Outcomes and care priorities for older people living with frailty and advanced chronic kidney disease: a multi-professional scoping review

Hurst, HE ORCID: https://orcid.org/0000-0002-7268-171X, Young, HL, Nixon, A, Brettle, AJ ORCID: https://orcid.org/0000-0002-4120-1752 and Ormandy, P ORCID: https://orcid.org/0000-0002-6951-972X 2022, 'Outcomes and care priorities for older people living with frailty and advanced chronic kidney disease: a multi-professional scoping review' , Age and Ageing, 51 (12) .

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Abstract

Background The growing older population with advanced chronic kidney disease (ACKD stages 4-5) poses a challenge for healthcare worldwide. The high prevalence of frailty and associated adverse health outcomes highlights concerns for management and interventions specific to this population. Objectives The aim was to objectively review the evidence relating to older people (>65years) living with frailty and ACKD. More specifically how frailty is identified, what interventions have been studied and what outcomes have been reported including outcomes important to patients, families and carers. Methods A scoping review was undertaken following the PRISMA-Scr guidelines. Nine databases were searched and a review team of five people followed a process using defined inclusion and exclusion criteria. Data was then analysed to answer the specific questions of the review. The World Health Organisation (WHO)’s International Classification of Functioning Disability and Health (ICF) was used to map outcomes across the domains. Results A total of 90 studies were included. The most reported frailty measure was the Frailty Phenotype. The most reported outcomes were mortality, hospitalisation and healthcare utilisation. Health related quality of life was the most common patient reported outcome measure. There were few intervention studies and limited evidence of patient and carer perspectives.

Item Type:	Article
Additional Information:	This is a pre-copyedited, author-produced version of an article accepted for publication in Age and Ageing following peer review. The version of record Helen Hurst, Hannah M L Young, Andrew C Nixon, Paula Ormandy, Alison Brettle, The scoping review author collaborative for outcomes and care priorities for older people with ACKD, Outcomes and care priorities for older people living with frailty and advanced chronic kidney disease: a multi-professional scoping review, Age and Ageing, Volume 51, Issue 12, December 2022, afac296 is available online at: https://doi.org/10.1093/ageing/afac296
Schools:	Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title:	Age and Ageing
Publisher:	Oxford University Press
ISSN:	0002-0729
Funders:	British Renal Society and Kidney Care UK
Depositing User:	Professor HELEN HURST
Date Deposited:	09 Jan 2023 11:21
Last Modified:	09 Jan 2023 11:30
URI:	https://usir.salford.ac.uk/id/eprint/65764

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