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October 9, 2014American Journal of Kidney DiseasesOpen Access

Understanding by Older Patients of Dialysis and Conservative Management for Chronic Kidney Failure

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Key result

In 42 older adults with chronic kidney disease stage 5, beliefs about dialysis outcomes varied and were influenced by information provided by their respective renal units.

Why the study?

What are the beliefs and understanding of older patients with chronic kidney failure regarding dialysis and conservative management?

Population

42 patients 75 years or older with chronic kidney disease stage 5, recruited from 9 renal units.

Design

Other

Authors

STSarah Tonkin‐CrineIOIkumi OkamotoGLGeraldine Leydon

Discussion

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Overview

Clinicians should scrutinize how renal unit information shapes beliefs; this Level 5 evidence leaves open optimal counseling strategies.

Structured PICO

What are the beliefs and understanding of older patients with chronic kidney failure regarding dialysis and conservative management?

P
Population
42 patients aged 75 years or older with chronic kidney disease stage 5 recruited from 9 renal units.
E
Exposure
Semistructured interviews to explore reasons for choosing conservative management versus dialysis.
O
Outcome
Patients' beliefs about what dialysis could offer and information received from clinical staff.patient reported

Older patients' beliefs about dialysis and conservative management vary significantly and are influenced by the information provided by their renal units.

Limitations

  • Recruitment of older adults with frailty and comorbid conditions was difficult and therefore transferability of findings to this population is limited.

Cite This Study

Tonkin‐Crine et al. (2014) studied Chronic kidney disease stage 5 (n=42). Conservative management vs. Dialysis was evaluated on Beliefs about dialysis and conservative management. In 42 older adults with chronic kidney disease stage 5, beliefs about dialysis outcomes varied and were influenced by information provided by their respective renal units.

synapsesocial.com/papers/6a6f53c5febe604dd70848b8https://doi.org/10.1053/j.ajkd.2014.08.011
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Value-based evaluation of dialysis versus conservative care in older patients with advanced chronic kidney disease: a cohort study2018 · 81 citations
  2. 2Dialysis versus conservative kidney management in older adults: why one size does not fit all2026 · 4 citations
  3. 3Deciding between conservative kidney management and dialysis in older people with kidney failure, a narrative review2026
  4. 4Lived experiences and decision making among patients and caregivers choosing conservative kidney management: A qualitative study2026
  5. 5#2465 How do renal clinicians present treatment options to older patients with advanced kidney disease and what difference does it make?2024