Shared decision-making intervention regarding dialysis modality in patients with CKD stage 5

Area of Science:

• Nephrology
• Medical Decision Making
• Patient-Centered Care

Background:

• Kidney failure necessitates complex decisions regarding dialysis modalities.
• Dialysis options significantly impact patients' physical, psychological, and social well-being.
• Shared decision making (SDM) interventions aim to support these crucial patient choices.

Purpose of the Study:

• To evaluate the effectiveness of an intervention designed to implement shared decision making (SDM) for dialysis modality selection.
• To assess patient satisfaction and disease recognition following SDM in end-stage renal disease.

Main Methods:

• SDM was implemented with 408 patients with stage 5 chronic kidney disease prior to dialysis initiation.
• Data collected from 101 patients included SDM scale, patient satisfaction, disease recognition, and chosen dialysis method.
• A comparative analysis was performed on these metrics.

Main Results:

• Peritoneal dialysis was the most chosen method (66.3%), followed by hemodialysis (21.8%).
• Patients reported high satisfaction with the decision-making process and demonstrated improved disease awareness.
• SDM scale scores were higher in the peritoneal dialysis group compared to the hemodialysis group.

Conclusions:

• Shared decision making (SDM) is effective in guiding dialysis treatment choices for kidney failure patients.
• SDM enhances patient satisfaction and understanding of their chosen dialysis modality.
• The implementation of SDM positively influences patient perceptions and facilitates optimal dialysis method selection.