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The effect of contraindications and patient preference on dialysis modality selection in ESRD patients in The Netherlands.

Authors
  • Jager, Kitty J1
  • Korevaar, Johanna C
  • Dekker, Friedo W
  • Krediet, Raymond T
  • Boeschoten, Elisabeth W
  • 1 Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. [email protected] , (Netherlands)
Type
Published Article
Journal
American Journal of Kidney Diseases
Publisher
Elsevier
Publication Date
May 01, 2004
Volume
43
Issue
5
Pages
891–899
Identifiers
PMID: 15112180
Source
Medline
License
Unknown

Abstract

Older age was associated with more contraindications to PD therapy and stronger patient preference for HD therapy. An elderly patient therefore was more likely to start with HD therapy. Results from the current study suggest that an increase in provision of predialysis care, in combination with a reduction in social contraindications to PD therapy, may be associated with an increase in likelihood of starting with PD therapy. In a time of an aging population, increasing demand on dialysis capacity, and limited amount of financial supplies, we may reconsider current strategies to provide future patients with ESRD the possibility to start with the dialysis modality they prefer.

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