Table 4. Aim 1Factors Contributing to the Choice of One Dialysis Modality Over Another: Participants' Responses to the Question, “What Led You to Choose Hemodialysis/Peritoneal Dialysis”? (N = 115)a

Role in dialysis choicebHD patientsPD patients
Theme Participant quote Theme Participant quote
No Developed infection on PD“Well I had no choice. What happened was, when I was on the peritoneal … I got a really bad infection and developed a lot of scar tissue … so they tried to put it back in but it wouldn't work so I had to go on hemo.” [female, aged 45]Negative side effects from HD“[With] hemodialysis I was feeling so sick. I had all the headaches I didn't have energy to even walk to do anything and I looked so sick on it.” [female, aged 27]
HD was default choice“So, it was more beneficial for me to go on hemo, which was the instant plan I started it the same day as they put the catheter in” [male, aged 45]
Combined decision Developed infection on PD“I got peritonitis and … the surgeon told me that after he removed the second catheter for an infection, he told me my body didn't like the catheter and was rejecting it. So, because I was … frequently with infections, then it would be better for me to not do peritoneal.” [female, aged 57]Convenience of home dialysis“If I want to plug in at 3:00 in the morning and be plugged in until late the following day, it doesn't really matter I know it's something I have to do every day. At least I have the flexibility of when I want to do it.” [male, aged 27]
Too much time on machine with PD“It was really my time … doing that every day for 12 hours … was rough.” [male, aged 39]
PD makes you look like a patient“I didn't want any tubes hanging out of my belly.” [female, aged 33]
Weak yes Medical Condition“It [PD] was not an option. Because of surgery that I've had, the cancer in my abdomen So, it couldn't be done.” [male, aged 70]Negative side effects from HD“The hemo was giving me horrible headaches. The last couple days … it was making me sick. I couldn't tolerate it any longer.” [male, aged 56]
Strong yes Fear of infection from PD“To me, hemo just seems to be … more clean. Because the peritoneal, you have a lot of chances of getting infections, and I didn't want to do that.” [female, aged 52]Better quality of life on PD“I felt like the PD would allow me to have a normal life. Other than the dialysis … I could still go out, do everything.” [female, aged 43]
Want trained medical person“While I'm doing my dialysis, I like the fact that there's someone there … that could help me if something went wrong or something like that. I don't know, I just feel more comfortable … going into the center and having it done there.” [male, aged 37]Convenience of home dialysis“Well, just the fact that I can do it at home. The idea of going into a center 3 times a week for 4 or 5 hours just absolutely does not appeal to me.” [male, aged 82]
Ability to work“The fact that I was still able to work and take care of my family …” [male, aged 48]

Abbreviations: HD, hemodialysis; PD, peritoneal dialysis.

aAsked only of HD and PD patients on dialysis.

bClassified by perceived role in choice of dialysis modality reported in Table 3 (no, combined, weak yes, and strong yes) and dialysis modality selection.

From: Does an Online Decision Aid Help People with Advanced Chronic Kidney Disease Choose between Two Treatment Options?

Cover of Does an Online Decision Aid Help People with Advanced Chronic Kidney Disease Choose between Two Treatment Options?
Does an Online Decision Aid Help People with Advanced Chronic Kidney Disease Choose between Two Treatment Options? [Internet]
Subramanian L, Zhao J, Zee J, et al.
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