title: Factors Associated with the Choice of Peritoneal Dialysis in Patients with End-Stage Renal Disease.
abstract: BACKGROUND
  The purpose of this study was to analyze the factors associated with receiving peritoneal dialysis (PD) in patients with incident end-stage renal disease (ESRD) in a hospital in Southern Taiwan.
  
  
  METHODS
  The study included all consecutive patients with incident ESRD who participated in a multidisciplinary predialysis education (MPE) program and started their first dialysis therapy between January 1, 2008, and June 30, 2013, in the study hospital. We provided small group teaching sessions to advanced CKD patients and their family to enhance understanding of various dialysis modalities. Multivariate logistic regression models were used to analyze the association of patient characteristics with the chosen dialysis modality.
  
  
  RESULTS
  Of the 656 patients, 524 (80%) chose hemodialysis and 132 chose PD. Our data showed that young age, high education level, and high scores of activities of daily living (ADLs) were positively associated with PD treatment. Patients who received small group teaching sessions had higher percentages of PD treatment (30.5% versus 19.5%; P = 0.108) and preparedness for dialysis (61.1% versus 46.6%; P = 0.090).
  
  
  CONCLUSIONS
  Young age, high education level, and high ADL score were positively associated with choosing PD. Early creation of vascular access may be a barrier for PD.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, 539 Zhongxiao Road, Chiayi City 60002, Taiwan.
authors.forename: Pei-Chun
authors.initials: PC
authors.lastname: Chiang
authors.affiliation: Department of Business Administration, National Chiayi University, Chiayi City, Taiwan.
authors.forename: Jia-Jeng
authors.initials: JJ
authors.lastname: Hou
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, 539 Zhongxiao Road, Chiayi City 60002, Taiwan.
authors.forename: Ing-Ching
authors.initials: IC
authors.lastname: Jong
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, 539 Zhongxiao Road, Chiayi City 60002, Taiwan; Department of Applied Life Science and Health, Chia-Nan University of Pharmacy and Science, Tainan, Taiwan.
authors.forename: Peir-Haur
authors.initials: PH
authors.lastname: Hung
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, 539 Zhongxiao Road, Chiayi City 60002, Taiwan.
authors.forename: Chih-Yen
authors.initials: CY
authors.lastname: Hsiao
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, 539 Zhongxiao Road, Chiayi City 60002, Taiwan.
authors.forename: Tsung-Liang
authors.identifier: 0000-0002-4131-7966
authors.initials: TL
authors.lastname: Ma
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, 539 Zhongxiao Road, Chiayi City 60002, Taiwan; Department of Nursing, Min-Hwei College of Health Care Management, Tainan City, Taiwan; Department of Public Health and Department of Health Services Administration, China Medical University, Taichung City, Taiwan.
authors.forename: Yueh-Han
authors.identifier: 0000-0003-3619-468X
authors.initials: YH
authors.lastname: Hsu
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000503:physiopathology / Q000628:therapy*; D013624:Taiwan