Patient education and access of ESRD patients to renal replacement therapies beyond in-center hemodialysis

Mehrotra, Rajnish; Marsh, Douglas; Vonesh, Edward F.; Peters, Vickie J.; Nissenson, Allen R.

doi:10.1111/j.1523-1755.2005.00453.x

Cited by 275 publications

(263 citation statements)

References 31 publications

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“…Surveys (19) of US academic medical centers indicated that many training programs do not have sufficient number of patients or devote enough time for fellows to develop expertise in the care of PD patients; more than half of practicing nephrologists in the United States reported that they were trained mainly in providing care for MHD patients (20,21). Similarly, most incident dialysis patients reported that PD was not offered to them as a RRT (17,22). Surprising, the probability of offering PD as a method of treatment for ESRD was not related to the presence of medical contraindications to the therapy (17).…”

Section: Declining Use Of Pdmentioning

confidence: 99%

Is the Declining Use of Long-Term Peritoneal Dialysis Justified by Outcome Data?

Khawar

Kalantar-Zadeh

et al. 2007

Clinical Journal of the American Society of Nephrology

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In the past decade, peritoneal dialysis use among patients with end-stage renal disease has declined in many countries. Studies from the United States indicate that many academic centers do not have adequate resources to train fellows, most incident dialysis patients are not offered peritoneal dialysis, and more than half of dialysis clinics do not have the infrastructure to support peritoneal dialysis. Some are concerned that the outcomes of peritoneal dialysis and maintenance hemodialysis patients may not be equivalent, a notion that is not supported by outcome studies. Given the effect of modality selection on patients' lifestyle, attempts to conduct a randomized, controlled comparison of maintenance hemodialysis and peritoneal dialysis have been unsuccessful. Most observational studies showed that peritoneal dialysis is associated with a survival advantage that diminishes over time; it is unclear whether any of the differences over time are attributable to the modality. Between 1996 and 2003, the early outcomes of peritoneal dialysis patients further improved, whereas those for maintenance hemodialysis patients remained unchanged. Differences in outcomes may be due to residual statistical confounding; however, several biologic mechanisms can be postulated: The early survival advantage may be related to the better preservation of residual renal function with peritoneal dialysis, and the diminution of the survival advantage may be related to worsened volume control. There is a need for large observational and interventional studies among peritoneal dialysis patients to sustain and enforce the improvements in both dialysis therapies.

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Section: Declining Use Of Pdmentioning

confidence: 99%

Is the Declining Use of Long-Term Peritoneal Dialysis Justified by Outcome Data?

Khawar

Kalantar-Zadeh

et al. 2007

Clinical Journal of the American Society of Nephrology

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“…In the United States, the growth of home modalities has been hindered by a system that has not until recently promoted home options to patients. 16 Despite the early success and implementation of home HD, use of this modality in that country declined rapidly in the years that followed the passage of the Social Security Act of 1972, legislation that favored facility HD rather than homebased care. 17 Meanwhile, in other countries, such as Australia and New Zealand, legislation and funding structures developed in a way to favor home-based care instead.…”

Section: Home Hemodialysis Uptakementioning

confidence: 99%

“…16,18 Such inertia is largely bred from unfamiliarity, as many physicians receive training that does not require experience with home HD. The unfortunate result is a lack of knowledge among physicians on how to establish home HD programs and how to adequately manage home HD training and care.…”

Section: Home Hemodialysis Uptakementioning

confidence: 99%

Home hemodialysis needs you!

Agar

Schatell

Walker

2015

Hemodialysis International

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This special supplement of Hemodialysis International focuses on home hemodialysis (HD). It has been compiled by a group of international experts in home HD who were brought together throughout 2013-2014 to construct a home HD "manual." Drawing upon both the literature and their own extensive expertise, these experts have helped develop this supplement that now stands as an A-to-Z guide for any who may be unfamiliar or uncertain about how to establish and maintain a successful home HD program.

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“…56 Multiple studies suggest that patients with chronic kidney disease may not receive adequate information to inform their treatment choices. [57][58][59] Information about treatment options is often provided to patients after vascular access is created (for one-third of patients, after dialysis has commenced), a timing problem that seems to strongly influence the choice of hemodialysis over other options. 60 Morton et al 60 suggest that understanding the factors that influence decision making can help inform patient education programs and enhance communication among providers, patients and families.…”

Section: Older Patients With Other Diseases: Decision Making In Nephrmentioning

confidence: 99%

Process of allogeneic hematopoietic cell transplantation decision making for older adults

Randall

Keven

Atlı

et al. 2015

Bone Marrow Transplant

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Allogeneic hematopoietic cell transplantation (alloHCT) may be the only curative option for some older adults with hematologic malignancies, and its associated risks of significant morbidity and mortality warrant a clear, informed decision-making process. As older adults have not been transplanted routinely until recent years, younger people have been the prototypical group around whom the current process has developed. Yet, this process is applied to older adults who have different considerations than younger patients when making their transplant decision. Older adults do not have the open-ended lives of younger patients and are entitled to consider how to spend their remaining time. They also possess maturity and experience, and with proper knowledge, they can make informed choices rather than moving forward in the transplant process unaware. Notably, older patients face similar problems with the informed decision-making process in nephrology. Strategies such as providing education about alloHCT gradually and repeatedly during induction, presenting recent knowledge from the literature in plain language, and utilizing a team approach to patient education may help older adults make the best decision about transplant in light of their situation and values. Understanding when and how older adults decide on alloHCT is an important first step to further exploring this problem.

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Patient education and access of ESRD patients to renal replacement therapies beyond in-center hemodialysis

Cited by 275 publications

References 31 publications

Is the Declining Use of Long-Term Peritoneal Dialysis Justified by Outcome Data?

Is the Declining Use of Long-Term Peritoneal Dialysis Justified by Outcome Data?

Home hemodialysis needs you!

Process of allogeneic hematopoietic cell transplantation decision making for older adults

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