Public Policy and Patient Choice of Dialysis Modality

Choosing Dialysis Modality-Patient Choice or Physician Bias?

While numbers of patients on peritoneal dialysis (PD) are increasing in several countries that have developing healthcare economies, rates are declining in the more economically developed countries (1), with the exception of the USA following recent changes to dialysis funding (2). This is despite evidence that most developed countries can provide PD at a lesser expense to the healthcare system...

Effects of comorbid and demographic factors on dialysis modality choice and related patient survival in Europe.

BACKGROUND The mean age of patients starting dialysis increased over the years, as has the proportion of patients with diabetes mellitus, ischaemic heart disease, peripheral vascular disease (PVD), cerebrovascular disease (CD) and malignancy. We assessed dialysis modality choice within subgroups of patients with these comorbidities and in different age categories and subsequently evaluated the ...

What influences patient choice of treatment modality at the pre-dialysis stage?

BACKGROUND There is little information on factors influencing patient choice of renal replacement modality (RRM) in the UK. Pre-dialysis education programmes have been associated with increased uptake of peritoneal dialysis (PD) in other countries but their relevance in informing patient choice within UK centres has not been extensively studied. In this study, we examined how patient choice of ...

Developing a decision support intervention regarding choice of dialysis modality.

UNLABELLED Predialysis nurses have an important role in supporting patients who must make decisions when renal replacement therapy is needed. However, no effective interventions have been established for nurses who provide this decision support. The Ottawa Decision Support Framework provides a structure to develop such interventions, which include a patient decision aid and decision coaching. ...

Political Choice, Public Policy, and Distributional Outcomes