Observational studyPloS one2015
The Concordance between Patients' Renal Replacement Therapy Choice and Definitive Modality: Is It a Utopia?
Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Do patient decision aids help people who are facing decisions about solid organ transplantation? A systematic review.Clinical transplantation · 2023Pooled it
- Survival of patients who opt for dialysis versus conservative care: a systematic review and meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022Pooled it
- The experience of urgent dialysis patients with end-stage renal disease: A qualitative study.PloS one · 2022Trial
- A Scoping Review on Decision-Making Interventions for Kidney Failure Treatment Options by the Kidney Disease Aging Research Collaborative.Journal of the American Geriatrics Society · 2026Review
- Shared decision-making for kidney replacement therapy: a comprehensive review and a proposed model.The Korean journal of internal medicine · 2025Review
- Shared decision making and dialysis choice: an observational longitudinal cohort study.BMC nephrology · 2025Observational
- The way home: a scoping review of public health interventions to increase the utilization of home dialysis in chronic kidney disease patients.BMC nephrology · 2025Article
- Article
- Different Perspectives of Spanish Patients and Professionals on How a Dialysis Unit Should Be Designed.Patient preference and adherence · 2023Article
- Article
- Shared Decision-Making for a Dialysis Modality.Kidney international reports · 2022Review
- Changing the choice from dialysis to conservative care or vice versa in older patients with advanced chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Article
- Utilization of CMS pre-ESRD Kidney Disease Education services and its associations with the home dialysis therapies.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2021Article
- Management of Kidney Failure in Patients with Diabetes Mellitus: What Are the Best Options?Journal of clinical medicine · 2021Review
- Home run-results of a chronic kidney disease Telemedicine Patient Education Study.Clinical kidney journal · 2020Article
- Choice of dialysis modality: patients' experiences and quality of decision after shared decision-making.BMC nephrology · 2020Article
- Optimal start in dialysis shows increased survival in patients with chronic kidney disease.PloS one · 2019Article
- What do the US advanced kidney disease patients want? Comprehensive pre-ESRD Patient Education (CPE) and choice of dialysis modality.PloS one · 2019Article
- Risk Factors for Unplanned Dialysis Initiation: A Systematic Review of the Literature.Canadian journal of kidney health and disease · 2019Article
- Role of telehealth in renal replacement therapy education.Seminars in dialysis · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIt is desirable for patients to play active roles in the choice of renal replacement therapy (RRT). Patient decision aid tools (PDAs) have been developed to allow the patients to choose the option best suited to their individual needs. MATERIAL AND
methodsAn observational, prospective registry was conducted in 26 Spanish hospitals between September 2010 and May 2012. The results of the patients' choice and the definitive RRT modality were registered through the progressive implementation of an Education Process (EP) with PDAs designed to help Chronic Kidney Disease (CKD) patients choose RRT.
resultsPatients included in this study: 1044. Of these, 569 patients used PDAs and had made a definitive choice by the end of registration. A total of 88.4% of patients chose dialysis [43% hemodialysis (HD) and 45% peritoneal dialysis (PD)] 3.2% preemptive living-donor transplant (TX), and 8.4% conservative treatment (CT). A total of 399 patients began RRT during this period. The distribution was 93.4% dialysis (53.6% HD; 40% PD), 1.3% preemptive TX and 5.3% CT. The patients who followed the EP changed their mind significantly less often [kappa value of 0.91 (95% CI, 0.86-0.95)] than those who did not follow it, despite starting unplanned treatment [kappa value of 0.85 (95% CI, 0.75-0.95]. A higher agreement between the final choice and a definitive treatment was achieved by the EP and planned patients [kappa value of 0.93 (95% CI, 0.89-0.98)]. Those who did not go through the EP had a much lower index of choosing PD and changed their decision more frequently when starting definitive treatment [kappa value of 0.73 (95% CI, 0.55-0.91)].
conclusionsFree choice, assisted by PDAs, leads to a 50/50 distribution of PD and HD choice and an increase in TX choice. The use of PDAs, even with an unplanned start, achieved a high level of concordance between the chosen and definitive modality.
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