Opportunities to Improve Shared Decision Making in Dialysis Decisions for Older Adults with Life-Limiting Kidney Disease: A Pilot Study.

ABSTRACT: Background: Lack of awareness about the life-limiting nature of renal failure is a significant barrier to palliative care for older adults with end-stage renal disease. Objective: To train nephrologists to use the best case/worst case (BC/WC) communication tool to improve shared decision making about dialysis initiation for older patients with limited life expectancy. Design: This is a pre-/postinterventional pilot study. Setting/Subjects: There were 16 nephrologists and 30 patients of age 70 years and older with estimated glomerular filtration rate (eGFR) <20 mL/min per 1.73 m² in outpatient nephrology clinics, in Madison, WI. Measurements: Performance of tool elements, content of communication about dialysis

SUBMITTER: Zimmermann CJ 

PROVIDER: S-EPMC7232635 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature