Effects of <scp>one‐hour</scp> discussion on the choice of dialysis modality at the outpatient clinic: A retrospective cohort study using propensity score matching

Sakurada, Tsutomu; Koitabashi, Kenichiro; Murasawa, Masaru; Kohatsu, Kaori; Kojima, Shigeki; Shibagaki, Yugo

doi:10.1111/1744-9987.13941

Cited by 6 publications

(4 citation statements)

References 33 publications

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“…While the authors noted this was similar to the planned dialysis population in the UK, it is significantly higher than the US population [1]. While three to five educational sessions may be unrealistic for some centers, even a single, 1 h education session on modality choice may increase PD initiation [55]. Together, these data suggest that patients may choose PD at higher rates when fully educated.…”

Section: Patient Educationmentioning

confidence: 66%

Urgent-Start Peritoneal Dialysis: Current State and Future Directions

Vogt,

Shah

2024

Kidney and Dialysis

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Urgent-start peritoneal dialysis (USPD) is defined as peritoneal dialysis initiated within 14 days of catheter insertion. In this review, the authors describe the most recent data on USPD, including outcomes, complications, barriers to implementation, and areas for future research. Outcomes appear similar between catheter insertion techniques, so patient factors and institutional workflow should guide practice. Mechanical complications may occur at a higher rate in USPD, but it does not impact technique survival or mortality. Infectious complications appear unchanged in USPD, and there may be fewer complications compared to urgent-start hemodialysis. Barriers to implementation are multifactorial, including physician and staff unfamiliarity and lack of institutional support. A significant limitation within the field includes lack of uniform terminology and definitions.

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Section: Patient Educationmentioning

confidence: 66%

Urgent-Start Peritoneal Dialysis: Current State and Future Directions

Vogt,

Shah

2024

Kidney and Dialysis

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“…It is important to plan dialysis as early as possible [ 54 ] and any obstacles to dialysis should be assessed by a team of healthcare professionals, who can then address them by providing adequate care and information, as well as social and psychological support.…”

Section: If Dialysis Is Chosen Which Modality To Select?mentioning

confidence: 99%

Shared decision making in elderly patients with kidney failure

Kanbay,

Basile,

Battaglia

et al. 2023

Nephrology Dialysis Transplantation

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‘Elderly’ is most commonly defined as an individual aged 65 years or older. However, this definition fails to account for the differences in genetics, lifestyle and overall health that contribute to significant heterogeneity among the elderly beyond chronological age. As the world population continues to age, the prevalence of chronic diseases, including chronic kidney disease (CKD), is increasing and CKD frequently progresses to kidney failure. Moreover, frailty represents a multidimensional clinical entity highly prevalent in this population, which needs to be adequately assessed to inform and support medical decisions. Selecting the optimal treatment pathway for the elderly and frail kidney failure population, be it hemodialysis, peritoneal dialysis, or conservative kidney management is complex, because of the presence of comorbidities associated with low survival rates and impaired quality of life. Management of these patients should involve a multidisciplinary approach including doctors from various specialties, nurses, psychologists, dieticians, and physiotherapists. Studies are mostly retrospective and observational, lacking adjustment for confounders or address selection and indication biases, making it difficult to use these data to guide treatment decisions. Throughout this review we discuss the difficulty of making a one-size-fits-all recommendation for the clinical needs of older patients with kidney failure. We advocate that a research agenda for optimization of the critical issues we present in this review be implemented. We recommend prospective studies that address these issues, and systematic reviews incorporating the complementary evidence of both observational and interventional studies. Furthermore, we strongly support a shared decision making process matching evidence with patient preferences to ensure that individualized choices are made regarding dialysis vs. conservative kidney management, dialysis modality, and optimal vascular access.

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“…It is recommended that it always be accompanied by a prior phase of information and education on ACKD, which should ideally be given in several sessions for its understanding and assimilation. It should preferably be done before the process of deliberation and choice of the technique and be complemented with assessment scales of cardiovascular risk, frailty, cognitive-functional function, nutritional status, and depression-anxiety [17], as well as participation in patient schools, which have also shown to improve the acceptance of the ACKD by the patient, help them make a firmer decision about RRT, and reduce the anxiety-depressive syndrome associated with inclusion in dialysis [18,19].…”

Section: Conditions For Carrying Out the Eligibility Testmentioning

confidence: 99%

Eligibility test for advanced chronic kidney disease: Revision and proposal

García Agudo,

Méndez Molina,

Piqueras Sánchez

et al. 2023

Ther Apher Dial

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Nowadays, chronic kidney disease (CKD) prevalence keeps increasing worldwide. The management of these patients usually requires renal replacement therapy (RRT). However, the complexity of patients' profiles comprises a great challenge to overcome. During the last decades, CKD units have been developed to offer multidisciplinary and coordinated attention to patients, helping in the decision‐making of the RRT. Nevertheless, there is a huge variability in the performance and organization of care practice, implying an existing necessity to homogenize the RRT modality chosen. We propose a test composed of two parts: one to be completed by the medical staff (to evaluate contraindications for the different RRT techniques) and another by the patient or nursing staff (to consider patients' preferences). In this sense, it would be possible to have a common and useful tool to complement patient education in RRT, as well as sharing decision‐making in the ACKD units taking into account patient preferences.

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Effects of one‐hour discussion on the choice of dialysis modality at the outpatient clinic: A retrospective cohort study using propensity score matching

Cited by 6 publications

References 33 publications

Urgent-Start Peritoneal Dialysis: Current State and Future Directions

Urgent-Start Peritoneal Dialysis: Current State and Future Directions

Shared decision making in elderly patients with kidney failure

Eligibility test for advanced chronic kidney disease: Revision and proposal

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