The Choice of Renal Replacement Therapy (CORETH) project: study design and methods

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Maxi Robinski1, Wilfried Mau1, Juliane Lamprecht1

  • 1Institute for Rehabilitation Medicine , Medical Faculty of the Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany.

Clinical Kidney Journal
|April 11, 2015
PubMed

Insights

This study investigates how psychosocial and cognitive factors influence the choice between peritoneal dialysis and haemodialysis. Understanding these patient conditions can improve shared decision-making in renal replacement therapy.

Area of Science:

  • Nephrology
  • Psychology
  • Health Economics

Background:

  • Limited research exists on the impact of psychosocial and cognitive factors on dialysis modality selection.
  • The Choice of Renal Replacement Therapy (CORETH) study addresses this gap by examining these patient conditions.

Purpose of the Study:

  • To investigate the influence of psychosocial and cognitive factors on the choice between peritoneal dialysis and haemodialysis.
  • To analyze shared decision-making aspects in renal replacement therapy selection.
  • To provide an economic evaluation of treatment costs.

Main Methods:

  • A multicentre study involving approximately 1200 participants from 50 dialysis centers across Germany.
  • Patients are categorized based on their chosen permanent dialysis modality (peritoneal or haemodialysis).
  • Data collection includes questionnaires on social, psychological, and shared decision-making factors, alongside cognitive function testing and a one-year follow-up for cost analysis.

Main Results:

  • Results will illuminate treatment choices within the German healthcare system.
  • The study will offer insights into patient autonomy discussions.
  • Findings aim to enhance patient participation in health-related decision-making.

Conclusions:

  • Understanding patient psychosocial and cognitive states is crucial for informed dialysis modality selection.
  • The CORETH study design facilitates a comprehensive analysis of factors influencing renal replacement therapy choice.
  • Results are expected to empower patients in their healthcare decisions and inform policy within the German healthcare system.
Abstract

Keywords:
haemodialysiskidney failure chronicperitoneal dialysispsychosocial factorsshared decision-making

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