Key points are not available for this paper at this time.
Abstract Introduction The effect of shared decision‐making (SDM) regarding the choice of renal replacement therapy (RRT) for chronic kidney disease (CKD) patients on their mortality after the induction of dialysis therapy has not been adequately investigated. Methods Patients who initiated dialysis at our hospital were divided into two groups according to whether they participated in SDM in the outpatient clinic, and survival analysis was performed. We also examined the effect of SDM in the outpatient clinic on mortality. Results Of the 554 patients, 123 (22.2%) were in the SDM group. The survival rate was significantly higher in the SDM group ( p = 0.001, log‐rank test). Multivariate analysis excluding ADL, which competed with SDM, showed that SDM was significantly associated with mortality (HR 0.593, 95% CI: 0.353–0.997, p = 0.049). Conclusion SDM regarding RRT selection in the outpatient clinic may be associated with a better patient prognosis after dialysis induction.
Kohatsu et al. (Wed,) studied this question.