An assessment of dialysis provider's attitudes towards timing of dialysis initiation in Canada

Canadian Journal of Kidney Health and Disease
Bikaramjit S MannCanadian Kidney Knowledge Translation and Generation Network (CANN-NET)

Abstract

Physicians' perceptions and opinions may influence when to initiate dialysis. To examine providers' perspectives and opinions regarding the timing of dialysis initiation. Online survey. Community and academic dialysis practices in Canada. A nationally-representative sample of dialysis providers. Dialysis providers opinions assessing reasons to initiate dialysis at low or high eGFR. Responses were obtained using a 9-point Likert scale. Early dialysis was defined as initiation of dialysis in an individual with an eGFR greater than or equal to 10.5 ml/min/m(2). A detailed survey was emailed to all members of the Canadian Society of Nephrology (CSN) in February 2013. The survey was designed and pre-tested to evaluate duration and ease of administration. One hundred and forty one (25% response rate) physicians participated in the survey. The majority were from urban, academic centres and practiced in regionally administered renal programs. Very few respondents had a formal policy regarding the timing of dialysis initiation or formally reviewed new dialysis starts (N = 4, 3.1%). The majority of respondents were either neutral or disagreed that late compared to early dialysis initiation improved outcomes (85-88%), had a negative impac...Continue Reading

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Citations

Sep 25, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Manish M SoodUNKNOWN Canadian Kidney Knowledge Translation and Generation Network (CANN-NET)
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