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Updated: May 13, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Whose choice is it? Shared decision making in nephrology care.

Mary Ann Murray¹, Janice Bissonnette, Jennifer Kryworuchko

¹The Ottawa Hospital, Regional Nephrology Program, Ottawa, Ontario, Canada. mmurray@toh.on.ca

Seminars in Dialysis

|February 26, 2013

Summary

This summary is machine-generated.

Shared decision making (SDM) empowers patients with end-stage renal disease (ESRD) by integrating their values with medical evidence. This patient-centered approach is crucial for navigating complex treatment choices in ESRD care.

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Last Updated: May 13, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Area of Science:

Nephrology
Medical Ethics
Health Communication

Background:

Patients with end-stage renal disease (ESRD) face complex healthcare decisions.
Shared decision making (SDM) promotes patient-centered care by involving patients in decision-making processes.

Purpose of the Study:

To outline the principles of SDM.
To highlight decisions faced by ESRD patients.
To review decision-support interventions and implementation challenges for SDM in ESRD.

Main Methods:

Review of current knowledge on SDM principles and applications in ESRD.
Analysis of decision-support interventions.
Discussion of opportunities and challenges for integrating SDM into clinical practice.

Main Results:

SDM principles involve collaboration between patients and providers, considering evidence, values, and preferences.
ESRD patients encounter a wide range of decisions throughout their illness trajectory.
Nephrology teams are well-positioned to implement SDM due to frequent patient interaction.

Conclusions:

SDM is a promising approach to enhance patient engagement and support decision-making for individuals with ESRD.
Healthcare systems require communication innovations for ethical application of renal treatments and patient decision support.
Implementing SDM can help recalibrate care for patients living with end-stage renal disease.