Publications by authors named "A E Kark"

Rationale & Objective: Little is known about hospital admissions in nondialysis patients with chronic kidney disease (CKD) before death or starting kidney replacement therapy (KRT).

Study Design: Retrospective observational cohort study.

Setting & Participants: Hospitalizations among 7,201 patients with CKD from 10 public renal clinics in Queensland (QLD), enrolled in the CKD.

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Background: Chronic kidney disease progression to kidney failure is diverse, and progression may be different according to genetic aspects and settings of care. We aimed to describe kidney failure risk equation prognostic accuracy in an Australian population.

Methods: A retrospective cohort study was undertaken in a public hospital community-based chronic kidney disease service in Brisbane, Australia, which included a cohort of 406 adult patients with chronic kidney disease Stages 3-4 followed up over 5 years (1/1/13-1/1/18).

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Article Synopsis
  • This study aimed to profile adults with chronic kidney disease (CKD) in Queensland, Australia, by examining data from 7,060 participants over a median of 3.4 years until they either started kidney replacement therapy (KRT) or passed away without it.
  • The cohort was predominantly older (median age 68), with a significant proportion being diabetic and obese; the causes of CKD varied with age, and distinct patterns were observed across different public renal practices.
  • The results highlight a broad spectrum of CKD characteristics, including the stability of kidney function in many patients, differing demographics in need of KRT, and significant health disparities notably among Indigenous populations.
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Background: Chronic kidney disease (CKD) is a growing global problem affecting around 10% of many countries' populations. Providing appropriate palliative care services (PCS) to those with advanced kidney disease is becoming paramount. Palliative/supportive care alongside usual CKD clinical treatment is gaining acceptance in nephrology services although the collaboration with and use of PCS is not consistent.

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Background: There is increasing recognition of the clinical need for timely and coordinated supportive and palliative care for those with terminal organ failure.

Objective: To describe symptoms, quality of life and supportive care needs in the anticipated 12-month period prior to death in adults with chronic kidney disease (CKD) stages 4 or 5.

Method: An observational, prospective, longitudinal design was used to follow 19 patients.

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