Abstract: SA-PO481
Effects of Shared Decision-Making on the Prognosis of Patients with Peritoneal Dialysis
Session Information
- Home Dialysis - 2
October 26, 2024 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 802 Dialysis: Home Dialysis and Peritoneal Dialysis
Authors
- Rim, Hark, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
- Bak, Byeonghwa, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
- Kim, Ye na, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
- Shin, Ho Sik, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
- Jung, Yeonsoon, Kosin University Gospel Hospital, Busan, Korea (the Republic of)
Background
Patients with chronic kidney disease (CKD) require shared
decision-making (SDM) processes when choosing a dialysis method. Peritoneal
dialysis (PD) guarantees patient autonomy; thus, SDM is even more important.
Based on these findings, we aim to highlight the benefits of PD and increase the rate
in which patients choose PD. In order to increase the rate of PD implementation,
patients must actively participate in dialysis decisions, and SDM process is
necessary between doctors and patients. So, we investigated the effect of SDM on
the prognosis of patients with CKD. We focused on the effects of SDM on patient
death, survival rates, hemodialysis conversion, emergency room visits,
hospitalization days, and outpatient visits. The results of this study suggest that SDM
has a positive impact on increasing the number of patients who choose PD and
reduce unneccessary medical cost
Methods
Among patients with chronic kidney failure from eight hospitals in Korea
who started dialysis, 256 who participated in a pilot project for home management of
PD were included in the present study. A mixed-methods study was conducted using
questionnaires and semi-structured interviews. Our study focused on the effects of
SDM on patient death, survival rate, hemodialysis conversion, emergency room
visits, hospitalization days, and outpatient visits.
Results
A significant difference was observed in the number of days of
hospitalization per admission (p = 0.0044) between the SDM and non-SDM groups.
However, no significant differences were observed in survival rate, rate of conversion
to hemodialysis (HD), survival rate after conversion to HD, emergency room visit rate,
number of hospitalizations per patient, outpatient visit rate, medical cost,
hospitalization cost, outpatient cost, and phosphate-binding agent prescription rate.
Conclusion
The number of hospitalization days per admission decreased
throughout the SDM process. Continued communication between patients and
medical staff on how to manage PD in the long term after making the decision to
undergo dialysis will be beneficial in promoting the home management of PD
patients.