ArticleInternational urology and nephrology2010
Dialysis modality choices among chronic kidney disease patients: identifying the gaps to support patients on home-based therapies.
Article in International urology and nephrology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Uptake and Outcomes of Peritoneal Dialysis among Aboriginal and Torres Strait Islander People: Analysis of Registry Data.Kidney international reports · 2024Article
- Peritoneal dialysis first policy in Hong Kong for 35 years: Global impact.Nephrology (Carlton, Vic.) · 2022Review
- Understanding the low take-up of home-based dialysis through a shared decision-making lens: a qualitative study.BMJ open · 2021Article
- Assessing the Delivery of Coordinated Care to Patients with Advanced Chronic Kidney Disease in Ontario, Canada: A Survey of Patients and Healthcare Professionals.International journal of integrated care · 2021Article
- Self-care training using the Tablo hemodialysis system.Hemodialysis international. International Symposium on Home Hemodialysis · 2021Article
- The WISHED Randomized Controlled Trial: Impact of an Interactive Health Communication Application on Home Dialysis Use in People With Chronic Kidney Disease.Canadian journal of kidney health and disease · 2021Article
- Safety and efficacy of the Tablo hemodialysis system for in-center and home hemodialysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2020Article
- Human factors testing of the Quanta SC+ hemodialysis system: An innovative system for home and clinic use.Hemodialysis international. International Symposium on Home Hemodialysis · 2019Article
- The WISHED Trial: implementation of an interactive health communication application for patients with chronic kidney disease.Canadian journal of kidney health and disease · 2016Article
- Clinical, patient-related, and economic outcomes of home-based high-dose hemodialysis versus conventional in-center hemodialysis.International journal of nephrology and renovascular disease · 2016Review
- Timing of Initiation of RRT and Modality Selection.Clinical journal of the American Society of Nephrology : CJASN · 2015Article
- An education initiative modifies opinions of hemodialysis nurses towards home dialysis.Canadian journal of kidney health and disease · 2015Article
- The Choice of Renal Replacement Therapy (CORETH) project: study design and methods.Clinical kidney journal · 2014Article
- Do socioeconomic factors affect dialysis modality selection?Clinical journal of the American Society of Nephrology : CJASN · 2014Article
- Socioeconomic differences in the uptake of home dialysis.Clinical journal of the American Society of Nephrology : CJASN · 2014Article
- Attitudes and perceptions of nephrology nurses towards dialysis modality selection: a survey study.BMC nephrology · 2013Article
- How to overcome barriers and establish a successful home HD program.Clinical journal of the American Society of Nephrology : CJASN · 2012Review
- Effect of an in-hospital chronic kidney disease education program among patients with unplanned urgent-start dialysis.Clinical journal of the American Society of Nephrology : CJASN · 2011Article
- The home dialysis first paradigm: suitability and transitioning.International urology and nephrology · 2010Article
- A Global Overview of the Impact of Peritoneal Dialysis First or Favored Policies: An Opinion.Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisReview
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundHome dialysis is a cost-effective renal replacement strategy, which provides improved quality of life compared to conventional in-center hemodialysis (CHD). To date, most studies support the use of multidisciplinary chronic kidney disease (CKD) clinics to facilitate timely initiation of dialysis. This is an observational cohort study examining 486 patients with CKD over the period of 2001-2007 to ascertain potential demographic differences among patients transitioned to in-center versus home dialysis. SUBJECTS AND
methodsFrom January 2001 to December 2007, 486 patients with CKD attended the multidisciplinary renal management clinic at the University Health Network in Toronto.
resultsOne hundred and fifty-three of the 486 patients were initiated on renal replacement therapy [59 to center hemodialysis (CHD), 15 to home hemodialysis (HHD) and 79 to home peritoneal dialysis (PD)]. HHD patients were younger (48 ± 15 years) than those who selected CHD (62 ± 16 years) or PD (64 ± 16 years). Although the gender distribution was similar overall, the percentage of single males was higher in CHD versus home dialysis patients (29 vs. 15%, P < 0.05). There were no significant differences in other demographic, clinical and biochemical parameters at the time of dialysis initiation. Disinterest in home dialysis by patients and their families (25.4%) and lack of social support (12.1%) constituted the main barriers to home dialysis. Medical contraindications for home dialysis were present among 11% of the patients. Other less frequent barriers were inadequate space, communication barrier and inability to perform their own dialysis.
conclusionsSixty-one percent of patients requiring dialysis chose a home dialysis modality. Patients' and their families' disinterest in home dialysis and lack of support (either perceived or actual) represented the major overall barriers to adoption of home dialysis.
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