Patients' perceptions and factors affecting dialysis modality decisions

Background: Home-based dialysis, including peritoneal dialysis (PD) and home hemodialysis (HHD), has been shown to be associated with lower costs and higher health-related quality of life than in-center HD. However, factors influencing the choice of dialysis modality, including gender, are still not...

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Main Authors: Friberg, Ingrid O., Mårtensson, Lena, Haraldsson, Börje, Krantz, Gunilla, Määttä, Sylvia, Järbrink, Krister
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2019
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Online Access:https://hdl.handle.net/10356/91255
http://hdl.handle.net/10220/49439
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Institution: Nanyang Technological University
Language: English
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spelling sg-ntu-dr.10356-912552020-03-07T12:57:26Z Patients' perceptions and factors affecting dialysis modality decisions Friberg, Ingrid O. Mårtensson, Lena Haraldsson, Börje Krantz, Gunilla Määttä, Sylvia Järbrink, Krister Lee Kong Chian School of Medicine (LKCMedicine) Centre for Population Health Sciences Gender Science::Medicine Attitudes Background: Home-based dialysis, including peritoneal dialysis (PD) and home hemodialysis (HHD), has been shown to be associated with lower costs and higher health-related quality of life than in-center HD. However, factors influencing the choice of dialysis modality, including gender, are still not well understood. Methods: A questionnaire was sent out to all dialysis patients in the western region of Sweden in order to investigate factors affecting choice of dialysis modality. Logistic regression was used to analyze the data. Results: Patients were more likely to have home dialysis if they received predialysis information from 3 or more sources and, to a greater extent, perceived the information as comprehensive and of high quality. In addition, patients had a lower likelihood of receiving home dialysis with increasing age and if they lived closer to a dialysis center. Men had in comparison with women a greater likelihood of receiving home dialysis if they lived with a spouse. In-center dialysis patients more often believed that the social interaction and support provided through in-center HD treatment influenced the choice of dialysis modality. Conclusion: This study highlights the need for increased awareness of various factors that influence the choice of dialysis modality and the importance of giving repeated, comprehensive, high-quality information to dialysis and predialysis patients and their relatives. Information and support must be adapted to the needs of individual patients and their relatives if the intention is to improve patients' well-being and the proportion of patients using home dialysis. 2019-07-19T01:56:14Z 2019-12-06T18:02:25Z 2019-07-19T01:56:14Z 2019-12-06T18:02:25Z 2018 Journal Article Friberg, I. O., Mårtensson, L., Haraldsson, B., Krantz, G., Määttä, S., & Järbrink, K. (2018). Patients' perceptions and factors affecting dialysis modality decisions. Peritoneal Dialysis International, 38(5), 334-342. doi:10.3747/pdi.2017.00243 0896-8608 https://hdl.handle.net/10356/91255 http://hdl.handle.net/10220/49439 10.3747/pdi.2017.00243 en Peritoneal Dialysis International © 2018 International Society for Peritoneal Dialysis (ISPD). All rights reserved.
institution Nanyang Technological University
building NTU Library
country Singapore
collection DR-NTU
language English
topic Gender
Science::Medicine
Attitudes
spellingShingle Gender
Science::Medicine
Attitudes
Friberg, Ingrid O.
Mårtensson, Lena
Haraldsson, Börje
Krantz, Gunilla
Määttä, Sylvia
Järbrink, Krister
Patients' perceptions and factors affecting dialysis modality decisions
description Background: Home-based dialysis, including peritoneal dialysis (PD) and home hemodialysis (HHD), has been shown to be associated with lower costs and higher health-related quality of life than in-center HD. However, factors influencing the choice of dialysis modality, including gender, are still not well understood. Methods: A questionnaire was sent out to all dialysis patients in the western region of Sweden in order to investigate factors affecting choice of dialysis modality. Logistic regression was used to analyze the data. Results: Patients were more likely to have home dialysis if they received predialysis information from 3 or more sources and, to a greater extent, perceived the information as comprehensive and of high quality. In addition, patients had a lower likelihood of receiving home dialysis with increasing age and if they lived closer to a dialysis center. Men had in comparison with women a greater likelihood of receiving home dialysis if they lived with a spouse. In-center dialysis patients more often believed that the social interaction and support provided through in-center HD treatment influenced the choice of dialysis modality. Conclusion: This study highlights the need for increased awareness of various factors that influence the choice of dialysis modality and the importance of giving repeated, comprehensive, high-quality information to dialysis and predialysis patients and their relatives. Information and support must be adapted to the needs of individual patients and their relatives if the intention is to improve patients' well-being and the proportion of patients using home dialysis.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Friberg, Ingrid O.
Mårtensson, Lena
Haraldsson, Börje
Krantz, Gunilla
Määttä, Sylvia
Järbrink, Krister
format Article
author Friberg, Ingrid O.
Mårtensson, Lena
Haraldsson, Börje
Krantz, Gunilla
Määttä, Sylvia
Järbrink, Krister
author_sort Friberg, Ingrid O.
title Patients' perceptions and factors affecting dialysis modality decisions
title_short Patients' perceptions and factors affecting dialysis modality decisions
title_full Patients' perceptions and factors affecting dialysis modality decisions
title_fullStr Patients' perceptions and factors affecting dialysis modality decisions
title_full_unstemmed Patients' perceptions and factors affecting dialysis modality decisions
title_sort patients' perceptions and factors affecting dialysis modality decisions
publishDate 2019
url https://hdl.handle.net/10356/91255
http://hdl.handle.net/10220/49439
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