Brief Nephrologist Opinion Study: Home Dialysis

CMS leadership recently expressed an interest in increasing the numbers of patients who dialyze at home, with peritoneal dialysis (PD) and home hemodialysis (HD). Please help the non-profit Medical Education Institute better understand your thoughts about why these options have traditionally been underutilized, and how best to increase their utilization.

Question Title

1. Within my practice, I am able to offer these dialysis options to my patients: (Check as many as apply)

Standard in-center HD

In-center nocturnal HD

PD (cycler or manual)

Standard home HD ( 3–4 days/week)

Daily home HD (5–6 days/week)

Nocturnal home HD

Question Title

2. If my kidneys failed and I had to wait 5 years for a transplant, my TOP dialysis choice would be:

Standard in-center HD

In-center nocturnal HD

PD (cycler or manual)

Standard home HD

Daily home HD

Nocturnal home HD

Question Title

3. Please rank these 11 reasons why PD is underutilized. (1 is high)

PD is more time-consuming to manage.

N/A

Nephrologists feel less confident prescribing PD.

N/A

PD reimbursement to the nephrologist is less.

N/A

PD outcomes are less than optimal.

N/A

Many patients cannot safely do PD.

N/A

Many patients do not want to do PD.

N/A

Many patients are afraid to do PD.

N/A

Lack of a partner.

N/A

Lack of family support.

N/A

Clinical unsuitability.

N/A

Other - enter your reason in #4

N/A

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4. List your other reason.

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5. Please rank these 12 reasons why HHD is underutilized. (1 is high)

HHD is riskier to prescribe.

N/A

HHD is more time-consuming to manage.

N/A

Nephrologists feel less confident prescribing HHD.

N/A

HHD reimbursement to the nephrologist is less.

N/A

It is difficult to get reimbursement for the desired number of treatments.

N/A

Many patients cannot safely do HHD.

N/A

Many patients are afraid to do HHD.

N/A

Many patients do not want to do HHD.

N/A

Lack of a partner.

N/A

Lack of family support.

N/A

Clinical unsuitability.

N/A

Other - enter your reason in #6

N/A

Brief Nephrologist Opinion Study: Home Dialysis

Question Title

1. Within my practice, I am able to offer these dialysis options to my patients: (Check as many as apply)

Question Title

2. If my kidneys failed and I had to wait 5 years for a transplant, my TOP dialysis choice would be:

Question Title

3. Please rank these 11 reasons why PD is underutilized. (1 is high)

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4. List your other reason.

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5. Please rank these 12 reasons why HHD is underutilized. (1 is high)

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6. List your other reason.

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7. What do YOU see as the most effective way to increase use of home therapies?

Brief Nephrologist Opinion Study: Home Dialysis

Question Title

* 1. Within my practice, I am able to offer these dialysis options to my patients: (Check as many as apply)

Question Title

* 2. If my kidneys failed and I had to wait 5 years for a transplant, my TOP dialysis choice would be:

Question Title

* 3. Please rank these 11 reasons why PD is underutilized. (1 is high)

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* 4. List your other reason.

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* 5. Please rank these 12 reasons why HHD is underutilized. (1 is high)

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* 6. List your other reason.

Question Title

* 7. What do YOU see as the most effective way to increase use of home therapies?

1. Within my practice, I am able to offer these dialysis options to my patients: (Check as many as apply)

2. If my kidneys failed and I had to wait 5 years for a transplant, my TOP dialysis choice would be:

3. Please rank these 11 reasons why PD is underutilized. (1 is high)

4. List your other reason.

5. Please rank these 12 reasons why HHD is underutilized. (1 is high)

6. List your other reason.

7. What do YOU see as the most effective way to increase use of home therapies?