Late Dialysis Modality Education Could Negatively Predict Peritoneal Dialysis Selection
Patients with end-stage renal disease are less likely to choose peritoneal dialysis (PD) as renal replacement therapy (RRT). The reasons for this biased selection are still poorly understood. In this study, we evaluated the effect of the timing of RRT education on PD selection. This single-center re...
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| Veröffentlicht in: | Journal of clinical medicine 2022-07, Vol.11 (14), p.4042 |
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| creator | Nakayama, Takashin Nishioka, Ken Uchiyama, Kiyotaka Morimoto, Kohkichi Kusahana, Ei Washida, Naoki Yamaguchi, Shintaro Azegami, Tatsuhiko Yoshida, Tadashi Itoh, Hiroshi |
| description | Patients with end-stage renal disease are less likely to choose peritoneal dialysis (PD) as renal replacement therapy (RRT). The reasons for this biased selection are still poorly understood. In this study, we evaluated the effect of the timing of RRT education on PD selection. This single-center retrospective observational study included patients who initiated maintenance dialysis at our hospital between April 2014 and July 2021. A logistic regression analysis was performed to investigate the association of RRT education timing with PD selection. Among the 355 participants (median age [IQR] 70 (59−79) years; 28.7% female), 53 patients (14.9%) and 302 patients (85.1%) selected PD and hemodialysis, respectively. Multivariate analysis demonstrated that high estimated glomerular filtration (eGFR) at RRT education positively predicted PD selection (p < 0.05), whereas old age (p < 0.01) and high Charlson comorbidity index (p < 0.05) were negative predictors of PD selection. Female sex (p = 0.44), welfare public assistance (p = 0.78), living alone (p = 0.25), high geriatric nutritional risk index (p = 0.10) and high eGFR at first visit to the nephrology department (p = 0.83) were not significantly associated with PD selection. Late RRT education could increase the biased selection of dialysis modality. |
| doi_str_mv | 10.3390/jcm11144042 |
| format | Article |
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The reasons for this biased selection are still poorly understood. In this study, we evaluated the effect of the timing of RRT education on PD selection. This single-center retrospective observational study included patients who initiated maintenance dialysis at our hospital between April 2014 and July 2021. A logistic regression analysis was performed to investigate the association of RRT education timing with PD selection. Among the 355 participants (median age [IQR] 70 (59−79) years; 28.7% female), 53 patients (14.9%) and 302 patients (85.1%) selected PD and hemodialysis, respectively. Multivariate analysis demonstrated that high estimated glomerular filtration (eGFR) at RRT education positively predicted PD selection (p < 0.05), whereas old age (p < 0.01) and high Charlson comorbidity index (p < 0.05) were negative predictors of PD selection. Female sex (p = 0.44), welfare public assistance (p = 0.78), living alone (p = 0.25), high geriatric nutritional risk index (p = 0.10) and high eGFR at first visit to the nephrology department (p = 0.83) were not significantly associated with PD selection. Late RRT education could increase the biased selection of dialysis modality.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11144042</identifier><identifier>PMID: 35887805</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age ; Body mass index ; Cardiovascular disease ; Cholesterol ; Clinical medicine ; Creatinine ; Diabetes ; Heart failure ; Hemoglobin ; High density lipoprotein ; Kidney diseases ; Kidney transplants ; Nephrology ; Normal distribution ; Nurse specialists ; Patient education ; Peritoneal dialysis ; Potassium ; Regression analysis ; Welfare</subject><ispartof>Journal of clinical medicine, 2022-07, Vol.11 (14), p.4042</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c433t-e0858c23083aae90536b87a6beda962f15a2549111c6c902ff1b9a5399dac96f3</cites><orcidid>0000-0002-4917-033X ; 0000-0003-1626-7773 ; 0000-0003-2498-2793 ; 0000-0002-5173-1263</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9315828/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9315828/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35887805$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakayama, Takashin</creatorcontrib><creatorcontrib>Nishioka, Ken</creatorcontrib><creatorcontrib>Uchiyama, Kiyotaka</creatorcontrib><creatorcontrib>Morimoto, Kohkichi</creatorcontrib><creatorcontrib>Kusahana, Ei</creatorcontrib><creatorcontrib>Washida, Naoki</creatorcontrib><creatorcontrib>Yamaguchi, Shintaro</creatorcontrib><creatorcontrib>Azegami, Tatsuhiko</creatorcontrib><creatorcontrib>Yoshida, Tadashi</creatorcontrib><creatorcontrib>Itoh, Hiroshi</creatorcontrib><title>Late Dialysis Modality Education Could Negatively Predict Peritoneal Dialysis Selection</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>Patients with end-stage renal disease are less likely to choose peritoneal dialysis (PD) as renal replacement therapy (RRT). The reasons for this biased selection are still poorly understood. In this study, we evaluated the effect of the timing of RRT education on PD selection. This single-center retrospective observational study included patients who initiated maintenance dialysis at our hospital between April 2014 and July 2021. A logistic regression analysis was performed to investigate the association of RRT education timing with PD selection. Among the 355 participants (median age [IQR] 70 (59−79) years; 28.7% female), 53 patients (14.9%) and 302 patients (85.1%) selected PD and hemodialysis, respectively. Multivariate analysis demonstrated that high estimated glomerular filtration (eGFR) at RRT education positively predicted PD selection (p < 0.05), whereas old age (p < 0.01) and high Charlson comorbidity index (p < 0.05) were negative predictors of PD selection. Female sex (p = 0.44), welfare public assistance (p = 0.78), living alone (p = 0.25), high geriatric nutritional risk index (p = 0.10) and high eGFR at first visit to the nephrology department (p = 0.83) were not significantly associated with PD selection. Late RRT education could increase the biased selection of dialysis modality.</description><subject>Age</subject><subject>Body mass index</subject><subject>Cardiovascular disease</subject><subject>Cholesterol</subject><subject>Clinical medicine</subject><subject>Creatinine</subject><subject>Diabetes</subject><subject>Heart failure</subject><subject>Hemoglobin</subject><subject>High density lipoprotein</subject><subject>Kidney diseases</subject><subject>Kidney transplants</subject><subject>Nephrology</subject><subject>Normal distribution</subject><subject>Nurse specialists</subject><subject>Patient education</subject><subject>Peritoneal dialysis</subject><subject>Potassium</subject><subject>Regression analysis</subject><subject>Welfare</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkctLBDEMxosoKurJuwx4EWS1j-lMexFkXR-wPkDFY8l2MtqlO9V2Rtj_3ll8reaShPzykfARssvokRCaHk_tjDGW5zTnK2ST07IcUKHE6lK9QXZSmtI-lMo5K9fJhpBKlYrKTfI0hhazMwd-nlzKrkMF3rXzbFR1FloXmmwYOl9lN_jct-_o59ldxMrZNrvD6NrQIPjf_Xv0aBdr22StBp9w5ytvkcfz0cPwcjC-vbgano4HNheiHSBVUlkuqBIAqKkUxUSVUEywAl3wmkngMtf9i7awmvK6ZhMNUmhdgdVFLbbIyafuazeZYWWxaSN48xrdDOLcBHDm76RxL-Y5vBstmFRc9QIHXwIxvHWYWjNzyaL30GDokuGFllznlLMe3f-HTkMXm_69BZVTRlWxEDz8pGwMKUWsf45h1Cw8M0ue9fTe8v0_7LdD4gOZg5I6</recordid><startdate>20220713</startdate><enddate>20220713</enddate><creator>Nakayama, Takashin</creator><creator>Nishioka, Ken</creator><creator>Uchiyama, Kiyotaka</creator><creator>Morimoto, Kohkichi</creator><creator>Kusahana, Ei</creator><creator>Washida, Naoki</creator><creator>Yamaguchi, Shintaro</creator><creator>Azegami, Tatsuhiko</creator><creator>Yoshida, Tadashi</creator><creator>Itoh, Hiroshi</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4917-033X</orcidid><orcidid>https://orcid.org/0000-0003-1626-7773</orcidid><orcidid>https://orcid.org/0000-0003-2498-2793</orcidid><orcidid>https://orcid.org/0000-0002-5173-1263</orcidid></search><sort><creationdate>20220713</creationdate><title>Late Dialysis Modality Education Could Negatively Predict Peritoneal Dialysis Selection</title><author>Nakayama, Takashin ; 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Female sex (p = 0.44), welfare public assistance (p = 0.78), living alone (p = 0.25), high geriatric nutritional risk index (p = 0.10) and high eGFR at first visit to the nephrology department (p = 0.83) were not significantly associated with PD selection. Late RRT education could increase the biased selection of dialysis modality.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35887805</pmid><doi>10.3390/jcm11144042</doi><orcidid>https://orcid.org/0000-0002-4917-033X</orcidid><orcidid>https://orcid.org/0000-0003-1626-7773</orcidid><orcidid>https://orcid.org/0000-0003-2498-2793</orcidid><orcidid>https://orcid.org/0000-0002-5173-1263</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Body mass index Cardiovascular disease Cholesterol Clinical medicine Creatinine Diabetes Heart failure Hemoglobin High density lipoprotein Kidney diseases Kidney transplants Nephrology Normal distribution Nurse specialists Patient education Peritoneal dialysis Potassium Regression analysis Welfare |
| title | Late Dialysis Modality Education Could Negatively Predict Peritoneal Dialysis Selection |
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