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Shared decision-making intervention regarding dialysis modality in patients with CKD stage 5

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Author(s)
Young-Ki LeeYang-Hyeon KimDo-Hyoung KimJin-Heog KimJeong-Hwan LeeJi Hyeon ParkGang-Jee KoWon-Min HwangHyo-Wook GilYoung-Sun KangKyu-Bok JinJun-Young DoSe-Joong KimBeom-Seok KimHo Sik Shin
Keimyung Author(s)
Jin, Kyu Bok
Department
Dept. of Internal Medicine (내과학)
Journal Title
Medicine (Baltimore)
Issued Date
2023
Volume
102
Issue
19
Abstract
Background:
Patients with kidney failure must make complicated decisions about the dialysis modalities used either at home or in-hospital. Different options have varying levels of impact on patients' physical and psychological conditions and their social life. The purpose of this study was to evaluate the implementation of an intervention designed to achieve shared decision making (SDM) in patients' options for dialysis.

Methods:
SDM was performed after consent was written for stage 5 chronic kidney disease patients before dialysis, and 435 cases were performed in 408 patients from December 16, 2019 to June 30, 2021. Among these, 101 patients were compared by SDM measurement scale, patient satisfaction, disease recognition scale survey, and dialysis method.

Results:
The average age of participants was 56 years, with a gender composition of 55 males (54.5%) and 46 females (45.5%). Following SDM, the final dialysis methods decided upon by patients and clinicians were peritoneal dialysis (67 patients, 66.3%), hemodialysis (22 patients, 21.8%), and kidney transplantation (1 patient, 1.0%).

Conclusions:
Among participating patients, SDM was effective when used to decide on dialysis treatment, and patients were satisfied with the dialysis method decision process. On the disease awareness scale, those who participated in this project had relatively high positive and low negative perceptions, so it can be concluded that SDM was relatively effective. The implementation of SDM was helpful in selecting patients' best dialysis methods, and SDM scale results were higher in the peritoneal dialysis group than in the hemodialysis group.
Keimyung Author(s)(Kor)
진규복
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
1536-5964
Source
https://journals.lww.com/md-journal/Fulltext/2023/05120/Shared_decision_making_intervention_regarding.68.aspx
DOI
10.1097/MD.0000000000033695
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45006
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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