Do Dialysis Decision AIDS Improve Treatment Decision-Making?

Abstract

Several studies report people with advanced kidney disease are dissatisfied with the amount and type of information they receive about dialysis treatment options. 3 A systematic review of patients' perspectives about treatment option information found 10 of 18 studies in which patients and family members felt they had

Length of Time on Peritoneal Dialysis and Encapsulating Peritoneal Sclerosis — Position Paper for ISPD: 2017 Update

“…Many patients are reluctant to transfer to HD, even when clinically indicated, because they perceive that such a transfer would adversely affect their quality of life. A proper presentation of, and possible use of decision aids about different renal replacement therapies, including home HD and the option of conservative care, from the start of treatment onward (integrated care) could potentially reduce disappointment when a transfer is needed (3)(4)(5).…”

Dialysis Organization Online Information on Kidney Failure Treatments: A Content Analysis Using Corpus Linguistics

“…Within this nested set of effects, patient misunderstandings do arise, and in the course of prognostic discussions, clinicians should try to undo misunderstandings. 61 Studies across multiple contexts have shown well-designed material can help patients make higher quality kidney replacement therapy treatment decisions 62 ; however, little is known on the best way to aid patients in untangling potentially misconstrued health beliefs arising from educational websites of dialysis organizations which may also have a marketing component. 63 This is important given that surrogate information seekers already frequently use the internet, 64 and internet use is increasing among older adults.…”

Comparison of shared decision making in patients undergoing hemodialysis and peritoneal dialysis for choosing a dialysis modality

“…Similarly, in a study conducted in Germany in 2016, more than one-fourth of the HD patient stated that dialysis modality selection was made by a nephrologist without asking for their decisions and opinions [ 43 ]. A systematic review study showed that out of 18 studies, in 10 studies, patients and their families believed that they did not receive sufficient SDM-related information [ 62 ]. In a study in the United Kingdom, Durand et al [ 63 ] found that more than half of patients with chronic kidney disease were unaware of all RRTs as a potential treatment and were reluctant to talk with their healthcare professionals about it.…”