The Choice of Renal Replacement Therapy (CORETH) project: dialysis patients' psychosocial characteristics and treatment satisfaction

Abstract

Psychosocial characteristics play a major role in TS in dialysis patients. Within a multivariate approach, these factors are even more important than physical or environment-related factors. In practice, focusing on SDM and screening patient characteristics at an early stage can foster patients’ TS. Changes will be examined in a 1-year follow-up.

Cognitive Testing in Patients with CKD: The Problem of Missing Cases

“…Assessing CF in patients on dialysis is of high clinical relevance, because CF is evidently associated with positive patient-centered outcomes, such as self-care capacity and shared decision making (15,16). CF has a key role in favorable medical outcomes and the adherence to medication prescriptions and dietary and fluid advice (17).…”

“…The analysis was carried out within the Choice of Renal Replacement Therapy (CORETH) Project (funded by the German Federal Ministry of Education and Research), a multicenter observational survey registered in the German Clinical Trials Register (DRKS00006350) (16). The project addresses the decision making for either HD or PD focusing on the perspectives of recently initiated patients on dialysis.…”

“…The project addresses the decision making for either HD or PD focusing on the perspectives of recently initiated patients on dialysis. Detailed information about the study design has been already published (16,19,20). Patients were recruited from May of 2014 to May of 2015 from 55 dialysis units all over Germany.…”

“…This may be somewhat difficult for an article focusing on a missing analysis on the first view. However, it should be kept in mind that we derived CT data from the CORETH Project, which is, in turn, the only up to date multicenter study on psychosocial and neurocognitive factors in the early phase of dialysis throughout Germany with a comparably large patient-centered data pool (16,19,20). Almost all missing data were in the d2-R score, whereas no data were missing in the KDQoL-SF cognition subscale.…”

Verträgliche Dialyse – Verträglichkeit mehrdimensional verstehen

“…Diese Fragen und Befunde sollen zum Verständnis beitragen, dass eine verträgliche Dialyse diejenige Form der Nierenersatztherapie ist, die für den betroffenen einzelnen Patienten ein Maximum an Lebensqualität bei möglichst gering eingeschränkter Lebenserwartung erbringt. Dazu zählt auch die Abwesenheit von Behandlungskomplikationen und psychischer Belastung und eine möglichst umfängliche Einbettung in familiäre und soziale Netzwerke [3].…”