Effect of Pre-emptive Assessment of Self-care Peritoneal Dialysis (PD) Ability on PD Choice in Patients With Stage 5 Chronic Kidney Disease

Shanghai Jiao Tong University School of Medicine

Status: Not yet enrolling

Conditions: Chronic Kidney Disease (CKD) Stage 5

Treatments: Other: Self-care PD ability assessment form; Other: Education

Study type: Interventional

Funder types: Other

Identifiers

NCT04967547

self-care PD ability

Details and patient eligibility

About

Peritoneal dialysis is an effective renal replacement therapy with higher quality of life and lower treatment cost than hemodialysis.However, the application rate of peritoneal dialysis is much lower than that of hemodialysis. One of the reasons is that patients need to complete fluid changing operation independently, which is especially challenging for elderly and frail patients. Assisted peritoneal dialysis can help patients with independent dialysis disorders to complete dialysis. Currently, there is a lack of standard tools to assess patients' ability to conduct independent dialysis and to determine whether assisted dialysis is needed. Moreover, routine assessment is arranged after the training of dialysis operation, which leads to some patients giving up the procedure at an early stage, resulting in a low selection rate of the procedure.The purpose of this study was to investigate the effect of using a standard scale to evaluate the ability to perform abdominal dialysis in patients with stage 5 chronic kidney disease (CKD) before deciding on dialysis modality.

Enrollment: 232 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age >=18 years old;
2. Need dialysis within 6 months;
3. Informed consent.

Exclusion criteria

1. Absolute PD contraindications;
2. Need urgent dialysis;
3. RTX as initial renal replacement therapy.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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232 participants in 2 patient groups

Intervention group

Experimental group

Description:

be evaluated by using the self-care PD feasibility assessment in addition to education on renal replacement therapy and dialysis

Treatment:

Other: Self-care PD ability assessment form

Other: Education

Control group

Active Comparator group

Description:

education on renal replacement therapy and dialysis

Treatment:

Other: Education