Medical decision-making and information needs in end-stage renal disease patients

• Published in: General hospital psychiatry 2003-09, Vol.25 (5), p.324-331
• Main Authors: Orsino, Angela, Cameron, Jill I, Seidl, Maja, Mendelssohn, David, Stewart, Donna E
• Format: Article
• Language: English
• Subjects: Attitude to Health; Bioethics; Biological and medical sciences; Cognition; Decision Making; Disclosure; End-stage renal disease; Female; Humans; Information preferences; Kidney Failure, Chronic - therapy; Male; Medical sciences; Middle Aged; Patient Participation; Peritoneal Dialysis - methods; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Renal Dialysis - methods; Severity of Illness Index; Surveys and Questionnaires; Therapeutical relation and framework; Treatments
• ISSN: 0163-8343; 1873-7714
• DOI: 10.1016/S0163-8343(03)00069-0

Health information and decision-making are increasingly important to patients with diverse illnesses. The aim of this study was to examine health information needs and decision-making in individuals with end-stage renal disease (ESRD) and to examine the influence of age and gender. A self-report survey was administered to 197 consecutive ESRD patients receiving renal replacement therapy. Their mean age was 52.8 years; 58.2% were male, 64.3% were on hemodialysis, and 35.7% on peritoneal dialysis. Actual participation levels in decision-making were not necessarily in agreement with the preferred degree of participation. Eighty percent of patients wanted the health care team (HCT) to make their treatment decisions for them, but only 40% of those who preferred autonomous and 30% of those who preferred shared decision making with their HCT reported that this was their actual experience. Consequently, many more patients perceived that their decision-making was made by their HCT than preferred this. No significant gender differences were observed; however, older participants preferred and experienced their HCT make their treatment decisions ( P