ArticleKidney medicine2024
Dialysis Modality Education Timing and Home Dialysis Uptake: A Quality Improvement Study.
Article in Kidney medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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Who cites it
1 citing paper in PubMed.
- Designing the Healthcare System for the Fulfilment of Patient Goals: A Patient-Centric Exploration in the Home Dialysis Context.The International journal of health planning and management · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rationale & Objective: Investigating the effect of a quality improvement intervention aimed at enhancing the choice of home dialysis among patients through improved educational sessions on dialysis modalities. Study Design: A new referral protocol initiated on September 15, 2022, sought to direct patients with advanced kidney disease to modality education sessions. This protocol involved an updated referral form and process, requiring nephrologists to refer patients with an estimated glomerular filtration rate below 15 mL/min/1.73 m Setting & Participants: The study took place at Sunnybrook Health Sciences Centre in Toronto, Canada, involving 532 patients across 1,723 clinical encounters from October 2019 to June 2023. Predictor: The intervention was predicted to lead to an increase in both the number of patients receiving modality education and those choosing home dialysis. Outcomes: The primary outcome measured was the selection of home dialysis following modality education, with a secondary focus on the proportion of patients educated post intervention. Analytical Approach: Statistical process charts were used for monitoring changes in education uptake and home dialysis selection rates following the intervention. Results: After implementing the standardized referral system, the proportion of patients receiving modality education increased from 27.1%-56.7%. However, the rate of selecting home dialysis remained constant at 50.9%. Overall home dialysis prevalence at our center averaged 19.6%, remaining lower than the provincial average of 24.4% by the end of the study period. Limitations: The study was limited to 1 center, without evaluating patient satisfaction or dissecting the complexity of educational content and delivery. Conclusions: We succeeded in boosting education rates but failed to achieve higher home dialysis choice rates, possibly owing to the complexity involved in modality choices. We plan to further investigate the factors influencing patient choices during modality education to better promote home dialysis selection.
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Registered trials
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