A Qualitative Assessment of Mismatch between Dialysis Modality Selection and Initiation

At our institution, we have noted that end-stage renal disease patients choosing a home dialysis modality after education often initiate renal replacement therapy with in-center hemodialysis (HD) instead. We interviewed 24 such patients (23 choosing peritoneal dialysis [PD], one choosing home HD) to...

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Bibliographic Details
Published inPeritoneal dialysis international Vol. 36; no. 4; pp. 463 - 466
Main Authors Ziolkowski, Susan, Liebman, Scott
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.07.2016
Multimed Inc
Subjects
Adult
Aged
Choice Behavior
Female
Humans
Kidney Failure, Chronic - psychology
Kidney Failure, Chronic - therapy
Male
Middle Aged
Patient Education as Topic
Patient Participation
Patient Selection
Peritoneal Dialysis
Self Care
Self Concept
Short Reports
Home dialysis
pre-dialysis education
dialysis modality selection
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Summary:At our institution, we have noted that end-stage renal disease patients choosing a home dialysis modality after education often initiate renal replacement therapy with in-center hemodialysis (HD) instead. We interviewed 24 such patients (23 choosing peritoneal dialysis [PD], one choosing home HD) to determine reasons for this mismatch. The most common reasons cited for not starting home dialysis were: lack of confidence/concerns about complications, lack of space or home-related issues, a feeling of insufficient education, and perceived medical or social contraindications. We propose several potential strategies to help patients start with their preferred modality.
ISSN:0896-8608
1718-4304
DOI:10.3747/pdi.2015.00047