Effect of Pre-emptive Assessment of Self-care Peritoneal Dialysis (PD) Ability on PD Choice in Patients With Stage 5 Chronic Kidney Disease
Study Details
Study Description
Brief Summary
Peritoneal dialysis is an effective renal replacement therapy with higher quality of life and lower treatment cost than hemodialysis.However, the application rate of peritoneal dialysis is much lower than that of hemodialysis. One of the reasons is that patients need to complete fluid changing operation independently, which is especially challenging for elderly and frail patients. Assisted peritoneal dialysis can help patients with independent dialysis disorders to complete dialysis. Currently, there is a lack of standard tools to assess patients' ability to conduct independent dialysis and to determine whether assisted dialysis is needed. Moreover, routine assessment is arranged after the training of dialysis operation, which leads to some patients giving up the procedure at an early stage, resulting in a low selection rate of the procedure.The purpose of this study was to investigate the effect of using a standard scale to evaluate the ability to perform abdominal dialysis in patients with stage 5 chronic kidney disease (CKD) before deciding on dialysis modality.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Intervention group be evaluated by using the self-care PD feasibility assessment in addition to education on renal replacement therapy and dialysis |
Other: Self-care PD ability assessment form
Subjects will be evaluated using the self-care PD feasibility assessment tool within 7 days after randomization. The evaluation results will be provided to the patient on the same day
Other: Education
Education on renal replacement therapy and dialysis
|
| Active Comparator: Control group education on renal replacement therapy and dialysis |
Other: Education
Education on renal replacement therapy and dialysis
|
Outcome Measures
Primary Outcome Measures
- The rate of PD choice [up to 90 days]
Secondary Outcome Measures
- The aPD utilization rate [up to 180 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age >=18 years old;
-
Need dialysis within 6 months;
-
Informed consent.
Exclusion Criteria:
-
Absolute PD contraindications;
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Need urgent dialysis;
-
RTX as initial renal replacement therapy.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Shanghai Renji Hospital, Shanghai Jiaotong University School of Medicine | Shanghai | Shanghai | China | 200001 |
Sponsors and Collaborators
- Shanghai Jiao Tong University School of Medicine
Investigators
- Study Director: Wei Fang, MD, RenJi Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- self-care PD ability