Factors used in analysis

Paul Roderick; Hugh Rayner; Sarah Tonkin-Crine; Ikumi Okamoto; Caroline Eyles; Geraldine Leydon; Miriam Santer; Jonathan Klein; Guiqing Lily Yao; Fliss Murtagh; Ken Farrington; Fergus Caskey; Charles Tomson; Fiona Loud; Emma Murphy; Robert Elias; Roger Greenwood; Donal O’Donoghue

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Roderick P, Rayner H, Tonkin-Crine S, et al. A national study of practice patterns in UK renal units in the use of dialysis and conservative kidney management to treat people aged 75 years and over with chronic kidney failure. Southampton (UK): NIHR Journals Library; 2015 Apr. (Health Services and Delivery Research, No. 3.12.)

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A national study of practice patterns in UK renal units in the use of dialysis and conservative kidney management to treat people aged 75 years and over with chronic kidney failure.

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Appendix 4Factors used in analysis

Group 1: factors related to chronic kidney management resources/size

CKM size (small or large).

Availability of staff responsible for CKM.

Availability of staff whose time is specifically allocated for CKM patients.

Group 2: factors related to the general unit organisation for patients with chronic kidney disease

Whether or not to have regular MSRT meetings.

Availability of pre-dialysis clinics.

Availability of pre-dialysis education day.

Whether or not consultants share responsibility for patients with each other.

Group 3: factors related to chronic kidney management practices

Whether or not same practice regarding CKM is provided.

Availability of written CKM guideline.

Availability of dedicated CKM clinics.

Group 4: factors related to chronic kidney management resources

Availability of funding for CKM.

Group 5: factors related to chronic kidney management decision-making

Whether or not CKM is discussed with all CKD5 patients aged 75 years and over.

Use of decision aids.

Group 6: factors related to training

Provision of formal CKM training to renal staff.

Training in palliative/end-of-life care for renal patients for staff.

Provision of training about management of renal patients to palliative care specialists.

Group 7: factors related to general practitioner involvement

How are GPs involved with CKM patients.

Provision of information/advice regarding treatment of CKM patients to GPs.

Group 8: factors related to end-of-life care

Availability of written guideline for renal end-of-life care.

Use of register to identify CKM patients approaching end of life.

Use of advance care planning.

Group 9: factors related to future research

Whether or not to consider RCT for CKD5 patients.

Whether or not to consider observational study for CKD5 patients.

Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Roderick et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

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Bookshelf ID: NBK284931

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Roderick P, Rayner H, Tonkin-Crine S, et al. A national study of practice patterns in UK renal units in the use of dialysis and conservative kidney management to treat people aged 75 years and over with chronic kidney failure. Southampton (UK): NIHR Journals Library; 2015 Apr. (Health Services and Delivery Research, No. 3.12.) Appendix 4, Factors used in analysis.
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