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Shared Decision Making for Choosing renAl Replacement Therapy in Chronic Kidney Disease Patients — SDM-ART  

Chronic Kidney Disease Stage 5 Clinical Trial

Official title:
Shared Decision Making for Choosing renAl Replacement Therapy in Chronic Kidney Disease Patients (SDM-ART Trial)

Clinical Trial Summary

Shared decision making (SDM) is an approach where clinicians and patients make decisions together using the best available evidence. An understanding of the patient's treatment goals, the advantages and disadvantages of treatment options, and the likelihood of achieving the outcomes are important to patients. International guidelines recommend that all patients with chronic kidney disease (CKD) at pre-dialysis stage should be educated to improve their knowledge and understanding of their condition and to choose the options for renal replacement therapy (RRT). Despite these recommendations, pre-dialysis educations are often infrequent. Many patients feel unprepared. Wrong or insufficient understanding due to insufficient explanation of treatment can lead to negative emotions. This may lead to a situation in which the patient loses the opportunity to make patient's own choices, resulting in emergency dialysis or dialysis modality that is not suitable for patients. Therefore, this study aims to evaluate whether SDM has an effect on the choice of RRT among CKD patients.

Clinical Trial Description

This study will be conducted as a multicenter, open-label, randomized, pragmatic clinical trial. A total of 1,194 participants with CKD considering RRT will be randomized into 3 groups. Patients in the conventional group will have education using leaflets. Patients in the extensive informed decision making (EIDM) group will receive more detailed education using intensive learning materials than those in the conventional group. Shared decision making (SDM) group patients will have education according to questionnaires of self-assessment items using a self-developed counseling calendar. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT04976166
Study type Interventional
Source Seoul National University Hospital
Contact Sejoong Kim, MD,PhD
Phone +82-10-9496-4899
Email sejoong@snubh.org
Status Recruiting
Phase N/A
Start date February 26, 2021
Completion date December 2024
View Details
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