Functional Status of Elderly Adults before and after Initiation of Dialysis
Why the study?
Does the initiation of dialysis affect functional status in elderly nursing home residents with ESRD?
Population
3,702 nursing home residents in the United States with end-stage renal disease starting treatment with…
Comparison
Initiation of dialysis vs Pre-dialysis functional status
Design
Cohort
Follow-up
12 months
Authors
Discussion
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Member takes
Implication
Dialysis initiation may accelerate decline in frail elderly; leaves open whether conservative care better preserves function in nursing home residents.
Structured PICO
Does the initiation of dialysis affect functional status in elderly nursing home residents with ESRD?
P
Population
3,702 nursing home residents in the United States with end-stage renal disease (ESRD) starting treatment with dialysis between June 1998 and October 2000, with at least one measurement of functional status available before initiation.
I
Intervention
Initiation of dialysis
C
Comparator
Pre-dialysis functional status (pre-post comparison)
O
Outcome
Functional status measured by the Minimum Data Set-Activities of Daily Living (MDS-ADL) scale (0 to 28 points)patient reported
In elderly nursing home residents with ESRD, starting dialysis is associated with a substantial and sustained decline in functional status and high 1-year mortality.
Cite This Study
Tamura et al. (2009) studied this question.