EP-345 How do we get these lines out?. (9th August 2022)

• Record Type: Journal Article
• Authors: Teo, Tessa; Alim, Adam; Vasanthan, Biruntha; Durojaiye, Abiola; De Figueiredo, Fatima; Gambhir, Raghvinder
• Is Part Of: British journal of surgery. Volume 109(2022)Supplement 5
• Publication Date: 2022-08-09
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znac245.089
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Aims: The aim of our study was to identify the factors influencing patient decision-making in conversion from tunnelled lines to arterio-venous fistulas/ grafts (AVF/G). Methods: We consented and interviewed 40 patients who were currently dialysing through lines at a main dialysis unit in a tertiary hospital to understand factors influencing their decision. We designed and implemented a patient intervention education programme. Results: Age range 24 to 86 years, (median 59), Females to Males ratio-1:1.4. Twenty-three patients (57.5%) started dialysis on a line and have remained on a line, 8 (20%) have a maturing graft and 9 (22.5%) have a fistula that is not maturing well or one that has failed. None on lines had had any previous face-to-face education regarding the benefits of fistulas over lines. After one session, 14/18 patients (78%) agreed to attend the access clinic. The remaining 5 patients did not participate in the intervention. Conclusion: We were able to convert 78% of patients in just one single face-to-face education session. In the Patient Reported Experience of Kidney Care in the UK 2020 (PREM) report "Patient experience of Sharing Decisions About Your Care" received the lowest scores (5.49/7) among the 13 theme scores. Just providing a leaflet to the patient is not enough. Hence, an educational intervention like ours should be made part of the routine practice at all dialysis units. Reference: The Renal Association and Kidney Care UK (2020) 'Patient Reported Experience of Kidney Care in the UK 2020', p. 14. Available at: https://renal.org/sites/renal.org/files/KQuIP/PREM report 2021.pdf