Key elements in selection of pre-dialysis patients for home dialysis

Anna A Bonenkamp, Tom D Y Reijnders, Anita van Eck van der Sluijs, E Christiaan Hagen, Alferso C Abrahams, Frans J van Ittersum, Brigit C van Jaarsveld

Research output: Contribution to journalArticleAcademicpeer-review

12 Downloads (Pure)

Abstract

BACKGROUND: Most pre-dialysis patients are medically eligible for home dialysis, and home dialysis has several advantages over incentre dialysis. However, accurately selecting patients for home dialysis appears to be difficult, since uptake of home dialysis remains low. The aim of this study was to investigate which medical or psychosocial elements contribute most to the selection of patients eligible for home dialysis.

METHODS: All patients from a Dutch teaching hospital, who received treatment modality education and subsequently started dialysis treatment, were included. The pre-dialysis programme consisted of questionnaires for the patient, nephrologist and social worker, followed by an assessment of eligibility for home dialysis by a multidisciplinary team. Clinimetric assessment and logistic regression were used to identify domains and questions associated with home dialysis treatment.

RESULTS: A total of 135 patients were included, of whom 40 were treated with home dialysis and 95 with incentre haemodialysis. The key elements associated with long-term home dialysis treatment were part of the domains 'suitability of the housing', 'self-care', 'social support' and 'patient capacity', with adjusted odds ratios ranging from 0.13 for negative to 18.3 for positive associations.

CONCLUSION: The assessment of contraindications by a nephrologist followed by the assessment of possibilities by a social worker or dialysis nurse who investigates four key elements, ideally during a home visit, and subsequent detailed education offered by specialized nurses is an optimal way to select patients for home dialysis.

Original languageEnglish
Pages (from-to)494-501
Number of pages8
JournalPeritoneal Dialysis International
Volume41
Issue number5
Early online date5 Jul 2021
DOIs
Publication statusPublished - Sept 2021

Keywords

  • Home dialysis
  • modality selection
  • pre-dialysis programme
  • social worker
  • treatment modality education

Fingerprint

Dive into the research topics of 'Key elements in selection of pre-dialysis patients for home dialysis'. Together they form a unique fingerprint.

Cite this