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Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis
The importance of a shared decision-making (SDM) approach is widely recognized worldwide. In Japan, hospital accreditation involves the promotion of SDM for patients with end-stage renal disease (ESRD) when considering renal replacement therapy (RRT). This study aimed to clarify the effectiveness an...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10097859/ https://www.ncbi.nlm.nih.gov/pubmed/37045851 http://dx.doi.org/10.1038/s41598-023-31636-2 |
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author | Fukuzaki, Haruna Nakata, Junichiro Nojiri, Shuko Shimizu, Yuki Shirotani, Yuka Maeda, Takuya Kano, Toshiki Mishiro, Maiko Nohara, Nao Io, Hiroaki Suzuki, Yusuke |
author_facet | Fukuzaki, Haruna Nakata, Junichiro Nojiri, Shuko Shimizu, Yuki Shirotani, Yuka Maeda, Takuya Kano, Toshiki Mishiro, Maiko Nohara, Nao Io, Hiroaki Suzuki, Yusuke |
author_sort | Fukuzaki, Haruna |
collection | PubMed |
description | The importance of a shared decision-making (SDM) approach is widely recognized worldwide. In Japan, hospital accreditation involves the promotion of SDM for patients with end-stage renal disease (ESRD) when considering renal replacement therapy (RRT). This study aimed to clarify the effectiveness and long-term medical benefits of SDM in RRT. Patients with ESRD who underwent dialysis therapy were retrospectively divided into those who visited outpatient clinics specific for ESRD (ESRD clinic) supporting RRT selection with an SDM approach (visited group) and those who did not visit the ESRD clinic (non-visited group). Data of 250 patients (129 in the non-visited group and 121 in the visited group) were analyzed. Mortality was significantly higher in the non-visited group than in the visited group. Not seeing an ESRD specialist was associated with emergent initiation of dialysis and subsequent 1 year mortality. The number of patients who chose peritoneal dialysis as a modality of RRT was significantly larger in the visited group. These findings demonstrate the association between the ESRD clinic, 1 year survival in patients with ESRD after initiating dialysis, and the different RRT modalities. This specific approach in the ESRD clinic may improve the management of patients with ESRD. |
format | Online Article Text |
id | pubmed-10097859 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-100978592023-04-14 Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis Fukuzaki, Haruna Nakata, Junichiro Nojiri, Shuko Shimizu, Yuki Shirotani, Yuka Maeda, Takuya Kano, Toshiki Mishiro, Maiko Nohara, Nao Io, Hiroaki Suzuki, Yusuke Sci Rep Article The importance of a shared decision-making (SDM) approach is widely recognized worldwide. In Japan, hospital accreditation involves the promotion of SDM for patients with end-stage renal disease (ESRD) when considering renal replacement therapy (RRT). This study aimed to clarify the effectiveness and long-term medical benefits of SDM in RRT. Patients with ESRD who underwent dialysis therapy were retrospectively divided into those who visited outpatient clinics specific for ESRD (ESRD clinic) supporting RRT selection with an SDM approach (visited group) and those who did not visit the ESRD clinic (non-visited group). Data of 250 patients (129 in the non-visited group and 121 in the visited group) were analyzed. Mortality was significantly higher in the non-visited group than in the visited group. Not seeing an ESRD specialist was associated with emergent initiation of dialysis and subsequent 1 year mortality. The number of patients who chose peritoneal dialysis as a modality of RRT was significantly larger in the visited group. These findings demonstrate the association between the ESRD clinic, 1 year survival in patients with ESRD after initiating dialysis, and the different RRT modalities. This specific approach in the ESRD clinic may improve the management of patients with ESRD. Nature Publishing Group UK 2023-04-12 /pmc/articles/PMC10097859/ /pubmed/37045851 http://dx.doi.org/10.1038/s41598-023-31636-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Fukuzaki, Haruna Nakata, Junichiro Nojiri, Shuko Shimizu, Yuki Shirotani, Yuka Maeda, Takuya Kano, Toshiki Mishiro, Maiko Nohara, Nao Io, Hiroaki Suzuki, Yusuke Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis |
title | Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis |
title_full | Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis |
title_fullStr | Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis |
title_full_unstemmed | Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis |
title_short | Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis |
title_sort | outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10097859/ https://www.ncbi.nlm.nih.gov/pubmed/37045851 http://dx.doi.org/10.1038/s41598-023-31636-2 |
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