Optimizing dialysis modality choices around the world: a review of literature concerning the role of enhanced early pre-ESRD education in choice of renal replacement therapy modality

Nephrol Nurs J. Jul-Aug 2008;35(4):387-94; quiz 395.


This article presents recent studies on factors affecting choice of self-care dialysis from around the world, denoting the relationship between early pre-end stage renal disease (ESRD) education and increased selection of self-care dialysis modalities. Style and content of various pre-ESRD education programs, barriers to early pre-ESRD education, and programs designed to decrease late referral are discussed. Economic factors favoring referral to incenter hemodialysis despite the lower cost of self-care dialysis are reviewed.

Publication types

  • Review

MeSH terms

  • Early Diagnosis
  • Global Health
  • Humans
  • Kidney Failure, Chronic / nursing*
  • Patient Education as Topic*
  • Referral and Consultation
  • Renal Dialysis / nursing*
  • Self Care*