{"id":5520,"date":"2019-07-12T15:39:31","date_gmt":"2019-07-12T14:39:31","guid":{"rendered":"http:\/\/www.library.sath.nhs.uk\/research\/?p=5520"},"modified":"2021-03-05T12:30:31","modified_gmt":"2021-03-05T12:30:31","slug":"the-prevalence-of-mildmoderate-distress-in-patients-with-end-stage-renal-disease-results-from-a-patient-survey-using-the-emotion-thermometers-in-four-hospital-trusts-in-the-west-midlands-uk-2019","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2019\/07\/12\/the-prevalence-of-mildmoderate-distress-in-patients-with-end-stage-renal-disease-results-from-a-patient-survey-using-the-emotion-thermometers-in-four-hospital-trusts-in-the-west-midlands-uk-2019\/","title":{"rendered":"The prevalence of mild moderate distress in patients with end-stage renal disease: Results from a patient survey using the emotion thermometers in four hospital Trusts in the West Midlands, UK (2019)"},"content":{"rendered":"

Type of publication:<\/strong>
\nJournal article<\/p>\n

Author(s):<\/strong>
\nDamery S.; Sein K.; Combes G.; Brown C.; *Nicholas J.<\/a> \"\"<\/a>; Baharani J.<\/p>\n

Citation:<\/strong>
\nBMJ Open; May 2019; vol. 9 (no. 5), e027982<\/p>\n

Abstract:<\/strong>
\nObjectives To assess the prevalence of mild-To-moderate distress in patients with end-stage renal disease\u00a0(ESRD) and determine the association between distress and patient characteristics. Design Cross-sectional\u00a0survey using emotion thermometer and distress thermometer problem list. Setting Renal units in four hospital\u00a0Trusts in the West Midlands, UK. Participants Adult patients with stage 5 chronic kidney disease who were: (1)\u00a0On prerenal replacement therapy. (2) On dialysis for less than 2 years. (3) On dialysis for 2 years or more (4)\u00a0With a functioning transplant. Outcomes The prevalence of mild-To-moderate distress, and the incidence of\u00a0distress thermometer problems and patient support needs. Results In total, 1040\/3730 surveys were returned\u00a0(27.9%). A third of survey respondents met the criteria for mild-To-moderate distress (n=346; 33.3%).\u00a0Prevalence was highest in patients on dialysis for 2 years or more (n=109\/300; 36.3%) and lowest in transplant\u00a0patients (n=118\/404; 29.2%). Prevalence was significantly higher in younger versus older patients (chi 2\u00a0=14.33; p=0.0008), in women versus men (chi 2 =6.63; p=0.01) and in black and minority ethnic patients versus
\npatients of white ethnicity (chi 2 =10.36; p=0.013). Over 40% of patients (n=141) reported needing support.\u00a0More than 95% of patients reported physical problems and 91.9% reported at least one emotional problem.\u00a0Conclusions Mild-To-moderate distress is common in patients with ESRD, and there may be substantial unmet\u00a0support needs. Regular screening could help identify patients whose distress may otherwise remain\u00a0undetected. Further research into differences in distress prevalence over time and at specific transitional points
\nacross the renal disease pathway is needed, as is work to determine how best to support patients requiring help.<\/p>\n

Link to full-text<\/a>\u00a0[no password required]<\/p>\n

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