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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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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Abstract 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.
AbstractList 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.
Author Liebman, Scott
Ziolkowski, Susan
AuthorAffiliation 1 Stanford University School of Medicine, Palo Alto, CA
2 University of Rochester Medical Center, Rochester, NY
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  email: Scott_liebman@urmc.rochester.edu
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Issue 4
Keywords Home dialysis
pre-dialysis education
dialysis modality selection
Language English
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SubjectTerms 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
Title A Qualitative Assessment of Mismatch between Dialysis Modality Selection and Initiation
URI https://journals.sagepub.com/doi/full/10.3747/pdi.2015.00047
https://www.ncbi.nlm.nih.gov/pubmed/27385810
https://pubmed.ncbi.nlm.nih.gov/PMC4934445
Volume 36
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