Late Dialysis Modality Education Could Negatively Predict Peritoneal Dialysis Selection

Area of Science:

• Nephrology
• Renal Replacement Therapy
• Dialysis Modalities

Background:

• Patients with end-stage renal disease (ESRD) often do not select peritoneal dialysis (PD) for renal replacement therapy (RRT).
• The reasons for this underutilization of PD remain unclear.
• The timing of dialysis modality education may influence patient choice.

Purpose of the Study:

• To investigate the impact of the timing of renal replacement therapy (RRT) education on the selection of peritoneal dialysis (PD).

Main Methods:

• Single-center retrospective observational study.
• Included 355 patients initiating maintenance dialysis between April 2014 and July 2021.
• Logistic regression analysis to assess the association between RRT education timing and PD selection.

Main Results:

• Only 14.9% of patients selected PD, while 85.1% chose hemodialysis.
• Higher estimated glomerular filtration (eGFR) at RRT education positively predicted PD selection.
• Older age and higher Charlson comorbidity index negatively predicted PD selection.

Conclusions:

• Late RRT education is associated with a biased selection against PD.
• Optimizing the timing and content of RRT education is crucial for informed patient choice and potentially increasing PD utilization.