collecting PROMS in the haemodialysis population and correlate PROMS to demographic and clinical parameters. Design: Retrospective observational cross-sectional study. Methods: Haemodialysis patients in Scotland were invited to complete the KDQOL™-36 questionnaire on the day of the annual SRR census in 2015 and 2016. Questionnaires were linked to census demographic and clinical variables. Results: In 2016 738 questionnaires were linked to census data (39% of prevalent haemodialysis population). Response rates differed with age (≥ 65 years 42%, < 65 years 36%) [χ2 p=0.006]; duration of renal replacement therapy (<1 year 46%, ≥1 < 5 years 38%, ≥ 5 years 33%) [χ2 p=0.002] and social class (Scottish Index of Multiple Deprivation (SIMD) Class 1 32%, Class 2 41%, Class 3 40%, Class 4 48%, Class 5 40%) [χ2 p<0.001]. There were significant differences in PROMs with age, SIMD quintile and primary renal diagnosis. Achieving a urea reduction ratio of >65% and dialysing through arteriovenous access were associated with significantly higher PROMs. PROMs were not affected by haemoglobin or phosphate concentration. Conclusions: Routine collection of PROMs is feasible and can identify potentially under-recognised and treatable determinants to quality of life. The association between attaining recommended standards of care and improved PROMs is striking. Individual and population-wide strategies are required to improve PROMs.

KW - Hemodialysis

KW - Hemoglobin

KW - Censuses

KW - Demography

KW - Phosphates

KW - Scotland

KW - Kidney

KW - Urea reduction ratio

KW - Patient reported outcome measures

KW - Age Distribution

KW - Prevalence

KW - Humans

KW - Middle Aged

KW - Male

KW - Scotland

KW - Young Adult

KW - Renal Dialysis/statistics & numerical data

KW - Adult

KW - Female

KW - Registries

KW - Renal Insufficiency/therapy

KW - Surveys and Questionnaires

KW - Retrospective Studies

KW - Patient Reported Outcome Measures

KW - Cross-Sectional Studies

KW - Analysis of Variance

KW - Adolescent

KW - Quality of Life

KW - Sex Distribution

KW - Aged

UR - https://www.scopus.com/pages/publications/85051303126

U2 - 10.1093/qjmed/hcx180

DO - 10.1093/qjmed/hcx180

M3 - Article

C2 - 29025150

SN - 1460-2725

VL - 111

SP - 15

EP - 21

JO - QJM : an International Journal of Medicine

JF - QJM : an International Journal of Medicine

IS - 1

ER -

Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland

Abstract

Keywords

ASJC Scopus subject areas

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