Engaging clinicians and patients to assess and improve frailty measurement in adults with end stage renal disease

• DOI: 10.1186/s12882-017-0806-0
• Publication Date: 2018-01-12T12:19:53Z
• Authors: Sarah Van Pilsum ...; Jonathan Konel; Fatima Warsame; Hao Ying; Brian Buta; Christine Haugen; Elizabeth King; Sandra DiBrito; Ravi Varadhan; Leocadio Rodrígue...; Jeremy D. Walston; Dorry L. Segev; Mara A. McAdams-D...
• Keywords: Male; physician attitude; Delphi Technique; physical activity; geriatric patient; Kidney Failure; 0302 clinical medicine; cognitive defect; middle aged; Chronic; pathophysiology; clinical article; Frailty; adult; falling; chronic kidney failure; Middle Aged; 3. Good health; aged; female; Hemodialysis; Female; patient participation; Research Article; Adult; phenotype; 610; frailty; clinical nurse specialist; Article; walking; 03 medical and health sciences; male; exhaustion; 617; Humans; controlled study; human; procedures; ESRD; Physician's Role; end stage renal disease; Aged; Diseases of the genitourinary system. Urology; Delphi study; grip strength; Kidney Failure, Chronic; weight reduction; RC870-923; Patient Participation

The Fried frailty phenotype, a measure of physiologic reserve defined by 5 components (exhaustion, unintentional weight loss, low physical activity, slow walking speed, and poor grip strength), is associated with outcomes among ESRD patients. However, these may not fully capture in this population. We aimed to ascertain opinions clinicians patients about the usefulness phenotype interventions improve patients, identify novel further characterize ESRD. Clinicians who treat adults completed 2-round Delphi study (n = 41 n 36, respectively; response rate 87%). survey at transplant evaluation 460; 81%). compared clinician patient on constituent frailty. were more likely than say that makes frail (97.6% vs. 60.2%). There was consensus exhaustion, strength patients; however, 29% thought loss relevant. Patients less identified 10 new ESRD-specific potential including falls (64%), decline (61%), cognitive impairment (39%). (83%) (80%) agreed intradialytic foot-peddlers might make frail. moderate common Weight seen as relevant, but identified. These findings are first steps refining identifying specific