Talk Description
428R - Research Paper
Abstract:
Aim:
To assess rates of documented ACP in CKD populations.
Method:
A systematic review of English language studies published between January 2011 and December 2023 retrieved from Medline, PubMed and Cumulative Index to Nursing and Allied Health Literature databases. Inclusion criteria were adults with CKD and reporting ACP (including directives, enduring power of attorney). Two review authors identified studies for full review, data extraction and quality assessment. Data synthesis and quality assessment followed the Joanna Briggs Institute quality appraisal checklist.
Results:
Twenty-one studies met the inclusion criteria with n= 305,033 participants. Three studies were randomised control trials, 14 cross-sectional and the remaining 4 were either case-control or qualitative descriptive designs. Rates of documented ACP ranged from 5% to 89% (median 37%). Challenges to completing ACPs were length of time to complete, clinician role ambiguity and lack of reimbursement attached to the ACP process.
Conclusion:
Documented ACP rates for patients with CKD are suboptimal. This is a significant gap in current care of people with CKD, with understanding current rates and challenges associated, an important first step to improvement.
Abstract:
Aim:
To assess rates of documented ACP in CKD populations.
Method:
A systematic review of English language studies published between January 2011 and December 2023 retrieved from Medline, PubMed and Cumulative Index to Nursing and Allied Health Literature databases. Inclusion criteria were adults with CKD and reporting ACP (including directives, enduring power of attorney). Two review authors identified studies for full review, data extraction and quality assessment. Data synthesis and quality assessment followed the Joanna Briggs Institute quality appraisal checklist.
Results:
Twenty-one studies met the inclusion criteria with n= 305,033 participants. Three studies were randomised control trials, 14 cross-sectional and the remaining 4 were either case-control or qualitative descriptive designs. Rates of documented ACP ranged from 5% to 89% (median 37%). Challenges to completing ACPs were length of time to complete, clinician role ambiguity and lack of reimbursement attached to the ACP process.
Conclusion:
Documented ACP rates for patients with CKD are suboptimal. This is a significant gap in current care of people with CKD, with understanding current rates and challenges associated, an important first step to improvement.