Factors Associated with the Choice of Peritoneal Dialysis in Patients with End-Stage Renal Disease

doi:10.1155/2016/5314719

CNU IR > College of Smart Living > Dept. of Life and Health Science > Periodical Articles > Item 310902800/30925

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/30925

Title:	Factors Associated with the Choice of Peritoneal Dialysis in Patients with End-Stage Renal Disease
Authors:	Chiang, Pei-Chun Hou, Jia-Jeng Jong, Ing-Ching Hung, Peir-Haur Hsiao, Chih-Yen Ma, Tsung-Liang Hsu, Yueh-Han
Contributors:	Chia Yi Christian Hosp, Ditmanson Med Fdn, Dept Internal Med, Div Nephrol Natl Chiayi Univ, Dept Business Adm Chia Nan Univ Pharm & Sci, Dept Appl Life Sci & Hlth Min Hwei Coll Hlth Care Management, Dept Nursing China Med Univ, Dept Publ Hlth China Med Univ, Dept Hlth Serv Adm
Keywords:	chronic kidney-disease decision-making modality selection functional independence replacement therapy elderly-patients esrd patients hemodialysis nephrologists education
Date:	2016
Issue Date:	2018-01-18 11:38:03 (UTC+8)
Publisher:	Hindawi Publishing Corp
Abstract:	Background. The purpose of this study was to analyze the factors associated with receiving peritoneal dialysis (PD) in patients with incident end-stage renal disease (ESRD) in a hospital in Southern Taiwan. Methods. The study included all consecutive patients with incident ESRD who participated in amultidisciplinary predialysis education (MPE) program and started their first dialysis therapy between January 1, 2008, and June 30, 2013, in the study hospital. We provided small group teaching sessions to advanced CKD patients and their family to enhance understanding of various dialysis modalities. Multivariate logistic regression models were used to analyze the association of patient characteristics with the chosen dialysis modality. Results. Of the 656 patients, 524 (80%) chose hemodialysis and 132 chose PD. Our data showed that young age, high education level, and high scores of activities of daily living (ADLs) were positively associated with PD treatment. Patients who received small group teaching sessions had higher percentages of PD treatment (30.5% versus 19.5%; P = 0.108) and preparedness for dialysis (61.1% versus 46.6%; P = 0.090). Conclusion. Young age, high education level, and high ADL score were positively associated with choosing PD. Early creation of vascular access may be a barrier for PD.
Relation:	Biomed Research International, V.2016, Article ID 5314719
Appears in Collections:	[Dept. of Life and Health Science] Periodical Articles

Files in This Item:

File	Description	Size	Format
30925.pdf		1304Kb	Adobe PDF	232	View/Open
index.html		0Kb	HTML	1315	View/Open

Loading...