EP-345 How do we get these lines out?

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