Supporting Shared Decision-Making and Home Dialysis in End-Stage Kidney Disease

• DOI: 10.2147/ijnrd.s375347
• Publication Date: 2022-09-08T03:20:07Z
• Authors: Rebecca Campbell-...; Huanguang Jia; Ashutosh M Shukla
• Keywords: Renal replacement therapy; Patient Empowerment

It has been widely demonstrated that patient education and empowerment, especially involving shared treatment decisions, improve outcomes in chronic medical conditions, including kidney disease requiring replacement therapies. Accordingly, regulatory agencies the US worldwide recommend decision-making for finalizing one's choice of therapy. is also recognized needs to substantially increase home dialysis utilization leverage its positive impacts on healthcare cost-related outcomes. This perspective highlights how routine clinical use recommended practice can exist synergy with system's goal increased use. introduces a pragmatic provider checklist, The Nephrologist's Shared Decision-Making Checklist, grounded relevant theories decision-making, and, unlike some research assessments extant tools, easy understand implement practice. qualitative Checklist help providers ensure they have co-constructed an SDM experience involved caretakers, helping them benefit from improved associated SDM.