SP790
IMPACT OF DECISION MAKING TOOLS ON HIGHER PERITONEAL DIALYSIS CHOICE AND TAKE-ON IS RELATED TO CENTER EXPERIENCE IN AN INTERNATIONAL SETTING

INTRODUCTION AND AIMS: Use of Decision Making Tools (DMTs) facilitates an optimal modality information process and increases peritoneal dialysis (PD) incidence. However, other factors may contribute to PD take-on. Objectives: To analyze the impact of clinic PD experience on PD take-on in patients (pts) receiving a structured modality information program with the use of DMTs.

METHODS:Observational, prospective, open and international registry. All predialysis CKD G4-G5 pts and pts after an unplanned dialysis start (if non-informed before) were recruited to undergo a DMTs process for renal replacement therapy (RRT) choice, including personal values evaluation, RRT information with different aids, staff deliberation support and patient modality election. Clinics with ≥ 15 continuous annual prevalent PD pts (more experienced) were compared with clinics with 0-14 prevalent PD pts (less experienced).

RESULTS: 1934 pts from in total 49 clinics (cl) in Poland (987 pts, 19 cl), Hungary (338 pts, 10 cl), Romania (311 pts, 12 cl), Germany (259 pts, 7 cl), and Argentina (39 pts, 1 cl) aimed modality information between Aug 2014-June 2017. Large differences were observed between more PD-experienced clinics in PD choice (55%) and PD take-on (49%) and less PD-experienced clinics (14% and 12%, respectively), despite a similar use of DMT kits (more results in table).

CONCLUSIONS: Use of DMTs facilitates patient empowerment but its impact on PD choice and take-on is reduced in clinics with less experience of the technique.