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Choice of dialysis modality among patients initiating dialysis: results of the Peridialysis study

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Heaf, J, Heiro, M, Petersons, A, Vernere, B, Povlsen, JV, Sørensen, AB, Clyne, N, Bumblyte, I, Zilinskiene, A, Randers, E, Løkkegaard, N, Ots-Rosenberg, M, Kjellevold, S, Kampmann, JD, Rogland, B, Lagreid, I, Heimburger, O & Lindholm, B 2021, 'Choice of dialysis modality among patients initiating dialysis: results of the Peridialysis study', Clinical kidney journal, bind 14, nr. 9, s. 2064-2074. https://doi.org/10.1093/ckj/sfaa260

APA

Heaf, J., Heiro, M., Petersons, A., Vernere, B., Povlsen, J. V., Sørensen, A. B., Clyne, N., Bumblyte, I., Zilinskiene, A., Randers, E., Løkkegaard, N., Ots-Rosenberg, M., Kjellevold, S., Kampmann, J. D., Rogland, B., Lagreid, I., Heimburger, O., & Lindholm, B. (2021). Choice of dialysis modality among patients initiating dialysis: results of the Peridialysis study. Clinical kidney journal, 14(9), 2064-2074. https://doi.org/10.1093/ckj/sfaa260

CBE

Heaf J, Heiro M, Petersons A, Vernere B, Povlsen JV, Sørensen AB, Clyne N, Bumblyte I, Zilinskiene A, Randers E, Løkkegaard N, Ots-Rosenberg M, Kjellevold S, Kampmann JD, Rogland B, Lagreid I, Heimburger O, Lindholm B. 2021. Choice of dialysis modality among patients initiating dialysis: results of the Peridialysis study. Clinical kidney journal. 14(9):2064-2074. https://doi.org/10.1093/ckj/sfaa260

MLA

Vancouver

Author

Heaf, James ; Heiro, Maija ; Petersons, Aivars ; Vernere, Baiba ; Povlsen, Johan V ; Sørensen, Anette Bagger ; Clyne, Naomi ; Bumblyte, Inge ; Zilinskiene, Alanta ; Randers, Else ; Løkkegaard, Niels ; Ots-Rosenberg, Mai ; Kjellevold, Stig ; Kampmann, Jan Dominik ; Rogland, Björn ; Lagreid, Inger ; Heimburger, Olof ; Lindholm, Bengt. / Choice of dialysis modality among patients initiating dialysis : results of the Peridialysis study. I: Clinical kidney journal. 2021 ; Bind 14, Nr. 9. s. 2064-2074.

Bibtex

@article{75dd5889d3384caeb712438714dd8362,
title = "Choice of dialysis modality among patients initiating dialysis: results of the Peridialysis study",
abstract = "Background: In patients with end-stage kidney disease (ESKD), home dialysis offers socio-economic and health benefits compared with in-centre dialysis but is generally underutilized. We hypothesized that the pre-dialysis course and institutional factors affect the choice of dialysis modality after dialysis initiation (DI).Methods: The Peridialysis study is a multinational, multicentre prospective observational study assessing the causes and timing of DI and consequences of suboptimal DI. Clinical and biochemical data, details of the pre-dialytic course, reasons for DI and causes of the choice of dialysis modality were registered.Results: Among 1587 included patients, 516 (32.5%) were judged unsuitable for home dialysis due to contraindications [384 ( 24.2%)] or no assessment [106 (6.7%); mainly due to late referral and/or suboptimal DI] or death [26 (1.6%)]. Older age, comorbidity, late referral, suboptimal DI, acute illness and rapid loss of renal function associated with unsuitability. Of the remaining 1071 patients, 700 (65.4%) chose peritoneal dialysis (61.7%) or home haemodialysis (HD; 3.6%), while 371 (34.6%) chose in-centre HD. Somatic differences between patients choosing home dialysis and in-centre dialysis were minor; factors linked to the choice of in-centre dialysis were late referral, suboptimal DI, acute illness and absence of a 'home dialysis first' institutional policy.Conclusions: Given a personal choice with shared decision making, 65.4% of ESKD patients choose home dialysis. Our data indicate that the incidence of home dialysis potentially could be further increased to reduce the incidence of late referral and unplanned DI and, in acutely ill patients, by implementing an educational programme after improvement of their clinical condition.",
keywords = "glomerular filtration rate, haemodialysis, peritoneal dialysis, pre-dialysis, uraemia",
author = "James Heaf and Maija Heiro and Aivars Petersons and Baiba Vernere and Povlsen, {Johan V} and S{\o}rensen, {Anette Bagger} and Naomi Clyne and Inge Bumblyte and Alanta Zilinskiene and Else Randers and Niels L{\o}kkegaard and Mai Ots-Rosenberg and Stig Kjellevold and Kampmann, {Jan Dominik} and Bj{\"o}rn Rogland and Inger Lagreid and Olof Heimburger and Bengt Lindholm",
note = "{\textcopyright} The Author(s) 2020. Published by Oxford University Press on behalf of ERA-EDTA.",
year = "2021",
month = sep,
doi = "10.1093/ckj/sfaa260",
language = "English",
volume = "14",
pages = "2064--2074",
journal = "Clinical kidney journal",
issn = "2048-8505",
publisher = "Oxford University Press",
number = "9",

}

RIS

TY - JOUR

T1 - Choice of dialysis modality among patients initiating dialysis

T2 - results of the Peridialysis study

AU - Heaf, James

AU - Heiro, Maija

AU - Petersons, Aivars

AU - Vernere, Baiba

AU - Povlsen, Johan V

AU - Sørensen, Anette Bagger

AU - Clyne, Naomi

AU - Bumblyte, Inge

AU - Zilinskiene, Alanta

AU - Randers, Else

AU - Løkkegaard, Niels

AU - Ots-Rosenberg, Mai

AU - Kjellevold, Stig

AU - Kampmann, Jan Dominik

AU - Rogland, Björn

AU - Lagreid, Inger

AU - Heimburger, Olof

AU - Lindholm, Bengt

N1 - © The Author(s) 2020. Published by Oxford University Press on behalf of ERA-EDTA.

PY - 2021/9

Y1 - 2021/9

N2 - Background: In patients with end-stage kidney disease (ESKD), home dialysis offers socio-economic and health benefits compared with in-centre dialysis but is generally underutilized. We hypothesized that the pre-dialysis course and institutional factors affect the choice of dialysis modality after dialysis initiation (DI).Methods: The Peridialysis study is a multinational, multicentre prospective observational study assessing the causes and timing of DI and consequences of suboptimal DI. Clinical and biochemical data, details of the pre-dialytic course, reasons for DI and causes of the choice of dialysis modality were registered.Results: Among 1587 included patients, 516 (32.5%) were judged unsuitable for home dialysis due to contraindications [384 ( 24.2%)] or no assessment [106 (6.7%); mainly due to late referral and/or suboptimal DI] or death [26 (1.6%)]. Older age, comorbidity, late referral, suboptimal DI, acute illness and rapid loss of renal function associated with unsuitability. Of the remaining 1071 patients, 700 (65.4%) chose peritoneal dialysis (61.7%) or home haemodialysis (HD; 3.6%), while 371 (34.6%) chose in-centre HD. Somatic differences between patients choosing home dialysis and in-centre dialysis were minor; factors linked to the choice of in-centre dialysis were late referral, suboptimal DI, acute illness and absence of a 'home dialysis first' institutional policy.Conclusions: Given a personal choice with shared decision making, 65.4% of ESKD patients choose home dialysis. Our data indicate that the incidence of home dialysis potentially could be further increased to reduce the incidence of late referral and unplanned DI and, in acutely ill patients, by implementing an educational programme after improvement of their clinical condition.

AB - Background: In patients with end-stage kidney disease (ESKD), home dialysis offers socio-economic and health benefits compared with in-centre dialysis but is generally underutilized. We hypothesized that the pre-dialysis course and institutional factors affect the choice of dialysis modality after dialysis initiation (DI).Methods: The Peridialysis study is a multinational, multicentre prospective observational study assessing the causes and timing of DI and consequences of suboptimal DI. Clinical and biochemical data, details of the pre-dialytic course, reasons for DI and causes of the choice of dialysis modality were registered.Results: Among 1587 included patients, 516 (32.5%) were judged unsuitable for home dialysis due to contraindications [384 ( 24.2%)] or no assessment [106 (6.7%); mainly due to late referral and/or suboptimal DI] or death [26 (1.6%)]. Older age, comorbidity, late referral, suboptimal DI, acute illness and rapid loss of renal function associated with unsuitability. Of the remaining 1071 patients, 700 (65.4%) chose peritoneal dialysis (61.7%) or home haemodialysis (HD; 3.6%), while 371 (34.6%) chose in-centre HD. Somatic differences between patients choosing home dialysis and in-centre dialysis were minor; factors linked to the choice of in-centre dialysis were late referral, suboptimal DI, acute illness and absence of a 'home dialysis first' institutional policy.Conclusions: Given a personal choice with shared decision making, 65.4% of ESKD patients choose home dialysis. Our data indicate that the incidence of home dialysis potentially could be further increased to reduce the incidence of late referral and unplanned DI and, in acutely ill patients, by implementing an educational programme after improvement of their clinical condition.

KW - glomerular filtration rate

KW - haemodialysis

KW - peritoneal dialysis

KW - pre-dialysis

KW - uraemia

U2 - 10.1093/ckj/sfaa260

DO - 10.1093/ckj/sfaa260

M3 - Journal article

C2 - 34476093

VL - 14

SP - 2064

EP - 2074

JO - Clinical kidney journal

JF - Clinical kidney journal

SN - 2048-8505

IS - 9

ER -

ID: 67500245