Patient-Related Barriers to Timely Dialysis Access Preparation: A Qualitative Study of the Perspectives of Patients, Family Members, and Health Care Providers.

ABSTRACT:

Rational & objective

A key aspect of smooth transition to dialysis is the timely creation of a permanent access. Despite early referral to kidney care, initiation onto dialysis is still suboptimal for many patients, which has clinical and cost implications. This study aimed to explore perspectives of various stakeholders on barriers to timely access creation.

Study design

Qualitative study.

Setting & participants

Semi-structured interviews with 96 participants (response rate, 67%), including patients with stage 4 chronic kidney disease (n = 30), new hemodialysis patients with (n = 18) and without (n = 20) permanent access (arteriovenous fistula), family members (n = 19), and kidney health care providers (n = 9).

Analytical approach

Thematic analysis.

Results

SUBMITTER: Griva K 

PROVIDER: S-EPMC7525138 | biostudies-literature | 2020 Jan-Feb

REPOSITORIES: biostudies-literature