Comparison of Shared Decision Making in Patients Undergoing Hemodialysis and Peritoneal Dialysis for Choosing a Dialysis Modality

Overview

Journal BMC Nephrol

Publisher Biomed Central

Specialty Nephrology

Date 2021 Feb 24

PMID 33622265

Citations 8

Authors

Sepide Ghodsian

Mansour Ghafourifard

Akram Ghahramanian

Affiliations

Soon will be listed here.

Abstract

Background: Shared decision making (SDM) is recognized as the gold standard for patient-centered care. This study aimed to assess and compare the SDM among patients undergoing hemodialysis and peritoneal dialysis for choosing a dialysis modality.

Methods: This is a cross-sectional study that was performed on 300 dialysis patients (218 HD and 82 PD) referred to two Dialysis Centers. Data were collected using demographic information and a 9-item Shared Decision Making Questionnaire (SDM-Q-9). The data were analyzed using ANOVA and independent t-test by SPSS software.

Results: The mean SDM-Q-9 score in all samples (PD and HD) was 21.94 ± 15.08 (in a possible range of 0 to 45). Results of the independent t-test showed that the mean SDM-Q-9 score in PD patients (33.11 ± 10.08) was higher than HD patients (17.14 ± 74.24) (p < 0.001). The results showed a statistically significant difference in mean SDM-Q-9 score based on patients' age, educational level, and income (p < 0.05).

Conclusion: Implementing shared decision making and providing information on RRT should be started in the early stage of CKD. The health care providers should involve patients with CKD and their families in dialysis-related decisions and it should be started in the early stage of CKD.

Citing Articles

Effects of shared decision-making on the prognosis of peritoneal dialysis patients.

Park B, Shin H, Kim J, Lee J, Park J, Ko G Medicine (Baltimore). 2025; 103(47):e40659.

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Knowledge about peritoneal dialysis among patients with end-stage kidney disease on hemodialysis: a cross-sectional study.

Elzorkany K, Alhamad M, Albaqshi B, Alhassan M, Alahmed M, Almusalmi A Ann Med. 2024; 56(1):2411019.

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Enacting person-centred care: a multi-perspective study of practices in clinical encounters for people living with chronic kidney disease.

Cotta A, Kristiansen M BMC Nephrol. 2023; 24(1):185.

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

Lee Y, Kim Y, Kim D, Kim J, Lee J, Park J Medicine (Baltimore). 2023; 102(19):e33695.

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Chang J, Kim Y, Song S, Kim S, Jo M, Kim S Kidney Res Clin Pract. 2023; 42(6):751-761.

PMID: 37098669 PMC: 10698061. DOI: 10.23876/j.krcp.22.019.

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