Your voice.
Their choice.
Modern PD.*

*Modern PD is the culmination of multiple recent advancements in clinical practice and innovations in technology that, in combination, are yielding improved survival, increasing patient satisfaction and clinical outcomes that in some cases are outpacing those of HD.

Baxter–Visuals_v2_Shared decision-making[2].png

Pre-dialysis patients still rely on their HCP's modality recommendation ¹

The chart shows the majority of patients, 52.6%, are avid information seekers and rely on help from their HCP to choose the optimal dialysis modality. Only 22.7% prefer deciding themselves.

Pre-dialysis patients want education

Shared decision-making supports patient satisfaction and leads to an increase in patients choosing PD.²

Shared decision-making is an emerging standard health practice

Shared decision-making (SDM) is a collaborative and iterative process where the clinician supports the patient to reach a treatment decision that is right for their clinical condition, lifestyle and social circumstances.

The ISPD International Society for Peritoneal Dialysis (ISPD) guidelines released in 2020 reflect the beneficial effects of shared decision-making on patient dialysis treatment satisfaction.^3,4

ISPD recognises that PD can be prescribed in a variety of ways and there is a need to consider local resources, the person’s wishes regarding lifestyle, and the wishes of family members/caregivers involved in the provision of care.⁴

Most patients seek information while also wanting their HCP to help choose the dialysis modality that's best for them.¹

Baxter–Visuals_v2_Shared decision-making 2[2].png

Pre-dialysis patients want education ¹

Patient education and effective shared decision-making can help start more patients on PD.^3,6-8,10-15

The chart shows the majority of patients are willing to be educated as they are in the high end of the information seeking percentage.¹

A formal pre-dialysis program where patients and HCPs share in the decision of which dialysis modality best fits the patients' goals increases the uptake of PD (or home HD).^3,6-8,12,14

Up to 4-fold increase PD in Take-on-Rate²

Among 177 unplanned start dialysis patients who completed an education program aimed at enabling informed choice and who then chose a preferred dialysis modality, 103 (58%) chose PD and 74 (42%) chose HD.¹⁷

SDM improves alignment between clinician and patient goals

Among patients on PD, there is a close alignment between the outcomes that matter to patients and those that matter to HCPs, suggesting that there is a greater satisfaction with care on PD.¹⁸

SDM supports patient satisfaction

Patients are most satisfied when the dialysis modality meets their requirements.² Patient education and effective shared decision-making can help place more patients on Modern PD. Patients who are engaged in shared decision-making perceived dialysis more positively.¹⁹

The shared decision-making process

HCPs present evidence-based therapy options along with the unbiased pros and cons of each.

Patients engage in the process to the extent they desire, making their values and preferences explicit.

A mutual, informed-decision is made based on the options presented by the HCP and unless medically contraindicated, the preferences of the patients are the base for the option they receive.

'Your voice. Their choice. Modern PD' graphic — Your voice. Their choice. Modern PD.

See References

Jayanti, A., Neuvonen, M., Wearden, A., Morrie, J., et al. Healthcare decision-making in end stage renal disease-patient preferences and clinical correlates. BMC Nephrol. 2015; 16: 189.
Devoe, DJ., Wong, B., James, MT., Ravani, P., et al. Patient Education and Peritoneal Dialysis Modality Selection: A Systematic Review and Meta-analysis. Am J Kidney Dis. 2016; 68:422-33.
Blake PG and Brown EA, Person-centered peritoneal dialysis prescription and the role of shared decision-making. Peritoneal Dialysis International 2020, Vol. 40(3) 302–309
Brown EA, et al. International Society for Peritoneal Dialysis practice recommendations: Prescribing high-quality goal-directed peritoneal dialysis. Peritoneal Dialysis International 2020, 1–10.
Goovaerts, T., Jadoul, M., Goffin, E. Influence of a pre-dialysis education programme (PDEP) on the mode of renal replacement therapy. Nephrol Dial Transplant. 2005; 20:1842–1847.
Goovaerts et al. Influence of a predialysis education program on the choice of renal replacement therapy. Am J Kidney Dis. 2012; 60:499–500.
Key SM. Optimizing dialysis modality choices around the world: a review of literature concerning the role of enhanced early pre-ESRD education in choice of renal replacement therapy modality. Nephrol Nurs J. 2008; 35:387–395.
Adeera, L., Paul, E.S., Rudy, W.B., Josef, C., et al. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. Kidney Int Suppl.2013; 3:1–150.
Manns, BJ,. Taub, K., Vanderstraeten, C., Jones, H., 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; 68:1777–1783.
Little, J., Irwin, A., Marshall, T., Rayner, H., et al. Predicting a patient’s choice of dialysis modality: Experience in a United Kingdom renal department. American Journal of Kidney Diseases 37: 981–986, 2001.
Ahlmen, J., Carlsson, L., Schonborg, C.. Well-informed patients with end-stage renal disease prefer peritoneal dialysis to hemodialysis. Perit Dial Int. 1993; 13: S196–S198.
Prichard S et al. Treatment modality selection in 150 consecutive patients starting ESRD therapy. Perit Dial Int. 1996; 16:69–72.
Marron, B., Martinez, O.JC., Salgueira, M., Barril, G., et al. Analysis of patient flow into dialysis: role of education in choice of dialysis modality. Perit Dial Int. 2005; 25:S56–S59.
Ribitsch W et al. Effects of a pre-dialysis patient education program on the relative frequencies of dialysis modalities. Perit Dial Int. 2013; 33:367–371.
Machowska A, Alscher, M.D., Vanga, S.R., Koch, M., et al. Offering Patients Therapy Options in Unplanned Start (OPTiONS): Implementation of an educational program is feasible and effective. BMC Nephrology (2017) 18:18.
https://songinitiative.org
Ladin, K., Lin, N., Hahn, E., Zhang, G,. Et al. Engagement in decision-making and patient satisfaction: a qualitative study of older patients’ perceptions of dialysis initiation and modality decisions. Nephrol Dial Transplant 2017 Aug 1; 32(8): 1394-14012.

Your voice.
Their choice.
Modern PD.*

Pre-dialysis patients still rely on their HCP's modality recommendation ¹

The chart shows the majority of patients, 52.6%, are avid information seekers and rely on help from their HCP to choose the optimal dialysis modality. Only 22.7% prefer deciding themselves.

Pre-dialysis patients want education

Shared decision-making supports patient satisfaction and leads to an increase in patients choosing PD.²

Pre-dialysis patients want education ¹

Patient education and effective shared decision-making can help start more patients on PD.^3,6-8,10-15

The chart shows the majority of patients are willing to be educated as they are in the high end of the information seeking percentage.¹

A formal pre-dialysis program where patients and HCPs share in the decision of which dialysis modality best fits the patients' goals increases the uptake of PD (or home HD).^3,6-8,12,14

SDM improves alignment between clinician and patient goals

SDM supports patient satisfaction

The shared decision-making process

Want to know more? Click here to see more clinical data on Modern PD

For Additional Information

Pre-dialysis patients still rely on their HCP's modality recommendation 1

The chart shows the majority of patients, 52.6%, are avid information seekers and rely on help from their HCP to choose the optimal dialysis modality. Only 22.7% prefer deciding themselves.

Pre-dialysis patients want education

Shared decision-making supports patient satisfaction and leads to an increase in patients choosing PD.2

Pre-dialysis patients want education 1

Patient education and effective shared decision-making can help start more patients on PD.3,6-8,10-15

The chart shows the majority of patients are willing to be educated as they are in the high end of the information seeking percentage.1

A formal pre-dialysis program where patients and HCPs share in the decision of which dialysis modality best fits the patients' goals increases the uptake of PD (or home HD).3,6-8,12,14

SDM improves alignment between clinician and patient goals

SDM supports patient satisfaction

The shared decision-making process

Want to know more? Click here to see more clinical data on Modern PD

For Additional Information

Pre-dialysis patients still rely on their HCP's modality recommendation ¹

Shared decision-making supports patient satisfaction and leads to an increase in patients choosing PD.²

Pre-dialysis patients want education ¹

Patient education and effective shared decision-making can help start more patients on PD.^3,6-8,10-15

The chart shows the majority of patients are willing to be educated as they are in the high end of the information seeking percentage.¹

A formal pre-dialysis program where patients and HCPs share in the decision of which dialysis modality best fits the patients' goals increases the uptake of PD (or home HD).^3,6-8,12,14