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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Patients with End-Stage Kidney Disease (ESKD) face a poor prognosis, yet the rate of palliative care (PC) consultation in this population remains low despite international recommendations. This study aimed to identify factors associated with PC consultation in a single hemodialysis unit in Bangkok, Thailand.
This was a single-center, cross-sectional study. We screened ESKD patients receiving maintenance hemodialysis at Benchakitti Park Hospital for the presence of poor prognostic factors, defined as any of the following: (1) Age > 80 years, (2) other advanced organ failures (3) metastatic cancer, or (4) Palliative Performance Scale (PPS) ≤ 40. Patient age, PPS, and hemodialysis vintage were compared between patients who received PC consultation and those who received regular care using a two-sample t-test. Sex, Goal of care (GoC) discussion and death were compared using Fisher's exact test. A P value of < 0.05 was considered statistically significant.
Forty-five patients with poor prognostic factors were identified (mean age: 81 years; 44.4% male). Ten patients (22.2%) were referred for PC consultation. Compared to patients receiving regular care, those who received PC had a significantly lower mean PPS (39.0 vs. 54.4, P < 0.05) and a longer mean hemodialysis vintage (49.5 months vs. 28.3 months, P < 0.05). There were no statistically significant differences in mean age or sex between the groups. Importantly, Goals of Care discussions occurred in 90% (9/10) of the PC group but in none of the regular care patients (0/35). The 2-year mortality rate for the overall cohort was 22.2% (10/45) (Table 1).
Table 1 Result
Sex (Male)
Mean age (Years)
Mean Palliative Performance Score (PPS)
Dialysis vintage (mean, months)
Goal of care discussion (N)
Death (N)
14 (40%)
81.5
54.4
28.3
0
2 (5.7%)
6 (60%)
81.8
39
49.5
9 (90%)
8 (80%)
0.26
0.90
< 0.05
Palliative care consultation is uncommon for hemodialysis patients with poor prognostic factors. Referral was significantly associated with a lower functional status (PPS) and longer time on dialysis (vintage). The finding that these patients had a significantly higher rate of GoC discussions highlights the benefit of PC. Our data suggests that PC is often consulted late in the disease trajectory when patients are functionally declined or near the end of life, implying a need for increased awareness among nephrologists for earlier, proactive integration of palliative care.
