Barriers to Peritoneal Dialysis Selection
| Status: | Completed |
|---|---|
| Conditions: | Renal Impairment / Chronic Kidney Disease |
| Therapuetic Areas: | Nephrology / Urology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 6/16/2018 |
| Start Date: | August 2012 |
| End Date: | December 2013 |
Barriers to Selection and Initiation of Peritoneal Dialysis in the United States
The purpose of this study is to understand what prevents chronic kidney disease patients from
making a timely decision about dialysis modality options. This understanding will allow us to
develop and implement interventions to assist patients in this turning point so that they can
make the right decision for them in a timely enough manner so that each patient can start
dialysis in the safest and best way for them. 200 later stage chronic kidney disease patients
(20% or less of kidney function remaining) will be asked to participate in the study with the
goal of having 150 patients participate in the study.
Hypotheses:
1. 50 % of patients will have made a modality decision when interviewed and patients in the
action stage of behavior will be more likely to make a modality selection than patients
in earlier stages of behavior change. Barriers to modality selection will act at several
levels including patient, provider and health system level and will vary by behavioral
stage of change
2. 10-15% of patients might choose home dialysis. Knowledge, self efficacy in terms of CKD,
education, and income will likely be barriers to home dialysis choice.
making a timely decision about dialysis modality options. This understanding will allow us to
develop and implement interventions to assist patients in this turning point so that they can
make the right decision for them in a timely enough manner so that each patient can start
dialysis in the safest and best way for them. 200 later stage chronic kidney disease patients
(20% or less of kidney function remaining) will be asked to participate in the study with the
goal of having 150 patients participate in the study.
Hypotheses:
1. 50 % of patients will have made a modality decision when interviewed and patients in the
action stage of behavior will be more likely to make a modality selection than patients
in earlier stages of behavior change. Barriers to modality selection will act at several
levels including patient, provider and health system level and will vary by behavioral
stage of change
2. 10-15% of patients might choose home dialysis. Knowledge, self efficacy in terms of CKD,
education, and income will likely be barriers to home dialysis choice.
Inclusion Criteria:
- All patients of age greater than or equal to 18 years at MHMC who are late stage CKD
Exclusion Criteria:
- Patients who have acute renal failure and then recover renal function to levels of
eGFR (estimated glomerular filtration rate) 20 mL/min/1.73m2 and in whom the
nephrologist feels will not progress to ESRD in 2 years
- Patients who are not candidates for peritoneal dialysis
- Pregnant women
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