Shared Decision-Making for a Dialysis Modality

Yu, Xueqing; Nakayama, Masaaki; Wu, Mai‐Szu; Kim, Yong-Lim; Mushahar, Lily; Szeto, Cheuk Chun; Schatell, Dori; Finkelstein, Fredric O.; Quinn, Robert R.; Duddington, Michelle

doi:10.1016/j.ekir.2021.10.019

Cited by 22 publications

(34 citation statements)

References 74 publications

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“…In a systemic review showing that patients with opportunities for SDM are more satisfied with their dialysis modality, Yu et al articulated multiple barriers practitioners encounter in implementing SDM, including lack of pertinent tools and training in SDM, high clinical workload, and an assortment of language, education, literacy, and technology-related barriers inhibiting patient engagement in SDM. The authors list 17 recommendations contextualized within Elwyn et al’s original three-talk model, 12 providing a backdrop to our introduction of a more practitioner-friendly model that fills a critical gap in existing materials and can ease the implementation of SDM.…”

Section: The Current State Of Sdm In Eskdmentioning

confidence: 99%

“… 38 A detailed review of the currently available decision aids was recently published, but attention is needed to ensure that the aid used in the clinical care is current with clear evidence-based guidance, culturally and linguistically compatible, and is easy to implement in clinical practice. 12 …”

Section: The Nephrologist’s Sdm Checklistmentioning

confidence: 99%

“…In the past decade, there has been extensive work articulating the general principles, practices, and models of SDM. 10,12,[26][27][28] In a landmark paper Barry et al initially surmised that SDM resides at the pinnacle of modern-day patient-centered care. Following, Elwyn et al defined SDM as an approach where clinicians and patients share the best available evidence when making decisions, and where patients are supported to consider options to achieve informed preferences.…”

Section: Shared Decision-making In General Healthmentioning

confidence: 99%

“…6,7 Prior studies in several chronic disease models show that improving patient awareness significantly improves patient outcomes. Studies in the CKD population have also shown that patient education, especially involving shared decision-making (SDM) between patients and providers, improves self-management [8][9][10][11][12] and increases the rates of kidney transplantations and home dialysis utilization. [13][14][15][16] Therefore, investigators and professional renal organizations have repeatedly recommended using SDM to increase patient-centered utilization of home dialysis therapies for all patients with advanced, stage 4 and 5 CKD.…”

Section: Introductionmentioning

confidence: 99%

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Supporting Shared Decision-Making and Home Dialysis in End-Stage Kidney Disease

Campbell‐Montalvo¹,

Jia²,

Shukla³

2022

IJNRD

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It has been widely demonstrated that patient education and empowerment, especially involving shared treatment decisions, improve patient outcomes in chronic medical conditions, including chronic kidney disease requiring kidney replacement therapies. Accordingly, regulatory agencies in the US and worldwide recommend shared decision-making for finalizing one’s choice of kidney replacement therapy. It is also recognized that the US needs to substantially increase home dialysis utilization to leverage its positive impacts on patient and healthcare cost-related outcomes. This perspective highlights how the routine clinical use of the recommended practice of shared decision-making can exist in synergy with the system’s goal for increased home dialysis use. It introduces a pragmatic provider checklist, The Nephrologist’s Shared Decision-Making Checklist, grounded in the relevant theories of shared decision-making, and, unlike some research assessments and extant tools, is easy to understand and implement in clinical practice. This qualitative Checklist can help providers ensure that they have co-constructed an SDM experience with the patient and involved caretakers, helping them benefit from the improved outcomes associated with SDM.

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Section: The Current State Of Sdm In Eskdmentioning

confidence: 99%

Section: The Nephrologist’s Sdm Checklistmentioning

confidence: 99%

Section: Shared Decision-making In General Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Supporting Shared Decision-Making and Home Dialysis in End-Stage Kidney Disease

Campbell‐Montalvo¹,

Jia²,

Shukla³

2022

IJNRD

View full text Add to dashboard Cite

show abstract

“…Such an attitude is certainly questionable since ICHD, home HD (HHD), and PD should not be regarded as competitive modalities, rather as complementary strategies before [36][37][38][39] and after transplant [40][41][42][43]. Indeed, RRT must be tailored to the specific needs and characteristics of the patient, taking into account the time-dependent variability of these parameters and local facilities [44]. Carefully planned changes between different dialysis techniques can also be considered, in particular circumstances [45,46].…”

Section: Introductionmentioning

confidence: 99%

Peritoneal Dialysis for Potential Kidney Transplant Recipients: Pride or Prejudice?

et al. 2022

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Kidney transplantation (KT) is recognized as the gold-standard of treatment for patients with end-stage renal disease. Additionally, it has been demonstrated that receiving a pre-emptive KT ensures the best recipient and graft survivals. However, due to an overwhelming discrepancy between the organs available and the patients on the transplant waiting list, the vast majority of transplant candidates require prolonged periods of dialysis before being transplanted. For many years, peritoneal dialysis (PD) and hemodialysis (HD) have been considered competitive renal replacement therapies (RRT). This dualistic vision has recently been questioned by evidence suggesting that an individualized and flexible approach may be more appropriate. In fact, tailored and cleverly planned changes between different RRT modalities, according to the patient’s needs and characteristics, are often needed in order to achieve the best results. While home HD is still under scrutiny in this particular setting, current data seems to favor the use of PD over in-center HD in patients awaiting a KT. In this specific population, the demonstrated advantages of PD are superior quality of life, longer preservation of residual renal function, lower incidence of delayed graft function, better recipient survival, and reduced cost.

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Experiences of persons with multiple sclerosis of a collaborative care programme: A qualitative study

et al. 2023

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AimThis study aimed to explain the experiences of individuals with multiple sclerosis (MS) about the collaborative care programme.DesignThis qualitative study was conducted from July 2021 to March 2022.MethodsWe conducted this study with individuals with MS who participated in the collaborative care programme in Hamadan, Iran. A purposive sampling with maximum variety was applied to recruit patients until data saturation. Eventually, 18 patients consented and were interviewed using a semi‐structured interview guide. The transcriptions of audio‐checked interviews were analysed using a conventional content analysis approach of Graneheim and Lundman by MAXQDA 10, 2010 edition.ResultsThe study identified three main categories. that emerged from the participants' experiences of collaborative care: the ‘Beginning of Communication’, which included two subcategories, ‘Introduction and Acquaintance with Each Other’ and ‘Formation of Trust’; ‘Mutual Interaction’, which included three subcategories, ‘Dialogue’, ‘Mutual Goal Setting’ and ‘Mutual Agreement of Care Solutions’; and ‘Exchange of Targeted Behaviors’, which included six categories, Implementation of Strategies for ‘Nutritional Behaviors’, ‘Sleep and Rest’, ‘Constipation Relief’, ‘Promotion of Physical Activity and Exercise’, ‘Fatigue Reduction’ and ‘Stress Management’.ConclusionsThe findings highlight the statistically significant role of collaborative care in MS management. Utilizing these research findings can update the development of interventions based on collaborative care, which can provide appropriate support to individuals with MS.Patient or public contributionIndividuals with multiple sclerosis.

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Shared Decision-Making for a Dialysis Modality

Cited by 22 publications

References 74 publications

Supporting Shared Decision-Making and Home Dialysis in End-Stage Kidney Disease

Supporting Shared Decision-Making and Home Dialysis in End-Stage Kidney Disease

Peritoneal Dialysis for Potential Kidney Transplant Recipients: Pride or Prejudice?

Experiences of persons with multiple sclerosis of a collaborative care programme: A qualitative study

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