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Counseling Patients for Renal Replacement Therapy Based on Outcomes

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Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation

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Abstract

A 52-year-old woman with autosomal dominant polycystic kidney disease (ADPKD) presents for nephrology follow-up. Her most recent serum creatinine is 2.9 mg/dl and estimated glomerular filtration rate (eGFR) is 28 ml/min/1.73m2. She is married, has no children, and works full-time as a health care administrator. She feels well except that she finds herself more fatigued at the end of each workday than at previous visits. She denies nausea, anorexia, edema, or pruritis. She has not required erythropoietic stimulating agents to date. One sister with ADPKD has received a transplant from a brother. One other sister, age 54, has had a normal renal ultrasound and is interested in donating a kidney to the patient. The patient wishes to discuss her future renal replacement therapy (RRT) options.

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References

  1. National Kidney Foundation. National Kidney Foundation K/DOQI clinical practice guidelines. National Kidney Foundation 2011; Available at: URL: http://www.kidney.org/professionals/kdoqi/guidelines/. Accessed 20 Jun, 2011.

  2. Bradbury BD, Fissell RB, Albert JM, et al. Predictors of early mortality among incident US hemodialysis patients in the dialysis outcomes and practice patterns study (DOPPS). Clin J Am Soc Nephrol. 2007;2(1):89–99.

    Article  PubMed  Google Scholar 

  3. Kinchen KS, Sadler J, Fink N, et al. The timing of specialist evaluation in chronic kidney disease and mortality. Ann Intern Med. 2002;137(6):479–86.

    PubMed  Google Scholar 

  4. Medicare. Medicare program: hospital conditions of participation: requirements for approval and re-approval of transplant centers to perform organ transplants. Final rule. Fed Regist. 2007;72(61):15197–280.

    Google Scholar 

  5. Wolfe RA, Ashby VB, Milford EL, et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med. 1999;341(23):1725–30.

    Article  CAS  PubMed  Google Scholar 

  6. Mange KC, Joffe MM, Feldman HI. Effect of the use or nonuse of long-term dialysis on the subsequent survival of renal transplants from living donors. N Engl J Med. 2001;344(10):726–31.

    Article  CAS  PubMed  Google Scholar 

  7. Meier-Kriesche HU, Port FK, Ojo AO, et al. Effect of waiting time on renal transplant outcome. Kidney Int. 2000;58(3):1311–7.

    Article  CAS  PubMed  Google Scholar 

  8. Abecassis M, Bartlett ST, Collins AJ, et al. Kidney transplantation as primary therapy for end-stage renal disease: a national kidney foundation/kidney disease outcomes quality initiative (NKF/KDOQITM) conference. Clin J Am Soc Nephrol. 2008;3(2):471–80.

    Article  PubMed  Google Scholar 

  9. Hays R, Waterman AD. Improving preemptive transplant education to increase living donation rates: reaching patients earlier in their disease adjustment process. Prog Transplant. 2008;18(4):251–6.

    PubMed  Google Scholar 

  10. Khosla N, Gordon E, Nishi L, Ghossein C. Impact of a chronic kidney disease clinic on preemptive kidney transplantation and transplant wait times. Prog Transplant. 2010;20(3):216–20.

    PubMed  Google Scholar 

  11. Manns BJ, Taub K, Vanderstraeten C, et al. The impact of education on chronic kidney disease patients’ plans to initiate dialysis with self-care dialysis: a randomized trial. Kidney Int. 2005;68(4):1777–83.

    Article  PubMed  Google Scholar 

  12. Binik YM, Devins GM, Barre PE, et al. Live and learn: patient education delays the need to initiate renal replacement therapy in end-stage renal disease. J Nerv Ment Dis. 1993;181(6):371–6.

    Article  CAS  PubMed  Google Scholar 

  13. Devins GM, Mendelssohn DC, Barre PE, Taub K, Binik YM. Predialysis psychoeducational intervention extends survival in CKD: a 20-year follow-up. Am J Kidney Dis. 2005;46(6):1088–98.

    Article  PubMed  Google Scholar 

  14. Devins GM, Mendelssohn DC, Barre PE, Binik YM. Predialysis psychoeducational intervention and coping styles influence time to dialysis in chronic kidney disease. Am J Kidney Dis. 2003;42(4):693–703.

    Article  PubMed  Google Scholar 

  15. Devins GM, Hollomby DJ, Barre PE, et al. Long-term knowledge retention following predialysis psychoeducational intervention. Nephron. 2000;86(2):129–34.

    Article  CAS  PubMed  Google Scholar 

  16. Mehrotra R, Marsh D, Vonesh E, Peters V, Nissenson A. Patient education and access of ESRD patients to renal replacement therapies beyond in-center hemodialysis. Kidney Int. 2005;68(1):378–90.

    Article  PubMed  Google Scholar 

  17. Kutner NG, Zhang R, Huang Y, Wasse H. Patient awareness and initiation of peritoneal dialysis. Arch Intern Med. 2011;171(2):119–24.

    Article  PubMed  Google Scholar 

  18. National Institutes of Health N. USRDS 2010 Annual data report: atlas of chronic kidney disease and end-stage renal disease in the United States. United States Renal Data System 2011; Available at: URL: http://www.usrds.org/adr.htm. Accessed 20 Jun 2011.

  19. Chaudhary K, Sangha H, Khanna R. Peritoneal dialysis first: rationale. Clin J Am Soc Nephrol. 2011;6(2):447–56.

    Article  PubMed  Google Scholar 

  20. Khawar O, Kalantar-Zadeh K, Lo WK, Johnson D, Mehrotra R. Is the declining use of long-term peritoneal dialysis justified by outcome data? Clin J Am Soc Nephrol. 2007;2(6):1317–28.

    Article  PubMed  Google Scholar 

  21. McDonald SP, Marshall MR, Johnson DW, Polkinghorne KR. Relationship between dialysis modality and mortality. J Am Soc Nephrol. 2009;20(1):155–63.

    Article  PubMed  Google Scholar 

  22. Mehrotra R, Chiu YW, Kalantar-Zadeh K, Bargman J, Vonesh E. Similar outcomes with hemodialysis and peritoneal dialysis in patients with end-stage renal disease. Arch Intern Med. 2011;171(2):110–8.

    Article  PubMed  Google Scholar 

  23. Weinhandl ED, Foley RN, Gilbertson DT, Arneson TJ, Snyder JJ, Collins AJ. Propensity-matched mortality comparison of incident hemodialysis and peritoneal dialysis patients. J Am Soc Nephrol. 2010;21(3):499–506.

    Article  PubMed  Google Scholar 

  24. Bugeja A, Dacouris N, Thomas A, et al. In-center nocturnal hemodialysis: another option in the management of chronic kidney disease. Clin J Am Soc Nephrol. 2009;4(4):778–83.

    Article  CAS  PubMed  Google Scholar 

  25. Troidle L, Hotchkiss M, Finkelstein F. A thrice weekly in-center nocturnal hemodialysis program. Adv Chronic Kidney Dis. 2007;14(3):244–8.

    Article  PubMed  Google Scholar 

  26. Saran R, Bragg-Gresham JL, Levin NW, et al. Longer treatment time and slower ultrafiltration in hemodialysis: associations with reduced mortality in the DOPPS. Kidney Int. 2006;69(7):1222–8.

    Article  CAS  PubMed  Google Scholar 

  27. Culleton BF, Walsh M, Klarenbach SW, et al. Effect of frequent nocturnal hemodialysis vs conventional hemodialysis on left ventricular mass and quality of life: a randomized controlled trial. JAMA. 2007;298(11):1291–9.

    Article  CAS  PubMed  Google Scholar 

  28. Chertow GM, Levin NW, Beck GJ, et al. In-center hemodialysis six times per week versus three times per week. N Engl J Med. 2010;363(24):2287–300.

    Article  CAS  PubMed  Google Scholar 

  29. Lynch JR, Wasse H, Armistead NC, McClellan WM. Achieving the goal of the fistula first breakthrough initiative for prevalent maintenance hemodialysis patients. Am J Kidney Dis. 2011;57(1):78–89.

    Article  PubMed  Google Scholar 

  30. Collins AJ, Foley RN, Gilbertson DT, Chen SC. The state of chronic kidney disease, ESRD, and morbidity and mortality in the first year of dialysis. Clin J Am Soc Nephrol. 2009;4 Suppl 1:S5–11.

    Article  PubMed  Google Scholar 

  31. Centers for Disease Control. Vital signs: central line-associated blood streem infections–United States, 2001, 2008, and 2009. MMWR Morb Mortal Wkly Rep. 2010;60:1–6.

    Google Scholar 

  32. Klevens RM, Edwards JR, Andrus ML, Peterson KD, Dudeck MA, Horan TC. Dialysis surveillance report: national healthcare safety network (NHSN)-data summary for 2006. Semin Dial. 2008;21(1):24–8.

    Article  PubMed  Google Scholar 

  33. Astor BC, Eustace JA, Powe NR, Klag MJ, Fink NE, Coresh J. Type of vascular access and survival among incident hemodialysis patients: the choices for healthy outcomes in caring for ESRD (CHOICE) study. J Am Soc Nephrol. 2005;16(5):1449–55.

    Article  PubMed  Google Scholar 

  34. Wright AA, Zhang B, Ray A, et al. Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA. 2008;300(14):1665–73.

    Article  CAS  PubMed  Google Scholar 

  35. Zhang B, Wright AA, Huskamp HA, et al. Health care costs in the last week of life: associations with end-of-life conversations. Arch Intern Med. 2009;169(5):480–8.

    Article  PubMed  Google Scholar 

  36. Kurella TM, Cohen LM. Should there be an expanded role for palliative care in end-stage renal disease? Curr Opin Nephrol Hypertens. 2010;19(6):556–60.

    Article  Google Scholar 

  37. Chambers E, Gemain M, Brown E. Supportive and palliative care for renal patients. 2nd ed. Oxford: Oxford University Press; 2010.

    Book  Google Scholar 

  38. Kurella TM, Covinsky KE, Chertow GM, Yaffe K, Landefeld CS, McCulloch CE. Functional status of elderly adults before and after initiation of dialysis. N Engl J Med. 2009;361(16):1539–47.

    Article  Google Scholar 

  39. Murtagh FE, Marsh JE, Donohoe P, Ekbal NJ, Sheerin NS, Harris FE. Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5. Nephrol Dial Transplant. 2007;22(7):1955–62.

    Article  PubMed  Google Scholar 

  40. Carson RC, Juszczak M, Davenport A, Burns A. Is maximum conservative management an equivalent treatment option to dialysis for elderly patients with significant comorbid disease? Clin J Am Soc Nephrol. 2009;4(10):1611–9.

    Article  PubMed  Google Scholar 

  41. Cohen LM, Ruthazer R, Moss AH, Germain MJ. Predicting six-month mortality for patients who are on maintenance hemodialysis. Clin J Am Soc Nephrol. 2010;5(1):72–9.

    Article  PubMed  Google Scholar 

  42. Couchoud C, Labeeuw M, Moranne O, et al. A clinical score to predict 6-month prognosis in elderly patients starting dialysis for end-stage renal disease. Nephrol Dial Transplant. 2009;24(5):1553–61.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Nephrology and Transplantation, Maine Medical Center, 22 Bramhall Street, Portland, ME, 04102, USA

    Mark G. Parker M.D.

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  1. Mark G. Parker M.D.
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Correspondence to Mark G. Parker M.D. .

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Editors and Affiliations

  1. Chicago College of Medicine, Nephrology, University of Illinois, Wisconsin Avenue 3543, Berwyn, 60402, Illinois, USA

    Edgar V. Lerma

  2. , Division of Nephrology, University of Virginia Health System, Box 800133, Charlottesville, 22908, Virginia, USA

    Mitchell Rosner

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Parker, M.G. (2013). Counseling Patients for Renal Replacement Therapy Based on Outcomes. In: Lerma, E., Rosner, M. (eds) Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4454-1_30

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  • DOI: https://doi.org/10.1007/978-1-4614-4454-1_30

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