Patient and Physician Views about Protocolized Dialysis Treatment in Randomized Trials and Clinical Care.

ABSTRACT:

Background

Pragmatic trials comparing standard-of-care interventions may improve the quality of care for future patients, but raise ethical questions about limitations on decisional autonomy. We sought to understand how patients and physicians view and respond to these questions in the contexts of pragmatic trials and of usual clinical care.

Methods

We conducted scenario-based, semi-structured interviews with 32 patients with end-stage renal disease (ESRD) receiving maintenance hemodialysis in outpatient dialysis units and with 24 nephrologists. Each participant was presented with two hypothetical scenarios in which a protocolized approach to hemodialysis treatment time was adopted for the entire dialysis unit as part of a clinical trial or a new clinical practice.

Result

SUBMITTER: Kraybill A 

PROVIDER: S-EPMC5098473 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature