Knowledge, attitude, and practice of nephrologists on the decision for renal replacement therapy
Abstract Background This study aimed to investigate the Knowledge, Attitude, and Practice (KAP) of nephrologists on the decision of renal replacement therapy (RRT), including peritoneal dialysis, hemodialysis, and kidney transplantation. Methods This multicenter cross-sectional study was conducted o...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-04-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-15530-0 |
| _version_ | 1797849833756688384 |
|---|---|
| author | Xiaofang Hu Ming Yang Xiangyi Li Yu Chen Shaxi Ouyang Lin Li |
| author_facet | Xiaofang Hu Ming Yang Xiangyi Li Yu Chen Shaxi Ouyang Lin Li |
| author_sort | Xiaofang Hu |
| collection | DOAJ |
| description | Abstract Background This study aimed to investigate the Knowledge, Attitude, and Practice (KAP) of nephrologists on the decision of renal replacement therapy (RRT), including peritoneal dialysis, hemodialysis, and kidney transplantation. Methods This multicenter cross-sectional study was conducted on qualified nephrologists who volunteered to participate between July and August 2022 by using a self-administered questionnaire. Results Among 327 nephrologists, the total knowledge, attitude, and practice scores were 12.03 ± 2.11/16, 58.39 ± 6.62/75, and 27.15 ± 2.74/30, respectively. Multivariate logistic regression analysis showed that the attitude score (peritoneal dialysis: OR = 1.19, 95%CI: 1.13–1.25, P < 0.001; hemodialysis: OR = 1.14, 95%CI: 1.09–1.19, P < 0.001; kidney transplantation: OR = 1.12, 95%CI: 1.07–1.16, P < 0.001), 41–50 years of age (peritoneal dialysis: OR = 0.45, 95%CI: 0.21–0,98, P = 0.045; hemodialysis: OR = 0.27, 95%CI: 0.12–0.60, P = 0.001; kidney transplantation: OR = 0.45, 95%CI:0.20–0.97, P = 0.042), and > 50 years of age (peritoneal dialysis: OR = 0.27, 95%CI: 0.08–0.84, P = 0.024; hemodialysis: OR = 0.45, 95%CI: 0.20–0.97, P = 0.042; kidney transplantation: OR = 0.24, 95%CI: 0.08–0.77, P = 0.016) were independently associated with the consideration score of peritoneal dialysis, hemodialysis, and kidney transplantation. Conclusion Better attitudes may lead to more consideration by nephrologists when choosing between peritoneal dialysis, hemodialysis, and kidney transplantation and relatively less consideration by senior physicians when making decisions; in addition, having good knowledge and good attitudes may lead to better practice. |
| first_indexed | 2024-04-09T18:50:35Z |
| format | Article |
| id | doaj.art-66f418a53ede4a79a2b2f1f18925f4af |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-09T18:50:35Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-66f418a53ede4a79a2b2f1f18925f4af2023-04-09T11:28:48ZengBMCBMC Public Health1471-24582023-04-0123111110.1186/s12889-023-15530-0Knowledge, attitude, and practice of nephrologists on the decision for renal replacement therapyXiaofang Hu0Ming Yang1Xiangyi Li2Yu Chen3Shaxi Ouyang4Lin Li5Department of Clinical Medicine, School of Medicine, Hunan Normal UniversityDepartment of Nephrology, Zhuzhou Central HospitalDepartment of Nephrology, Hunan Provincial People’s Hospital, The First-Affiliated Hospital of Hunan Normal UniversityDepartment of Nephrology, Hunan Provincial People’s Hospital, The First-Affiliated Hospital of Hunan Normal UniversityDepartment of Nephrology, Hunan Provincial People’s Hospital, The First-Affiliated Hospital of Hunan Normal UniversityDepartment of Clinical Medicine, School of Medicine, Hunan Normal UniversityAbstract Background This study aimed to investigate the Knowledge, Attitude, and Practice (KAP) of nephrologists on the decision of renal replacement therapy (RRT), including peritoneal dialysis, hemodialysis, and kidney transplantation. Methods This multicenter cross-sectional study was conducted on qualified nephrologists who volunteered to participate between July and August 2022 by using a self-administered questionnaire. Results Among 327 nephrologists, the total knowledge, attitude, and practice scores were 12.03 ± 2.11/16, 58.39 ± 6.62/75, and 27.15 ± 2.74/30, respectively. Multivariate logistic regression analysis showed that the attitude score (peritoneal dialysis: OR = 1.19, 95%CI: 1.13–1.25, P < 0.001; hemodialysis: OR = 1.14, 95%CI: 1.09–1.19, P < 0.001; kidney transplantation: OR = 1.12, 95%CI: 1.07–1.16, P < 0.001), 41–50 years of age (peritoneal dialysis: OR = 0.45, 95%CI: 0.21–0,98, P = 0.045; hemodialysis: OR = 0.27, 95%CI: 0.12–0.60, P = 0.001; kidney transplantation: OR = 0.45, 95%CI:0.20–0.97, P = 0.042), and > 50 years of age (peritoneal dialysis: OR = 0.27, 95%CI: 0.08–0.84, P = 0.024; hemodialysis: OR = 0.45, 95%CI: 0.20–0.97, P = 0.042; kidney transplantation: OR = 0.24, 95%CI: 0.08–0.77, P = 0.016) were independently associated with the consideration score of peritoneal dialysis, hemodialysis, and kidney transplantation. Conclusion Better attitudes may lead to more consideration by nephrologists when choosing between peritoneal dialysis, hemodialysis, and kidney transplantation and relatively less consideration by senior physicians when making decisions; in addition, having good knowledge and good attitudes may lead to better practice.https://doi.org/10.1186/s12889-023-15530-0Renal replacement therapyNephrologistsKnowledgeAttitudePracticeCross-sectional study |
| spellingShingle | Xiaofang Hu Ming Yang Xiangyi Li Yu Chen Shaxi Ouyang Lin Li Knowledge, attitude, and practice of nephrologists on the decision for renal replacement therapy BMC Public Health Renal replacement therapy Nephrologists Knowledge Attitude Practice Cross-sectional study |
| title | Knowledge, attitude, and practice of nephrologists on the decision for renal replacement therapy |
| title_full | Knowledge, attitude, and practice of nephrologists on the decision for renal replacement therapy |
| title_fullStr | Knowledge, attitude, and practice of nephrologists on the decision for renal replacement therapy |
| title_full_unstemmed | Knowledge, attitude, and practice of nephrologists on the decision for renal replacement therapy |
| title_short | Knowledge, attitude, and practice of nephrologists on the decision for renal replacement therapy |
| title_sort | knowledge attitude and practice of nephrologists on the decision for renal replacement therapy |
| topic | Renal replacement therapy Nephrologists Knowledge Attitude Practice Cross-sectional study |
| url | https://doi.org/10.1186/s12889-023-15530-0 |
| work_keys_str_mv | AT xiaofanghu knowledgeattitudeandpracticeofnephrologistsonthedecisionforrenalreplacementtherapy AT mingyang knowledgeattitudeandpracticeofnephrologistsonthedecisionforrenalreplacementtherapy AT xiangyili knowledgeattitudeandpracticeofnephrologistsonthedecisionforrenalreplacementtherapy AT yuchen knowledgeattitudeandpracticeofnephrologistsonthedecisionforrenalreplacementtherapy AT shaxiouyang knowledgeattitudeandpracticeofnephrologistsonthedecisionforrenalreplacementtherapy AT linli knowledgeattitudeandpracticeofnephrologistsonthedecisionforrenalreplacementtherapy |