Decision-making process in the selection of home hemodialysis treatment by adult patients with end-stage renal disease in the United Kingdom: a systematic literature review

Ekpenyong, M.S., Alfred, S.H., Foluke, B.-A.S., Jallow, O., Manju, C.P. and Nyashanu, M. ORCID: 0000-0002-9231-0393, 2022. Decision-making process in the selection of home hemodialysis treatment by adult patients with end-stage renal disease in the United Kingdom: a systematic literature review. CHRISMED Journal of Health and Research, 9 (4), pp. 209-218. ISSN 2348-3334

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Abstract

Introduction: In the UK, the number of people diagnosed with renal disease is on the increase. As a result, there will be more people in need of renal replacement therapy (RRT). Despite the mounting evidence showing that home hemodialysis (HHD) treatment is clinical and cost-effective as well as amendable to suit patients' lifestyle, the number of patients choosing this dialysis modality is low. The aim of this study is to explore factors influencing decision-making process in the selection of HHD treatment for adult patients with end-stage renal disease in the UK.

Methods: A systematic literature review methodology was utilized to review, critique, and synthesize the literature on the low uptake of HHD among adult patients. Systematic searches involving the databases Google Scholar, EMBASE, MEDLINE, PsycINFO, and CINAHL were carried out for articles published from 2008 to 2021. A search was conducted from June 1 through December 23, 2020. Eight articles met the study inclusion criteria. We followed preferred Reporting Items for Systematic Reviews and Meta-analyses in designing the research and reporting.

Results: This systematic review revealed that patient information needs, dialysis education, training and support, and patient decision-making preference were the major factors influencing decision-making of adult patients.

Conclusion: Deciding over which dialysis modality to choose can be challenging for many adult patients. Dialysis education, training, and support should not stop at the predialysis stage but should continue during treatment.

Item Type: Journal article
Publication Title: CHRISMED Journal of Health and Research
Creators: Ekpenyong, M.S., Alfred, S.H., Foluke, B.-A.S., Jallow, O., Manju, C.P. and Nyashanu, M.
Publisher: Medknow
Date: 2022
Volume: 9
Number: 4
ISSN: 2348-3334
Identifiers:
NumberType
10.4103/cjhr.cjhr_69_22DOI
1748551Other
Rights: © 2023 CHRISMED Journal of Health and Research. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
Divisions: Schools > School of Social Sciences
Record created by: Jonathan Gallacher
Date Added: 12 Apr 2023 15:32
Last Modified: 12 Apr 2023 15:36
URI: https://irep.ntu.ac.uk/id/eprint/48718

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