Article Figures & Data
Figures
- Figure 1.
Survival curves for “surprise” question response and comorbidity score in days alive at 12 mo. Data are means ± SE. (A) Curves of “yes” and “no” response groups to the “surprise” question, “Would I be surprised if this patient died in the next year?” (B) Curves of the lower (<8) and higher (≥8) Charlson Comorbidity Index (CCI) score groups.
Tables
Variable All(n = 147) “Yes”(n = 113) “No”(n = 34) P Age (yr) 66.4 ± 14.8 64.5 ± 14.9 72.5 ± 12.8 0.005 Time on dialysis (mo) 38.9 ± 38.8 39.5 ± 41.0 36.7 ± 30.4 0.728 Serum albumin 3.9 ± 0.3 3.9 ± 0.3 3.7 ± 0.4 0.046 Pain visual analogue score 2.6 ± 3.2 2.7 ± 3.3 2.3 ± 3.0 0.575 McGill Quality of Life Question 6.7 ± 2.1 6.8 ± 2.1 6.4 ± 2.0 0.394 CCI score 6.1 ± 2.2 5.8 ± 2.1 7.1 ± 2.3 0.004 Karnofsky Performance Status score 80.0 ± 16.8 81.6 ± 15.8 69.7 ± 17.1 <0.001 ↵a “Yes” indicates patients in the “yes, I would be surprised” group; “No” indicates the “no, I would not be surprised” group. CCI, Charlson Comorbidity Index.
Predictor OR (95% CI) P “Surprise” question response (reference = “yes”) 3.507 (1.356 to 9.067) 0.010 CCI score 1.417 (1.099 to 1.826) 0.007 Karnofsky Performance Status score 0.964 (0.937 to 0.992) 0.012 Quality of Life score 0.859 (0.693 to 1.065) 0.166 Visual analogue scale 1.109 (0.962 to 1.279) 0.153 Serum albumin 0.329 (0.080 to 1.350) 0.123 Mean Kt/V 1.242 (0.238 to 6.489) 0.797 Serum hemoglobin 1.084 (0.692 to 1.699) 0.724 Gender 0.974 (0.392 to 2.420) 0.955 Race 0.324 (0.041 to 2.580) 0.287 Time on dialysis (mo) 1.006 (0.995 to 1.016) 0.293 Age 1.012 (0.980 to 1.045) 0.469 ↵a CI, confidence interval; OR, odds ratio. For those for whom the “surprise” question was answered “no,” the odds of dying within 1 yr were 3.507 times the odds of dying for those for whom the “surprise” question response was “yes.” CCI indicates Charlson Comorbidity Index.
Predictor OR (95% CI) P “Surprise” question (reference = “yes”) 2.448 (0.653 to 9.170) 0.184 CCI score 1.511 (1.047 to 2.181) 0.027 Karnofsky Performance Status score 0.985 (0.949 to 1.024) 0.449 Quality of Life score 0.972 (0.720 to 1.313) 0.854 Visual analogue scale 1.080 (0.908 to 1.283) 0.384 Serum albumin 0.681 (0.111 to 4.165) 0.677 Mean Kt/V 1.470 (0.216 to 10.014) 0.694 Serum hemoglobin 1.344 (0.699 to 2.582) 0.376 Gender 0.826 (0.225 to 3.028) 0.773 Race 0.442 (0.044 to 4.423) 0.488 Time on dialysis 1.010 (0.997 to 1.023) 0.122 Age 0.962 (0.911 to 1.016) 0.160
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Utility of the “Surprise” Question to Identify Dialysis Patients with High Mortality
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