Document Detail

Attitudes of caregivers to management of end-stage renal disease in infants.
MedLine Citation:
PMID:  21454396     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To characterize the attitudes of pediatric nephrologists caring for infants with end-stage renal disease (ESRD) compared with attitudes from a survey published in 1998. Nephrology nurses and social workers were included.
METHODS: An e-mail survey was distributed to pediatric nephrology teams in Canada, Germany, Japan, the United Kingdom, and the United States.
RESULTS: Survey responders totaled 270. Renal replacement therapy (RRT) is offered by all nephrologists to some children 1-12 months, and by 98% to some less than 1 month of age (93% in 1998). Of responding nephrologists, 30% offer RRT to all children less than 1 month of age (41% in 1998), and 50%, to all children 1-12 months. Among respondents, 50% indicated that parents can never refuse RRT for children aged 1-12 months, compared with 27% for younger infants. The most influential factor in rejecting RRT for infants was the presence of a co-existing abnormality. Nurses were more likely to believe that parents have the right to refuse RRT for infants.
CONCLUSIONS: Attitudes of pediatric nephrologists have changed since 1998. Also, nurses have opinions that are different from those of the nephrologists on some issues, and a consensus should be reached before speaking to families.
Jun Chuan Teh; Michelle L Frieling; Julianna L Sienna; Denis F Geary
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Publication Detail:
Type:  Journal Article     Date:  2011-03-31
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  31     ISSN:  1718-4304     ISO Abbreviation:  Perit Dial Int     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-29     Completed Date:  2011-12-22     Revised Date:  2012-08-08    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  459-65     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 International Society for Peritoneal Dialysis
Division of Nephrology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
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MeSH Terms
Attitude of Health Personnel*
Infant, Newborn
Kidney Failure, Chronic / therapy*
Pediatric Nursing*
Renal Replacement Therapy*
Social Work*

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