Comprehensive Geriatric Assessment (CGA) and Optimisation Services in Older Kidney Patients: Results from the First UK-Wide Transplant Centre and Renal Unit Survey Study
Abstract
:1. Introduction
- attitudes/beliefs of renal physicians and kidney transplant surgeons in the UK toward the CGA for older potential kidney transplant recipients and older patients who are being considered for dialysis or supportive care;
- provision of CGA services for these patients in the UK;
- barriers and enablers to the provision of these CGA services in the UK.
2. Materials and Methods
3. Results
3.1. Response Rate
3.2. Transplant Activity and Workup
3.3. Attitudes, Beliefs and Current Practice Regarding CGA Amongst Renal Physicians and Transplant Surgeons
3.4. Current Availability of CGA and Optimisation Services (CGA-OS) in RUs and TCs
3.5. Barriers and Enablers to the Establishment and Ongoing Provision of CGA-OS
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
BGS | British Geriatric Society |
CFS | Clinical frailty score |
CGA | comprehensive geriatric assessment |
CKD | chronic kidney disease |
CPOC | Centre for Perioperative Care |
EFS | Edmonton frail scale |
ESKD | end-stage kidney disease |
FFP | Fried frailty phenotype |
IDC | Impaired decision-making capacity |
MCI | Mild cognitive impairment |
MDM | multidisciplinary meeting |
NHS | National Health Service |
NHSBTODT | National Health Service Blood and Transplant Organ Donation and Transplantation |
RU | Renal unit |
SDM | Shared decision-making |
TC | Transplant centre |
UK | United Kingdom |
UKKA | United Kingdom Kidney Association |
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What Incentives or Support Would Encourage You to Incorporate Comprehensive Geriatric Assessment and Optimisation (CGA) More Consistently in the Evaluation of Potential Kidney Transplant Recipients Aged over 60? |
---|
‘Really strong evidence that it improves outcomes in this population.’ |
‘Finance and work force.’ |
‘Incorporate it into recipient assessment.’ |
‘Improved evidence on frailty specifically in kidney transplantation.’ |
‘Evidence-base.’ |
‘An interested Care of the Elderly Physician and the resources to collaborate with them- time, financial and logistics.’ |
‘Education on the process and funding. Unfortunately, unlikely to be able to set anything new up which will cost money due to the financial stress the hospital is under.’ |
‘Education from centres that have used CGA, evidence of better outcomes when using CGA.’ |
‘Evidence, funding.’ |
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Holland, J.A.; Partridge, J.S.L.; Cronin, A.J. Comprehensive Geriatric Assessment (CGA) and Optimisation Services in Older Kidney Patients: Results from the First UK-Wide Transplant Centre and Renal Unit Survey Study. J. Clin. Med. 2025, 14, 3070. https://doi.org/10.3390/jcm14093070
Holland JA, Partridge JSL, Cronin AJ. Comprehensive Geriatric Assessment (CGA) and Optimisation Services in Older Kidney Patients: Results from the First UK-Wide Transplant Centre and Renal Unit Survey Study. Journal of Clinical Medicine. 2025; 14(9):3070. https://doi.org/10.3390/jcm14093070
Chicago/Turabian StyleHolland, John A., Judith S. L. Partridge, and Antonia J. Cronin. 2025. "Comprehensive Geriatric Assessment (CGA) and Optimisation Services in Older Kidney Patients: Results from the First UK-Wide Transplant Centre and Renal Unit Survey Study" Journal of Clinical Medicine 14, no. 9: 3070. https://doi.org/10.3390/jcm14093070
APA StyleHolland, J. A., Partridge, J. S. L., & Cronin, A. J. (2025). Comprehensive Geriatric Assessment (CGA) and Optimisation Services in Older Kidney Patients: Results from the First UK-Wide Transplant Centre and Renal Unit Survey Study. Journal of Clinical Medicine, 14(9), 3070. https://doi.org/10.3390/jcm14093070