Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
Cheng HWB(1), Chan KP(1), Chung WK(1), Hsu DY(1)
Affiliation :
(1) Department of Medicine & Geriatrics, Tuen Mun Hospital
Introduction :
Despite the growing needs in non-dialytic alternatives for conservative kidney management, few studies have examined the management of anemia in palliative care (PC) outpatient clinics, which represent the key point of entry for timely access to PC.
Objectives :
A retrospective study to review for a patient-centered approach in anemia management and symptom control.
Methodology :
Retrospective chart review of patients seen at NTWC Renal Palliative Care clinic from July 2020 to March 2023.
Result & Outcome :
Over the study period, a total of 158 patients were seen at our renal PC clinic, 47 were included into data analysis. Patients had a mean age and glomerular filtration rate of 81.3 (9.5) years and 8.6 (5.3) mL/min/1.73m2, and 68.1% and 44.7% were receiving erythropoiesis-stimulating agents (ESAs) and iron supplements respectively, with only 4.3% of patients required transfusion over past six months. Mean hemoglobin was maintained at 9.8 (1.4) g/dL, with a mean POS-S Renal score of 4.7(3.2). Majority of patients (93.6%) had satisfactory rating on “weakness and lack of energy” item.
