Hemodialysis, Kidney Replacement Therapy, Peritoneal Dialysis (PD), Transition
Conditions
Keywords
Transfer to hemodialysis
Brief summary
Home dialysis is encouraged in Canada and peritoneal dialysis is the most common home dialysis method. However, many patients discontinue peritoneal dialysis, often transferring to hemodialysis. Despite the frequency of this transition, little is known about its impact on patients. Overall, the UPLIFT-PD program aims to fill this gap by studying the transition from peritoneal dialysis to hemodialysis. The specific goal of this mixed methods sub-study is to conduct a national survey to ask patients and caregivers about priorities and preferences when they anticipate a transfer from peritoneal dialysis to hemodialysis. This survey will be co-created by patient-partners and dialysis experts. Results from this survey will then be used in other phases of UPLIFT-PD program, detailed in other registrations, which will support people facing a transition from peritoneal dialysis to hemodialysis..
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adult (≥18 years) 2. One of the following: * Patient who experienced a PD-to-HD transition in past 12 months * Patient currently receiving peritoneal dialysis * Caregiver (self-defined, including spouses, family members, or friends) of individuals meeting the above criteria 3. Able to read English or French 4. Able to complete the survey in paper or web-based format 5. Able to provide informed consent
Exclusion criteria
* Age \<18 years * Unable to provide consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Priorities and Challenges Related to PD-to-HD Transitions | At survey completion (Baseline) | Measured using Likert-scale responses assessing perceived importance of transition-related factors (e.g. preparedness, timing of discussions, vascular access planning, psychosocial impact). Likert-scale from 0 (lowest importance) to 9 (highest importance) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preferences for Clinical Scenarios Related to PD-to-HD Transitions | At survey completion (Baseline) | Assessed using a discrete choice experiment evaluating trade-offs between attributes such as duration on PD, risk of complications, and planned vs. unplanned HD transfer. |
| Perceptions of Successful Transition | At survey completion (Baseline) | Agreement with proposed definitions of successful PD-to-HD transitions based on care pathways. |
Contacts
CIUSSS de l'Est-de-l'Ile de Montréal