title: Factors affecting peritoneal dialysis selection in Taiwanese patients with chronic kidney disease.
abstract: BACKGROUND
  Taiwan has the highest incidence and prevalence of end-stage renal disease (ESRD) in the world with 55,499 ESRD patients on long-term dialysis. Nevertheless, 90.96% of these patients are managed on maintenance haemodialysis (HD), with only 9.03% enrolled in a peritoneal dialysis (PD) programme.
  
  
  OBJECTIVE
  The study aim was to identify the factors affecting Taiwanese patient's selection of PD in preference to HD for chronic kidney disease.
  
  
  METHODS
  A cross-sectional research design was utilized with 130 chronic renal failure (CRF) patients purposively selected from outpatient nephrology clinics at four separate Taiwan hospitals. Logistic regression was used to identify the main factors affecting the patient's choice of dialysis type.
  
  
  RESULTS
  Single-factor logistic regression found significant differences in opinion related to age, education level, occupation type, disease characteristics, lifestyle modifications, self-care ability, know-how of dialysis modality, security considerations and findings related to the decisions made by medical personnel (P < 0.05). Moreover, multinomial logistic regression after adjustment for interfering variables found that self-care ability and dialysis modality know-how were the two main factors affecting the person's selection of dialysis type.
  
  
  CONCLUSIONS
  Self-care ability and the person's knowledge of the different types of dialysis modality and how they function were the major determinants for selection of dialysis type in Taiwan based on the results from this study. The results indicate that the education of CRF patients about the types of dialysis available is essential to enable them to understand the benefits or limitations of both types of dialysis.
authors.affiliation: Graduate Institute of Nursing, Taipei Medical University, Taipei, Taiwan.
authors.forename: C-H
authors.initials: CH
authors.lastname: Liang
authors.forename: C-Y
authors.initials: CY
authors.lastname: Yang
authors.forename: K-C
authors.initials: KC
authors.lastname: Lu
authors.forename: P
authors.initials: P
authors.lastname: Chu
authors.forename: C-H
authors.initials: CH
authors.lastname: Chen
authors.forename: Y-S
authors.initials: YS
authors.lastname: Chang
authors.forename: A P
authors.initials: AP
authors.lastname: O'Brien
authors.forename: M
authors.initials: M
authors.lastname: Bloomer
authors.forename: K-R
authors.initials: KR
authors.lastname: Chou
mesh_terms: D000368:Aged; D003657:Decision Making; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000191:economics / Q000628:therapy*; D008297:Male; D010353:Patient Education as Topic; D010530:Peritoneal Dialysis / Q000191:economics / Q000523:psychology; D012648:Self Care; D012944:Social Support; D011795:Surveys and Questionnaires; D013624:Taiwan