RNOtherJournal of renal care2026

Developing a Set of Core Patient-Reported Outcomes for Kidney Replacement Therapy: A Modified Delphi Study.

Jessica Nikolovski, Brendan Smyth, Shyamsundar Muthuramalingam and 7 others

PMID 42383631

WHAT IT FOUND

A renal registry consensus chose the EQ-5D-5L and IPOS-Renal questionnaires for kidney replacement therapy.

It recommends electronic completion, patient choice of location, baseline and regular collection, and symptom alerts.

Key findings

01The consensus panel selected EQ-5D-5L and IPOS-Renal as the core patient-reported outcome measures for the ANZDATA Registry.

02Participants preferred electronic completion, patient choice of home or clinic, and an initial questionnaire followed by six-month collection as a minimum.

03Four of seven consumers in the workshop preferred KDQOL-36 with IPOS-Renal, but the final decision was EQ-5D-5L with IPOS-Renal.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The findings are stakeholder consensus, not evidence that the selected questionnaires improve patient care or outcomes. Participants were recruited through existing PROM and registry networks, so views may not represent all kidney units or patients. Eligibility excluded non-English speakers, and culturally and linguistically diverse patients were under-represented. International experts mostly did not attend the workshop, so the final consensus largely reflects Australia and New Zealand. Consumers were fewer than clinicians and researchers in the workshop, which may have affected the final PROM choice. The study did not test how patients complete the PROMs or whether nurses can use the results in routine care.

Declared interests

One author reported funding from NIHR Birmingham Biomedical Research Centre, NIHR Applied Research Collaboration West Midlands, an NIHR Blood and Transplant Research Unit, LifeArc, Innovate UK, The Health Foundation, Gilead Sciences, Merck, Anthony Nolan, GSK and Sarcoma UK, plus personal fees from Gilead Sciences, Merck, Boehringer Ingelheim, Innovate UK and GSK. Another reported personal fees from CSL Seqirus and AstraZeneca. The work was funded by a Clinical Quality Register Module capacity-building programme, an Australian Government Research Training Programme fee offset, a University of Sydney Faculty of Medicine and Health Flagship Centres Scholarship, and an Australian National Health and Medical Research Council Investigator Fellowship.

The easy way to misread this

Do not read this as proof that the EQ-5D-5L and IPOS-Renal improve kidney replacement therapy care. It reports consensus on registry data collection and does not test patient outcomes.

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