Effects of one-hour discussion on the choice of dialysis modality at the outpatient clinic: A retrospective cohort study using propensity score matching.
Ther Apher Dial
; 27(3): 442-451, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-36226753
ABSTRACT
BACKGROUND:
The aim of present study was to evaluate the effects of one-hour discussion on the choice of dialysis modality at the outpatient clinic.METHODS:
Charts of consecutive patients who had started maintenance dialysis from May 2013 to April 2021 were retrospectively reviewed. Characteristics at the start of dialysis were compared between patients participated and not participated in the discussion.RESULTS:
Of the 620 incident dialysis patients, 128 patients had participated in the discussion. After propensity score matching (11), 127 patients who participated in the discussion tended to have fewer urgent hospitalizations (13.4% vs. 21.3%, p = 0.068). In addition, more patients who initiated peritoneal dialysis (PD) (30.7% vs. 9.4%, p < 0.001). On multivariate analysis, participation in the discussion (OR 4.81, 95% CI 2.807-8.24; p < 0.001) was related to PD initiation.CONCLUSION:
One-hour discussion on the choice of dialysis modality may increase PD initiations and decrease the number of urgent hospitalizations.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Diálise Renal
/
Comunicação em Saúde
/
Instituições de Assistência Ambulatorial
/
Falência Renal Crônica
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ther Apher Dial
Assunto da revista:
HEMATOLOGIA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Japão
País de publicação:
AU
/
AUSTRALIA
/
AUSTRÁLIA