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Kidney Week

Abstract: SA-PO628

Shared Decision-Making Intervention Regarding Dialysis Modality in Patients with Stage 5 CKD

Session Information

  • Home Dialysis - II
    November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 802 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

  • Rim, Hark, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
  • Bak, Byeonghwa, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
  • Kim, Ye na, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
  • Shin, Ho Sik, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
  • Jung, Yeonsoon, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
Background

Patients with kidney failure must make complicated decisions about the dialysis modalities used either at home
or in-hospital. Different options have varying levels of impact on patients’ physical and psychological conditions and their social
life. The purpose of this study was to evaluate the implementation of an intervention designed to achieve shared decision making
(SDM) in patients’ options for dialysis.

Methods

SDM was performed after consent was written for stage 5 chronic kidney disease patients before dialysis, and 435
cases were performed in 408 patients from December 16, 2019 to June 30, 2021. Among these, 101 patients were compared
by SDM measurement scale, patient satisfaction, disease recognition scale survey, and dialysis method.

Results

The average age of participants was 56 years, with a gender composition of 55 males (54.5%) and 46 females (45.5%).
Following SDM, the final dialysis methods decided upon by patients and clinicians were peritoneal dialysis (67 patients, 66.3%),
hemodialysis (22 patients, 21.8%), and kidney transplantation (1 patient, 1.0%).

Conclusion

Among participating patients, SDM was effective when used to decide on dialysis treatment, and patients were
satisfied with the dialysis method decision process. On the disease awareness scale, those who participated in this project had
relatively high positive and low negative perceptions, so it can be concluded that SDM was relatively effective. The implementation
of SDM was helpful in selecting patients’ best dialysis methods, and SDM scale results were higher in the peritoneal dialysis group
than in the hemodialysis group.