Elderly Health, Manchester University NHS Foundation Trust, Manchester, UK
Renal Dietetics, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
BMJ Open. 2021 Mar 16;11(3):e040715. doi: 10.1136/bmjopen-2020-040715.
Reported outcomes for older people with advanced chronic kidney disease (CKD) often focus on survival and mortality and little attention is paid to symptom burden and health-related quality of life. Recognising frailty and providing interventions that may improve outcomes have been studied in the general population with a growing research interest within CKD.
A scoping review will be undertaken following a recommended process to understand relevant research and priorities for older people living with frailty and advanced CKD. Databases will be searched and following a systematic process by a core team, a final list of included studies will be analysed. Focus groups will then be conducted with older people with advanced CKD to incorporate stakeholder views.
Our scoping review will use robust methodology to identify relevant literature focused on outcomes and care priorities for older people with advanced CKD. Ethical approval will be sought to conduct the focus groups. The result of this review will be disseminated through patient networks and national conferences. The interdisciplinary team collaborating plan to continue work in this area to improve the care and management of older people with advanced CKD.
针对晚期慢性肾脏病(CKD)老年人的报告结果通常集中在生存和死亡率上,而对症状负担和健康相关生活质量的关注较少。在普通人群中,已经研究了识别虚弱和提供可能改善结果的干预措施,并且在 CKD 中越来越受到关注。
将按照推荐的流程进行范围综述,以了解患有虚弱和晚期 CKD 的老年人的相关研究和优先事项。将搜索数据库,并由核心团队按照系统的流程,对最终纳入的研究进行分析。然后将与患有晚期 CKD 的老年人进行焦点小组讨论,以纳入利益相关者的观点。
我们的范围综述将使用稳健的方法来确定专注于晚期 CKD 老年人的结果和护理重点的相关文献。将寻求伦理批准以进行焦点小组讨论。该综述的结果将通过患者网络和全国会议进行传播。合作的跨学科团队计划继续在这一领域开展工作,以改善对晚期 CKD 老年人的护理和管理。