Baseline Characteristics of Frailty and Disease Stage in Older People Living With CKD
Introduction: The GOAL trial, a cluster randomized controlled trial, investigated the effect of comprehensive geriatric assessment (CGA) on frail older people with chronic kidney disease (CKD). This paper describes the following: (i) participant baseline characteristics, and (ii) their relationship...
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2025-01-01
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| author | Benignus Logan Elaine M. Pascoe Andrea K. Viecelli David W. Johnson Tracy Comans Carmel M. Hawley Laura E. Hickey Monika Janda Allison Jaure Emarene Kalaw Charani Kiriwandeniya Misa Matsuyama Gabor Mihala Kim-Huong Nguyen Jason D. Pole Kevan R. Polkinghorne Dimity Pond Rajesh Raj Donna M. Reidlinger Nicole Scholes-Robertson Andrea Valks Germaine Wong Ruth E. Hubbard Deanna Nisha Antony Ricky Arenson Owen Bale Sabine Braat Benilda Maria Lobo Brites Sally Broers Graham Buckle Sreenath Bukkapatnam Joanne Cerni Doris Chan Michael G. Collins Amanda Elms John Fanning Karen Fischer Adam Flavell Leon Flicker Chloe Furst Emily H. Gordon Sridevi Govindarajulu Natalie Grainer Stella Jean Green Suetonia C. Green Chandana Guha Samantha Hand Leny Dwi Nur Hidayati Rachael Irvine Ibrahim Ismail Shilpanjali Jesudason George Kan Ya-Yu Kang Leonie Kelly Debbie Kennedy Khadija Khatry Vinod Khelgi Shannon Kokoszka Anoushka Krishnan Heather Lane Diana Leary Andrea Lees Claire Long Angela Makris Khalilah Katherine Marquez Amanda Maxwell Amanda McGrath David McIntyre Penelope Murie Karina Murphy Danielle Ní Chróinín Nancye M. Peel Stephanie Polley Xiaodan Qiu Madeleine Rapisardi Matthew A. Roberts Simon D. Roger Shailly Saxena Shaundeep Sen Edward Strivens Julie Varghese Louise M. Waite Robert Walker Daniel Wong Paul Andrew Yates Belinda Yip Andreea Zaharia |
| author_facet | Benignus Logan Elaine M. Pascoe Andrea K. Viecelli David W. Johnson Tracy Comans Carmel M. Hawley Laura E. Hickey Monika Janda Allison Jaure Emarene Kalaw Charani Kiriwandeniya Misa Matsuyama Gabor Mihala Kim-Huong Nguyen Jason D. Pole Kevan R. Polkinghorne Dimity Pond Rajesh Raj Donna M. Reidlinger Nicole Scholes-Robertson Andrea Valks Germaine Wong Ruth E. Hubbard Deanna Nisha Antony Ricky Arenson Owen Bale Sabine Braat Benilda Maria Lobo Brites Sally Broers Graham Buckle Sreenath Bukkapatnam Joanne Cerni Doris Chan Michael G. Collins Amanda Elms John Fanning Karen Fischer Adam Flavell Leon Flicker Chloe Furst Emily H. Gordon Sridevi Govindarajulu Natalie Grainer Stella Jean Green Suetonia C. Green Chandana Guha Samantha Hand Leny Dwi Nur Hidayati Rachael Irvine Ibrahim Ismail Shilpanjali Jesudason George Kan Ya-Yu Kang Leonie Kelly Debbie Kennedy Khadija Khatry Vinod Khelgi Shannon Kokoszka Anoushka Krishnan Heather Lane Diana Leary Andrea Lees Claire Long Angela Makris Khalilah Katherine Marquez Amanda Maxwell Amanda McGrath David McIntyre Penelope Murie Karina Murphy Danielle Ní Chróinín Nancye M. Peel Stephanie Polley Xiaodan Qiu Madeleine Rapisardi Matthew A. Roberts Simon D. Roger Shailly Saxena Shaundeep Sen Edward Strivens Julie Varghese Louise M. Waite Robert Walker Daniel Wong Paul Andrew Yates Belinda Yip Andreea Zaharia |
| author_sort | Benignus Logan |
| collection | DOAJ |
| description | Introduction: The GOAL trial, a cluster randomized controlled trial, investigated the effect of comprehensive geriatric assessment (CGA) on frail older people with chronic kidney disease (CKD). This paper describes the following: (i) participant baseline characteristics, and (ii) their relationship with CKD stage and frailty severity. Methods: Sixteen kidney outpatient clinics (clusters) were randomly allocated 1:1 to CGA or usual care. Enrolled frail older people with CKD (Frailty Index [FI] > 0.25; aged ≥65 years or ≥55 if First Nations people) received the intervention allocated to their cluster. CKD was defined as moderate (stages 3 or 4) or severe (stage 5 or 5D), and frailty categorized as moderate (>0.25–<0.36), severe (0.36–<0.45) or very severe (≥0.45). Participant characteristics were analyzed using descriptive statistics. Statistical methods appropriate for type of outcome were used to describe the association of frailty and CKD categories with participant characteristics. Results: Over a 27-month period, 240 people were recruited (55.7% male, 82.9% White/European). Mean age was 76.9 (SD: 6.6) years and median FI was 0.39 (interquartile range [IQR]: 0.32–0.47). The median EQ-5D-5L quality-of-life index score was worse in those with very severe frailty (0.57, IQR: 0.28–0.83) compared to severe frailty (0.85, IQR: 0.67–0.92) and moderate frailty (0.90, IQR: 0.82–0.93) (overall P < 0.001). Median EQ-5D-5L was also worse in those with severe CKD (0.79, IQR: 0.40–0.89), compared to moderate CKD (median 0.87, IQR: 0.73–0.92; P = 0.001). Conclusion: This cohort demonstrated poorer quality-of-life scores in those with more severe frailty and more advanced CKD. |
| format | Article |
| id | doaj-art-d2a2001eb3b94388b5fc2ea090ea2957 |
| institution | DOAJ |
| issn | 2468-0249 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Kidney International Reports |
| spelling | doaj-art-d2a2001eb3b94388b5fc2ea090ea29572025-08-20T03:21:18ZengElsevierKidney International Reports2468-02492025-01-0110112013310.1016/j.ekir.2024.10.009Baseline Characteristics of Frailty and Disease Stage in Older People Living With CKDBenignus Logan0Elaine M. Pascoe1Andrea K. Viecelli2David W. Johnson3Tracy Comans4Carmel M. Hawley5Laura E. Hickey6Monika Janda7Allison Jaure8Emarene Kalaw9Charani Kiriwandeniya10Misa Matsuyama11Gabor Mihala12Kim-Huong Nguyen13Jason D. Pole14Kevan R. Polkinghorne15Dimity Pond16Rajesh Raj17Donna M. Reidlinger18Nicole Scholes-Robertson19Andrea Valks20Germaine Wong21Ruth E. Hubbard22Deanna Nisha AntonyRicky ArensonOwen BaleSabine BraatBenilda Maria Lobo BritesSally BroersGraham BuckleSreenath BukkapatnamJoanne CerniDoris ChanMichael G. CollinsAmanda ElmsJohn FanningKaren FischerAdam FlavellLeon FlickerChloe FurstEmily H. GordonSridevi GovindarajuluNatalie GrainerStella Jean GreenSuetonia C. GreenChandana GuhaSamantha HandLeny Dwi Nur HidayatiRachael IrvineIbrahim IsmailShilpanjali JesudasonGeorge KanYa-Yu KangLeonie KellyDebbie KennedyKhadija KhatryVinod KhelgiShannon KokoszkaAnoushka KrishnanHeather LaneDiana LearyAndrea LeesClaire LongAngela MakrisKhalilah Katherine MarquezAmanda MaxwellAmanda McGrathDavid McIntyrePenelope MurieKarina MurphyDanielle Ní ChróinínNancye M. PeelStephanie Polley Xiaodan QiuMadeleine RapisardiMatthew A. RobertsSimon D. RogerShailly SaxenaShaundeep SenEdward StrivensJulie VargheseLouise M. WaiteRobert WalkerDaniel WongPaul Andrew YatesBelinda YipAndreea ZahariaAustralian Frailty Network, The University of Queensland, Brisbane, Australia; Centre for Health Services Research, The University of Queensland, Brisbane, Australia; Correspondence: Benignus Logan, Centre for Health Services Research, University of Queensland 34 Cornwall St, Woolloongabba Queensland 4102, Australia.Centre for Health Services Research, The University of Queensland, Brisbane, AustraliaAustralasian Kidney Trials Network, The University of Queensland, Brisbane, Australia; Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, AustraliaAustralasian Kidney Trials Network, The University of Queensland, Brisbane, Australia; Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Australia; Centre for Kidney Disease Research, Translational Research Institute, Brisbane, AustraliaAustralian Frailty Network, The University of Queensland, Brisbane, Australia; Centre for Health Services Research, The University of Queensland, Brisbane, Australia; National Ageing Research Institute, Melbourne, AustraliaAustralasian Kidney Trials Network, The University of Queensland, Brisbane, Australia; Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, AustraliaAustralasian Kidney Trials Network, The University of Queensland, Brisbane, AustraliaCentre for Health Services Research, The University of Queensland, Brisbane, AustraliaSydney School of Public Health, The University of Sydney, Sydney, AustraliaAustralasian Kidney Trials Network, The University of Queensland, Brisbane, AustraliaAustralasian Kidney Trials Network, The University of Queensland, Brisbane, AustraliaAustralasian Kidney Trials Network, The University of Queensland, Brisbane, AustraliaCentre for Health Services Research, The University of Queensland, Brisbane, Australia; Australasian Kidney Trials Network, The University of Queensland, Brisbane, AustraliaCentre for Health Services Research, The University of Queensland, Brisbane, Australia; School of Public Health, The University of Queensland, Brisbane, Australia; Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland and University of California, San Francisco, California, USACentre for Health Services Research, The University of Queensland, Brisbane, Australia; Dalla Lana School of Public Health, The University of Toronto, Toronto, Ontario, CanadaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Department of Medicine, Monash University, Melbourne, Australia; Department of Nephrology, Monash Health, Melbourne, AustraliaWicking Dementia Research and Education Centre, University of Tasmania, Hobart, Australia; University of New England, Armidale, AustraliaSchool of Medicine, University of Tasmania, Hobart, Australia; Department of Nephrology, Launceston General Hospital, Launceston, AustraliaAustralian Frailty Network, The University of Queensland, Brisbane, Australia; Centre for Health Services Research, The University of Queensland, Brisbane, AustraliaSydney School of Public Health, The University of Sydney, Sydney, Australia; Centre for Kidney Research, The Children’s Hospital at Westmead, Sydney, AustraliaAustralasian Kidney Trials Network, The University of Queensland, Brisbane, AustraliaSydney School of Public Health, The University of Sydney, Sydney, Australia; Centre for Kidney Research, The Children’s Hospital at Westmead, Sydney, Australia; Centre for Transplant and Renal Research, Westmead Hospital, Sydney, AustraliaAustralian Frailty Network, The University of Queensland, Brisbane, Australia; Centre for Health Services Research, The University of Queensland, Brisbane, Australia; Department of General and Geriatric Medicine, Princess Alexandra Hospital, Brisbane, AustraliaIntroduction: The GOAL trial, a cluster randomized controlled trial, investigated the effect of comprehensive geriatric assessment (CGA) on frail older people with chronic kidney disease (CKD). This paper describes the following: (i) participant baseline characteristics, and (ii) their relationship with CKD stage and frailty severity. Methods: Sixteen kidney outpatient clinics (clusters) were randomly allocated 1:1 to CGA or usual care. Enrolled frail older people with CKD (Frailty Index [FI] > 0.25; aged ≥65 years or ≥55 if First Nations people) received the intervention allocated to their cluster. CKD was defined as moderate (stages 3 or 4) or severe (stage 5 or 5D), and frailty categorized as moderate (>0.25–<0.36), severe (0.36–<0.45) or very severe (≥0.45). Participant characteristics were analyzed using descriptive statistics. Statistical methods appropriate for type of outcome were used to describe the association of frailty and CKD categories with participant characteristics. Results: Over a 27-month period, 240 people were recruited (55.7% male, 82.9% White/European). Mean age was 76.9 (SD: 6.6) years and median FI was 0.39 (interquartile range [IQR]: 0.32–0.47). The median EQ-5D-5L quality-of-life index score was worse in those with very severe frailty (0.57, IQR: 0.28–0.83) compared to severe frailty (0.85, IQR: 0.67–0.92) and moderate frailty (0.90, IQR: 0.82–0.93) (overall P < 0.001). Median EQ-5D-5L was also worse in those with severe CKD (0.79, IQR: 0.40–0.89), compared to moderate CKD (median 0.87, IQR: 0.73–0.92; P = 0.001). Conclusion: This cohort demonstrated poorer quality-of-life scores in those with more severe frailty and more advanced CKD.http://www.sciencedirect.com/science/article/pii/S2468024924019673chronic kidney diseasecomprehensive geriatric assessmentfrailtygoal attainment scalingolder peoplequality of life |
| spellingShingle | Benignus Logan Elaine M. Pascoe Andrea K. Viecelli David W. Johnson Tracy Comans Carmel M. Hawley Laura E. Hickey Monika Janda Allison Jaure Emarene Kalaw Charani Kiriwandeniya Misa Matsuyama Gabor Mihala Kim-Huong Nguyen Jason D. Pole Kevan R. Polkinghorne Dimity Pond Rajesh Raj Donna M. Reidlinger Nicole Scholes-Robertson Andrea Valks Germaine Wong Ruth E. Hubbard Deanna Nisha Antony Ricky Arenson Owen Bale Sabine Braat Benilda Maria Lobo Brites Sally Broers Graham Buckle Sreenath Bukkapatnam Joanne Cerni Doris Chan Michael G. Collins Amanda Elms John Fanning Karen Fischer Adam Flavell Leon Flicker Chloe Furst Emily H. Gordon Sridevi Govindarajulu Natalie Grainer Stella Jean Green Suetonia C. Green Chandana Guha Samantha Hand Leny Dwi Nur Hidayati Rachael Irvine Ibrahim Ismail Shilpanjali Jesudason George Kan Ya-Yu Kang Leonie Kelly Debbie Kennedy Khadija Khatry Vinod Khelgi Shannon Kokoszka Anoushka Krishnan Heather Lane Diana Leary Andrea Lees Claire Long Angela Makris Khalilah Katherine Marquez Amanda Maxwell Amanda McGrath David McIntyre Penelope Murie Karina Murphy Danielle Ní Chróinín Nancye M. Peel Stephanie Polley Xiaodan Qiu Madeleine Rapisardi Matthew A. Roberts Simon D. Roger Shailly Saxena Shaundeep Sen Edward Strivens Julie Varghese Louise M. Waite Robert Walker Daniel Wong Paul Andrew Yates Belinda Yip Andreea Zaharia Baseline Characteristics of Frailty and Disease Stage in Older People Living With CKD Kidney International Reports chronic kidney disease comprehensive geriatric assessment frailty goal attainment scaling older people quality of life |
| title | Baseline Characteristics of Frailty and Disease Stage in Older People Living With CKD |
| title_full | Baseline Characteristics of Frailty and Disease Stage in Older People Living With CKD |
| title_fullStr | Baseline Characteristics of Frailty and Disease Stage in Older People Living With CKD |
| title_full_unstemmed | Baseline Characteristics of Frailty and Disease Stage in Older People Living With CKD |
| title_short | Baseline Characteristics of Frailty and Disease Stage in Older People Living With CKD |
| title_sort | baseline characteristics of frailty and disease stage in older people living with ckd |
| topic | chronic kidney disease comprehensive geriatric assessment frailty goal attainment scaling older people quality of life |
| url | http://www.sciencedirect.com/science/article/pii/S2468024924019673 |
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