Pre-dialysis education influence on renal replacement therapy: a retrospective cohort study

Abstract

Objective: This study was aimed to showcase if pre-dialysis education has an impactful and measurable clinical outcome on modality selection in renal replacement therapy. Also, if said education has lessened the burden on dialysis center in the Qassim region, Saudi Arabia. Methods: The study design was a retrospective cohort. All patients who underwent renal replacement therapy (RRT) participated in a pre-dialysis education program (> 400 cases) were included. Results: A significant majority of participants (96.2%) chose peritoneal dialysis (PD) as their preferred therapy plan, with only a smaller percentage (3.8%) opting for hemodialysis (HD). The association analysis of sociodemographic characteristics with therapy plan choices revealed no significant trends over the years. Gender did not play a significant role, as both males and females showed a strong preference for PD. Age and marital status also had no significant impact on therapy plan choices. Conclusion: This study demonstrated a high preference for peritoneal dialysis (PD) over hemodialysis (HD) among participants who received pre-dialysis education. This preference remained consistent across different years of data collection, genders, ages, and marital statuses.