[Factors affecting the choice of peritoneal dialysis: Perspective of patients and nephrologists].
OBJECTIVE
To identify factors related to the choice of peritoneal dialysis as a first dialysis technique: the viewpoint of patients and viewpoint of nephrologists.


METHODS
A retrospective multicenter study, type case-control was conducted in patients starting dialysis between 2010 and 2014 in 4 dialysis facilities in the PACA region. Nephrologists take care of patients included in the study were also interviewed. Data were collected using two standardized questionnaires: One for the patient and one for the nephrologists and using the French REIN registry.


RESULTS
One hundred and fifty patients were interviewed, the average age was 63.7 years. The medical contraindication for PD was present in 26.7%. Among patients eligible for both dialysis techniques, 46.7% had a preference for DP, 31.8% for HD and 21.5% did not have any preference. Patient preference is strongly influenced by information and the duration of predialysis nephrologist care (referral of nephrologist). The main factors related to personal choice of peritoneal dialysis are autonomy and desire for autonomy. Emergency dialysis influences negatively the choice of the PD.


CONCLUSIONS
A third of eligible patients for the 2 techniques could and wanted to be on PD. The limitations for PD are mainly related to professional practices. Better information could increase the utilization of PD to 32%.
EA 3279, unité de recherche santé publique et maladies chroniques, laboratoire de santé publique, Aix-Marseille université, 13385 Marseille, France.
Aida
A
Habib
EA 3279, unité de recherche santé publique et maladies chroniques, laboratoire de santé publique, Aix-Marseille université, 13385 Marseille, France. Electronic address: anne-claire.durand@ap-hm.fr.
Anne-Claire
AC
Durand
Centre de néphrologie et transplantation rénale, hôpital de La Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France.
Philippe
P
Brunet
Centre de néphrologie et transplantation rénale, hôpital de La Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France; Association des dialysés Provence-Corse (ADPC), 11, rue Jules-Isaac, 13009 Marseille, France.
Ariane
A
Duval-Sabatier
Centre d'hémodialyse, hôpital Pasteur, centre hospitalo-universitaire de Nice, 30, avenue de la voie Romaine, 06001 Nice, France.
Olivier
O
Moranne
Clinique Bouchard, institut phocéen de néphrologie, 77, rue du Docteur-Escat, 13006 Marseille, France.
Stanislas
S
Bataille
Association des dialysés Provence-Corse (ADPC), 11, rue Jules-Isaac, 13009 Marseille, France.
Laurent
L
Benhaim
Service de néphrologie, centre hospitalier, hôpital des Rayettes, 3, boulevard des Rayettes, BP 50248, 13698 Martigues, France.
Évelyne
É
Bargas
EA 3279, unité de recherche santé publique et maladies chroniques, laboratoire de santé publique, Aix-Marseille université, 13385 Marseille, France.
Stéphanie
S
Gentile
D002755:Choice Behavior; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008875:Middle Aged; D000072104:Nephrologists; D057240:Patient Preference; D010530:Peritoneal Dialysis; D012189:Retrospective Studies
Choice; Choix; Dialyse péritonéale; Dialysis technique; Hemodialysis; Hémodialyse; Insuffisance rénale; Peritoneal dialysis; Predialysis; Prédialyse; Renal failure; Technique de dialyse