end stage kidney disease
Conditions
Interventions
None listed
Sponsors
Kyoto University
Division of Nephrology and Hypertension, St Marianna University School of Medicine. Department of General Medicine, Shirakawa Satellite for Teaching And Research (STAR). Department of Nephrology, Inagi Municipal Hospital,
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The study will include patients with end-stage kidney disease (ESKD) undergoing hemodialysis or peritoneal dialysis aged 65 years or older who are within 10 years of dialysis initiation at the time of recruitment. We will exclude patients who are unwilling to participate and those who are cognitively able to provide informed consent due to moderate or severe dementia, a neurodegenerative disorder, or cerebrovascular disease. The study will also include clinicians involved in caring for recruited patients including medical doctors, nurses, pharmacists, clinical engineers, nutritionists, and social workers.
Exclusion criteria
Exclusion criteria: as above
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study outcome is the proportion of participants whose indicate that they would consider it appropriate, a little late, or too late to conduct ACP at dialysis initiation (the first step in each trajectory) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes will include the proportion of patients who report that they have completed ACP and whether this included discussion of preferences related to life-sustaining treatment and dialysis discontinuation. | — |
Countries
Japan
Contacts
Public ContactYasushi Tsujimoto
Kyoto University Graduate School of Medicine Department of healthcare epidemiology
Outcome results
None listed