Affiliations 

  • 1 Division of Nephrology, Guangdong Provincial People's Hospital, Guangzhou, People's Republic of China
  • 2 Kidney Center, St. Luke's International Hospital, Tokyo, Japan
  • 3 Division of Nephrology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
  • 4 Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
  • 5 Department of Nephrology, Hospital Tuanku Ja'afar, Seremban, Malaysia
  • 6 Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong
  • 7 Medical Education Institute, Inc., Madison, Wisconsin, USA
  • 8 Yale School of Medicine, New Haven, Connecticut, USA
  • 9 Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  • 10 Baxter Healthcare, Sydney, New South Wales, Australia
Kidney Int Rep, 2022 Jan;7(1):15-27.
PMID: 35005310 DOI: 10.1016/j.ekir.2021.10.019

Abstract

The prevalence of kidney failure continues to rise globally. Dialysis is a treatment option for individuals with kidney failure; after the decision to initiate dialysis has been made, it is critical to involve individuals in the decision on which dialysis modality to choose. This review, based on evidence arising from the literature, examines the role of shared decision-making (SDM) in helping those with kidney failure to select a dialysis modality. SDM was found to lead to more people with kidney failure feeling satisfied with their choice of dialysis modality. Individuals with kidney failure must be cognizant that SDM is an active and iterative process, and their participation is essential for success in empowering them to make decisions on dialysis modality. The educational components of SDM must be easy to understand, high quality, unbiased, up to date, and targeted to the linguistic, educational, and cultural needs of the individual. All individuals with kidney failure should be encouraged to participate in SDM and should be involved in the design and implementation of SDM approaches.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.