Disparities in dialysis modality decision-making using a social-ecological lens: a qualitative approach.

ABSTRACT:

Background

Patients with end-stage kidney disease (ESKD) may choose to undergo dialysis in-center or at home, but uptake of home dialysis in the US has been minimal despite its benefits over in-center dialysis. Factors that may have led patients to select home dialysis over in-center dialysis are poorly understood in the literature, and interventions to improve selection of home dialysis have focused on patient knowledge and shared decision-making processes between patients and providers. The purpose of this study was to explore micro- and macro-level factors surrounding dialysis modality decision-making among patients undergoing in-center and home dialysis, and explore what leads patients to select home dialysis over in-center dialysis.

Methods

Semi-structured qualitative i

SUBMITTER: Velez-Bermudez M 

PROVIDER: S-EPMC9356453 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature