Journal
PALLIATIVE MEDICINE
Volume 20, Issue 6, Pages 631-636Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0269216306070236
Keywords
cancer; CKD stage 5; conservative management; end-stage renal disease; quality of life; symptoms
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Background: Patients with advanced renal failure are increasingly opting for conservative treatment, yet little is known of their palliative care needs. Methods: We performed a cross-sectional study, examining symptom burden and quality of life in patients with advanced renal failure (estimated GFR <17 mL/min; n = 11). A contemporary cohort with terminal malignancy acted as comparators (n = 11). Symptom burden was scored using an extended Memorial Symptom Assessment Scale Short Form questionnaire. Quality of life was assessed using the Euroqol-5Q questionnaire. Demographic and pathological data, performance status and co-morbidity were also recorded. Results: Baseline characteristics were similar for the two groups. Symptom burden (renal 17; cancer 15; P = NS) and quality of life scores (renal 60; cancer 60; P = NS) were remarkably similar. Both groups reported high levels of psychological distress. Conclusions: Patients with advanced renal failure experience a symptom burden and impairment of quality of life similar to that of patients with terminal malignancy.
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