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2018 ; 19
(1
): 96
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Factors influencing dialysis withdrawal: a scoping review
#MMPMID29699499
Qazi HA
; Chen H
; Zhu M
BMC Nephrol
2018[Apr]; 19
(1
): 96
PMID29699499
show ga
BACKGROUND: Research on factors associated with dialysis withdrawal is scarce.
This study examined the predictors that might influence rate of dialysis
withdrawal. Existing literature is summarized, analyzed and synthesized to
identify gaps in the literature with regard to the factors associated with
dialysis withdrawal. METHODS: This scoping review used a systematic search to
synthesize research findings related to dialysis withdrawal and identified gaps
in the literature. The search strategy was developed and applied using PubMed,
EMBASE and CINHAL databases. The selection criteria included articles written in
English and published between 1997 and 2016 that examined dialysis withdrawal and
associated factors in patients with any modality of renal dialysis.. Case reports
and studies only including renal transplant patients were excluded. Fifteen
articles were selected in accordance with these selection criteria. RESULTS: The
literature review revealed a scarcity of research on dialysis withdrawal and
associated factors. Furthermore, the study findings were inconsistent and
inconclusive. Authors have defined dialysis withdrawal in terms of dialysis
discontinuation, withholding, death, withdrawal, treatment refusal/cessation, or
technique failure. Authors have selected homogeneous patient population on either
hemodialysis (HD) or peritoneal dialysis (PD) patients, thus making comparisons
of studies and generalization of findings difficult. CONCLUSION: Future studies
should explore the influence of both HD and PD on patient-elected dialysis
withdrawal using a large a priori calculated sample size.