Dialysis decision-making process by Chinese American patients at an urban, academic medical center: a retrospective chart review.

ABSTRACT:

Background

Clinical practice guidelines emphasize shared decision-making for kidney replacement treatment, yet little is known about the influence of cultural differences on that process. We undertook a retrospective chart review to explore the process and timing of dialysis decision making and initiation in Chinese American patients to provide quality kidney care for this population.

Design

Participants received outpatient care at Tufts Medical Center and dialysis at Dialysis Clinic, Inc. Boston or Somerville, MA from 2001-2021. Clinic chart review sourced demographic, clinical, and end-of-life care information from 180 participants (82 Chinese American, 98 other) from stage 4 chronic kidney disease (CKD) and dialysis initiation.

Results

Chinese American participants

SUBMITTER: Lebovitz AL 

PROVIDER: S-EPMC10809624 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature