Effects of one-hour discussion on the choice of dialysis modality at the outpatient clinic: A retrospective cohort study using propensity score matching
Abstract
Background
The aim of present study was to evaluate the effects of one-hour discussion on the choice of dialysis modality at the outpatient clinic.
Methods
Charts of consecutive patients who had started maintenance dialysis from May 2013 to April 2021 were retrospectively reviewed. Characteristics at the start of dialysis were compared between patients participated and not participated in the discussion.
Results
Of the 620 incident dialysis patients, 128 patients had participated in the discussion. After propensity score matching (1:1), 127 patients who participated in the discussion tended to have fewer urgent hospitalizations (13.4% vs. 21.3%, p = 0.068). In addition, more patients who initiated peritoneal dialysis (PD) (30.7% vs. 9.4%, p < 0.001). On multivariate analysis, participation in the discussion (OR 4.81, 95% CI 2.807–8.24; p < 0.001) was related to PD initiation.
Conclusion
One-hour discussion on the choice of dialysis modality may increase PD initiations and decrease the number of urgent hospitalizations.
CONFLICT OF INTEREST
This work did not receive any grants from funding agencies in the public, commercial, or not-for-profit sectors. However, all authors (Tsutomu Sakurada, Kenichiro Koitabashi, Masaru Murasawa, Kaori Kohatsu, Shigeki Kojima, and Yugo Shibagaki) have received an endowment from Baxter Healthcare.
Open Research
DATA AVAILABILITY STATEMENT
The datasets used and/or analysed during the current study available from the corresponding author on reasonable request.
