Effectiveness of a shared decision-making program in reducing unplanned dialysis in advanced chronic kidney disease: a retrospective cohort study

  • Published on 05/07/2025
  •  Reading time: 4 min.

Mongkolrattanakul Pannawat 1, Chienwichai Kittiphan 2

1 Division of Nephrology, Department of Internal Medicine Phanatnikhom Hospital Chonburi Thailand
2 https://ror.org/0176x9269 Division of Nephrology, Department of Internal Medicine Hatyai Hospital 90110 Songkhla Thailand

Abstract

Background To evaluate the effectiveness of a Shared Decision-Making (SDM) program in reducing unplanned dialysis among patients with advanced chronic kidney disease (CKD) and to identify factors predictive of unplanned dialysis.
Methods This retrospective cohort study was conducted at Phanatnikhom Hospital in Chonburi, Thailand, from October 2021 to September 2023. Patients aged 18 years and older with CKD stages 4 and 5 who were receiving renal replacement...

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