Data were collected and analyzed. Results: Ninety three patients were involved in this study. Data show that male : female = 46:47, age 52 ± 11, median of dialysis length 29 (7–149) months,
Kt/V 1.4 ± 0.8, average adipose tissue content was 13.01 ± 7.02 kg (23.75 ± 10.93 %), BMI 20.86 ± 3.45, median of hs-CRP 2.623 (0.177–44.139), MI score 6 ± 2. These data showed that the nutritional status measured by adipose, BMI and were still in normal find protocol range. Although Indonesian has lower BMI, they had higher percentage of adipose tissue. MIS revealed low score, accordance to hs-CRP result that also showed lower than other studies in Kaukasian and Black people. Conclusions: This study shows that hemodialysis patients in Bandung Indonesia have normal adipose tissue content, lower inflammation status, and low MI score. Key words: Adipose tissue, inflammation, MIS, hemodialysis. 245 COMPARISON OF DIALYSIS PATIENTS’ AND NEPHROLOGIST’S PERCEPTION OF SURVIVAL IN A RURAL SETTING N AUNG, S
MAY Tamworth Base Hospital, New South Wales, Australia Aim: To compare the difference between patients’ perception of their expected survival on dialysis and their treating nephrologist’s expected outcome. Background: Patients with End-Stage Renal Failure CP-673451 in vitro on dialysis are often unaware about their possible survival and this is rarely clearly discussed. Methods: Questionnaire is prepared to collect information from both patients and nephrologists about perception of
survival. We randomly select 15 patients from both in-patients and out-patients settings. Results: Patient’s median age is 64 years old (7 female, 8 male). 2 out 15 identify themselves as Indigenous and the rest are Caucasian. 60% of patients think they will survive more than 10 years but nephrologists think only 13% will. Those patients, who answered lower survival expectation, mostly had the Advanced Care Directive in place (53%). Two thirds of patient answered that a kidney transplant will prolong their survival. Nearly (14/15) would choose quality over quantity of life and their median quality of life is 7 (score from 0 to 10). Nephrologists’ Etomidate reason for low survival in 53% was due to cardiac complication and they gave high survival score in patients they assessed as eligible for kidney transplant (60%). Conclusions: There is a significant difference between the patients’ expectation of survival and their treating nephrologists’ expectation. This is an area that needs further exploration. 246 ETHICAL CONSIDERATIONS IN THE TREATMENT OF NON-ADHERENT HAEMODIALYSIS PATIENTS: BALANCING THE ETHICAL PRINCIPLES OF AUTONOMY AND JUSTICE C CORNEY1, S WINCH2 , A KARK1 1Royal Brisbane & Women’s Hospital, Brisbane, Queensland; 2The University of Queensland, Brisbane, Queensland, Australia Non-adherent haemodialysis patients present a challenge both medically and ethically. In-centre haemodialysis is an expensive treatment modality dependent on limited spaces.