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Transitioning to Home or In-center Dialysis

Chronic Kidney Diseases

For people with advanced kidney disease, deciding which type of dialysis is best can be challenging. Studies have shown that quality of life is very important to patients. It is thought that the quality of life of people receiving their dialysis at home may be better than the one of people receiving dialysis in a hospital. However, how the start of dialysis changes the quality of life of people who choose home dialysis in comparison to people choosing dialysis in a hospital is still unknown.

TRANSIT-CARE is a prospective mixed methods study following adult with advanced kidney disease who progress to dialysis and receive home or hospital-based dialysis. This study aims to examine the trajectory and change in patients' quality of life and their frailty status (health, mobility and function) before start of dialysis and up to 12-month after start. Differences between people doing home dialysis and hospital-based dialysis will be assesses taking into account people's characteristics including their gender and socio-demographics characteristics. The study will include questionnaires to measure quality of life and tools to evaluate frailty. Additionally, semi-structured interviews will be done with a diverse group of patients and caregivers before and after the initiation of dialysis to better understand their experience of transitioning to dialysis.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

1. Adults followed in advanced CKD clinic,
2. estimated glomerular filtration rate (eGFR) \<12 mL/min/1.73m2 103,
3. Have chosen their dialysis modality,
4. Understand English or French.

Exclusion Criteria:

1. Orientation toward conservative treatment,
2. Planned kidney transplantation \< 6 months,
3. Unable to provide consent due to severe cognitive or psychiatric disease,
4. Previous treatment with dialysis \> 3 months,
5. Life expectancy \< 6 months

Study Location

Hôpital Maisonneuve-Rosemont
Hôpital Maisonneuve-Rosemont
Montréal, Quebec
Canada

Contact Study Team

Backup Contact

Karine Chaussé

[email protected]
514-242-3400
Primary Contact

Annie-Claire Nadeau-Fredette, MD

[email protected]
514-252-3400
Study Sponsored By
Ciusss de L'Est de l'Île de Montréal
Participants Required
More Information
Study ID: NCT05989659