Australian Workshops on Patients’ Perspectives on Hemodialysis and Incremental Start
Most patients with kidney failure commence and continue hemodialysis (HD) thrice weekly. Incremental initiation (defined as HD less than thrice weekly) is increasingly considered to be safe and less burdensome, but little is known about patients’ perspectives. We aimed to describe patients’ prioriti...
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| Veröffentlicht in: | Kidney international reports 2023-03, Vol.8 (3), p.478-488 |
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| creator | Hegerty, Katharine Jaure, Allison Scholes-Robertson, Nicole Howard, Kirsten Ju, Angela Evangelidis, Nicole Wolley, Martin Baumgart, Amanda Johnson, David W. Hawley, Carmel M. Reidlinger, Donna Hickey, Laura Welch, Alyssa Cho, Yeoungjee Kerr, Peter G. Roberts, Matthew A. Shen, Jenny I. Craig, Jonathan Krishnasamy, Rathika Viecelli, Andrea K. |
| description | Most patients with kidney failure commence and continue hemodialysis (HD) thrice weekly. Incremental initiation (defined as HD less than thrice weekly) is increasingly considered to be safe and less burdensome, but little is known about patients’ perspectives. We aimed to describe patients’ priorities and concerns regarding incremental HD.
Patients currently, previously, or soon to be receiving HD in Australia participated in two 90-minute online workshops to discuss views about HD focusing on incremental start and priorities for trial outcomes. Transcripts were analyzed using thematic analysis. Outcomes were ranked on the basis of the sum of participants’ priority scores (i.e., single allocation of 3 points for most important, 2 for second, and 1 for third most important outcome).
All 26 participants (1 caregiver and 25 patients) preferred an incremental HD approach. The top prioritized outcomes were quality of life (QOL) (56 points), residual kidney function (RKF) (27 points), and mortality (16 points). The following 4 themes underpinning outcome priorities, experience, and safety concerns were identified: (i) unpreparedness and pressure to adapt, (ii) disruption to daily living, (iii) threats to safety, and (iv) hope and future planning.
Patients with kidney failure preferred an incremental start to HD to minimize disruption to daily living and reduce the negative impacts on their education, ability to work, and family life. QOL was the most critically important outcome, followed by RKF and survival.
[Display omitted] |
| doi_str_mv | 10.1016/j.ekir.2022.11.012 |
| format | Article |
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Patients currently, previously, or soon to be receiving HD in Australia participated in two 90-minute online workshops to discuss views about HD focusing on incremental start and priorities for trial outcomes. Transcripts were analyzed using thematic analysis. Outcomes were ranked on the basis of the sum of participants’ priority scores (i.e., single allocation of 3 points for most important, 2 for second, and 1 for third most important outcome).
All 26 participants (1 caregiver and 25 patients) preferred an incremental HD approach. The top prioritized outcomes were quality of life (QOL) (56 points), residual kidney function (RKF) (27 points), and mortality (16 points). The following 4 themes underpinning outcome priorities, experience, and safety concerns were identified: (i) unpreparedness and pressure to adapt, (ii) disruption to daily living, (iii) threats to safety, and (iv) hope and future planning.
Patients with kidney failure preferred an incremental start to HD to minimize disruption to daily living and reduce the negative impacts on their education, ability to work, and family life. QOL was the most critically important outcome, followed by RKF and survival.
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Patients currently, previously, or soon to be receiving HD in Australia participated in two 90-minute online workshops to discuss views about HD focusing on incremental start and priorities for trial outcomes. Transcripts were analyzed using thematic analysis. Outcomes were ranked on the basis of the sum of participants’ priority scores (i.e., single allocation of 3 points for most important, 2 for second, and 1 for third most important outcome).
All 26 participants (1 caregiver and 25 patients) preferred an incremental HD approach. The top prioritized outcomes were quality of life (QOL) (56 points), residual kidney function (RKF) (27 points), and mortality (16 points). The following 4 themes underpinning outcome priorities, experience, and safety concerns were identified: (i) unpreparedness and pressure to adapt, (ii) disruption to daily living, (iii) threats to safety, and (iv) hope and future planning.
Patients with kidney failure preferred an incremental start to HD to minimize disruption to daily living and reduce the negative impacts on their education, ability to work, and family life. QOL was the most critically important outcome, followed by RKF and survival.
[Display omitted]</description><subject>Clinical Research</subject><subject>hemodialysis</subject><subject>incremental dialysis</subject><subject>patient perspectives</subject><subject>patient-centered care</subject><subject>quality of life</subject><subject>residual kidney function</subject><issn>2468-0249</issn><issn>2468-0249</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kU1qHDEQhYVJsI3jC2QRepnNtEs_3SNBIBiTxAZDDDbOUtRI1bHG3a2J1DPgXa6R6-Uk1mQc42yyKkF99ar0HmNvOdQceHuyrOk-pFqAEDXnNXCxxw6FavUMhDKvXrwP2HHOSwDg87YxoPfZgWyN1GDgkN2ervOUsA84Vt9ius93cZWrOFZXOAUap_z756_qilJekZvChv70zmmIPmD_kEOucPTVxegSDQXHvrqeME1v2OsO-0zHT_WI3Xz-dHN2Prv8-uXi7PRy5lTTTjN0DThNKD2iQd0Y4xul20Vn0AP3xnVeKc8XREjUzqUiAdTJuZcNNgslj9jHnexqvRjIu3JB-YtdpTBgerARg_23M4Y7-z1uLC9uKCnbovD-SSHFH2vKkx1CdtT3OFJcZyvmWmtQpoGCih3qUsw5Ufe8h4PdZmKXdpuJ3WZiObclkzL07uWFzyN_EyjAhx1AxaZNoGSzK8Y78iEVy62P4X_6j86toZA</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Hegerty, Katharine</creator><creator>Jaure, Allison</creator><creator>Scholes-Robertson, Nicole</creator><creator>Howard, Kirsten</creator><creator>Ju, Angela</creator><creator>Evangelidis, Nicole</creator><creator>Wolley, Martin</creator><creator>Baumgart, Amanda</creator><creator>Johnson, David W.</creator><creator>Hawley, Carmel M.</creator><creator>Reidlinger, Donna</creator><creator>Hickey, Laura</creator><creator>Welch, Alyssa</creator><creator>Cho, Yeoungjee</creator><creator>Kerr, Peter G.</creator><creator>Roberts, Matthew A.</creator><creator>Shen, Jenny I.</creator><creator>Craig, Jonathan</creator><creator>Krishnasamy, Rathika</creator><creator>Viecelli, Andrea K.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8260-0453</orcidid><orcidid>https://orcid.org/0000-0001-9175-5406</orcidid></search><sort><creationdate>20230301</creationdate><title>Australian Workshops on Patients’ Perspectives on Hemodialysis and Incremental Start</title><author>Hegerty, Katharine ; 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Incremental initiation (defined as HD less than thrice weekly) is increasingly considered to be safe and less burdensome, but little is known about patients’ perspectives. We aimed to describe patients’ priorities and concerns regarding incremental HD.
Patients currently, previously, or soon to be receiving HD in Australia participated in two 90-minute online workshops to discuss views about HD focusing on incremental start and priorities for trial outcomes. Transcripts were analyzed using thematic analysis. Outcomes were ranked on the basis of the sum of participants’ priority scores (i.e., single allocation of 3 points for most important, 2 for second, and 1 for third most important outcome).
All 26 participants (1 caregiver and 25 patients) preferred an incremental HD approach. The top prioritized outcomes were quality of life (QOL) (56 points), residual kidney function (RKF) (27 points), and mortality (16 points). The following 4 themes underpinning outcome priorities, experience, and safety concerns were identified: (i) unpreparedness and pressure to adapt, (ii) disruption to daily living, (iii) threats to safety, and (iv) hope and future planning.
Patients with kidney failure preferred an incremental start to HD to minimize disruption to daily living and reduce the negative impacts on their education, ability to work, and family life. QOL was the most critically important outcome, followed by RKF and survival.
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| fulltext | fulltext |
| identifier | ISSN: 2468-0249 |
| ispartof | Kidney international reports, 2023-03, Vol.8 (3), p.478-488 |
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| language | eng |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Clinical Research hemodialysis incremental dialysis patient perspectives patient-centered care quality of life residual kidney function |
| title | Australian Workshops on Patients’ Perspectives on Hemodialysis and Incremental Start |
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