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Patients' Perceptions and Factors Affecting Dialysis Modality Decisions
Ingrid O Friberg1,2, Lena Mårtensson3, Börje Haraldsson4
1Institute of Medicine, Department of Public Health and Community Medicine, Section for Epidemiology and Social Medicine, Sahlgrenska Academy, Gothenburg University, Sweden Ingrid.osika@socmed.gu.se.
Summary
Patients receiving comprehensive predialysis information are more likely to choose home dialysis. Factors like age, proximity to centers, and spousal support influence this decision, highlighting the need for tailored patient education.
Area of Science:
- Nephrology
- Patient Care
Background:
- Home-based dialysis (peritoneal dialysis and home hemodialysis) offers lower costs and better quality of life than in-center hemodialysis.
- Understanding factors influencing dialysis modality choice, including patient demographics and information access, is crucial.
Purpose of the Study:
- To investigate factors affecting dialysis modality selection among Swedish dialysis patients.
- To identify key influences on the choice between home dialysis and in-center hemodialysis.
Main Methods:
- A questionnaire was distributed to dialysis patients in western Sweden.
- Logistic regression analysis was employed to analyze factors influencing dialysis modality choice.
Main Results:
- Comprehensive, high-quality predialysis information from multiple sources increased the likelihood of choosing home dialysis.
- Older age, closer proximity to dialysis centers, and living alone decreased the likelihood of home dialysis.
- Men living with a spouse were more likely to opt for home dialysis; in-center patients valued social interaction.
Conclusions:
- Emphasizes the critical role of repeated, comprehensive, and high-quality information for dialysis and predialysis patients and their families.
- Tailoring information and support to individual patient needs is essential for improving well-being and increasing home dialysis rates.