Publications by authors named "Amanda N Siriwardana"

Objectives: The EQ-5D-5L is a commonly used health-related quality of life instrument for evaluating interventions in patients receiving dialysis; however, the minimal important difference (MID) that constitutes a meaningful treatment effect for this population has not been established. This study aims to estimate the MID for the EQ-5D-5L utility index in dialysis patients.

Methods: 6-monthly EQ-5D-5L measurements were collected from adult dialysis patients between April 2017 and November 2020 at a renal network in Sydney, Australia.

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Article Synopsis
  • Patients with end-stage kidney disease often experience a heavy symptom burden, which can negatively affect their quality of life and survival; however, renal supportive care (RSC) has shown effectiveness in managing symptoms for those not on dialysis.
  • This study aimed to evaluate the effects of RSC on symptom management in dialysis patients, following 127 individuals referred to an RSC clinic over a span of several years.
  • Results indicated a significant improvement in physical and emotional symptoms after RSC intervention, with the most severe symptoms (like difficulty sleeping and pain) showing the greatest improvement, sustained even after long-term follow-up without altering dialysis treatments.
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