Experiences of Individuals with Chronic Kidney Disease Who Participated in Shared Decision-Making Regarding Choice of...

The study investigated the decision-making process of patients with end stage kidney disease in choosing a dialysis modality. It used a mixed-methods approach to assess individual characteristics impacting decision-making in shared decision-making. Data collection involved an online survey. The study revealed that participation in shared decision-making was notably higher when patients had provider support. Those opting for peritoneal dialysis experienced lower decisional conflict compared to those opting for conservative care, hemodialysis, and transplants. Findings indicated that active participation in shared decision-making is associated with decreased decisional conflict. Moreover, higher decision self-efficacy correlated with decreased decisional conflict and contributed to predicting satisfaction with the decision. A strong rapport between patients and clinicians and patients engaging in shared decision-making with their health care provider could enhance satisfaction with the decision.