Abstract: SA-PO1044
Reproductive Health and CKD: A Cross-Sectional Survey of Patient Knowledge and Educational Needs
Session Information
- Women's Health and Kidney Diseases
October 26, 2024 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Women's Health and Kidney Diseases
- 2200 Women's Health and Kidney Diseases
Authors
- Oliverio, Andrea L., University of Michigan Medical School, Ann Arbor, Michigan, United States
- Brophy, Kelcie, University of Michigan Medical School, Ann Arbor, Michigan, United States
- Powell, Corey C., University of Michigan, Ann Arbor, Michigan, United States
- Hladunewich, Michelle A., Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- Hawley, Sarah, University of Michigan Medical School, Ann Arbor, Michigan, United States
- Wright Nunes, Julie A., University of Michigan Medical School, Ann Arbor, Michigan, United States
Background
Female reproductive health is affected by kidney disease, but is often not addressed in nephrology care. Our objective was to better understand patient educational needs on this topic to better facilitate family planning care for people with CKD.
Methods
We conducted an online survey of people with CKD assigned female sex at birth, aged 18-45, in English. Survey topics included current knowledge satisfaction, self-ranked education needs, communication preferences, health history, and demographics. Univariate(UV) and multivariable(MV) logistic regression were used to determine associations between individual patient characteristics and overall knowledge satisfaction.
Results
209 surveys were completed; 77% of participants self-identified as white, 11% Black, 4% Asian; 11% Hispanic. 23% had limited health literacy. Many were dissatisfied with their knowledge of contraception and pregnancy outcomes with CKD (49% and 36%, respectively). Pregnancy planning was associated with lower knowledge satisfaction and glomerular disease with higher knowledge satisfaction. However, after adjustment in MV analysis only health literacy was significantly associated with knowledge satisfaction (β -0.5, 95% CI -0.9 to -0.02) (Table 1). Understanding CKD impact on fetal development and menstruation, and kidney function changes after pregnancy were topics ranked as high priority by participants. The majority were open to receiving a recommendation about contraception (76%; n=159/209) or pregnancy timing (77%; n=161/209) from their nephrologist.
Conclusion
These findings suggest priority topics that should be included in family planning during CKD care. Patients are open to receiving this advice in nephrology clinics. Findings also reinforce the need for education tools to address family planning for all patients, including those with limited health literacy.
UV and MV associations of patient characteristics with knowledge satisfaction about reproductive health and CKD
| Patient characteristics | Estimated univariate effect | 95% CI | P | Estimated adjusted effect* | 95% CI | Adjusted P |
| Multigravid vs nulligravid | 0.2 | -0.1 – 0.5 | 0.17 | 0.04 | -0.4 – 0.4 | 0.86 |
| Planning a pregnancy vs not or unsure | -0.4 | -0.7 - -0.1 | 0.009 | -0.3 | -0.7 – 0.1 | 0.19 |
| Stage 1-2 vs stage 3-5 CKD | 0.2 | -0.04 – 0.5 | 0.10 | 0.2 | -0.2 – 0.5 | 0.37 |
| Glomerular disease vs not glomerular disease etiology | 0.3 | 0.01 – 0.5 | 0.043 | 0.3 | -0.1 – 0.6 | 0.12 |
| Additional year of age | 0.02 | -0.002 – 0.03 | 0.087 | 0.002 | -0.03 – 0.03 | 0.90 |
| Assistance with reading hospital materials (ever vs never) | -0.2 | -0.6 – 0.1 | 0.16 | -0.5 | -0.9 - -0.02 | 0.043 |
| *Adjusted model included race, ethnicity, educational attainment, and income | ||||||
Funding
- NIDDK Support