Japanese Patients’ Perceptions of Shared Decision-Making in Renal Replacement Therapy
Introduction: Shared decision-making (SDM) is a key process in selecting renal replacement therapy (RRT). This study analyzed SDM perceptions, preferences, as well as patient- and facility-level factors influencing SDM perception among Japanese patients with chronic kidney disease (CKD) who selected...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
|
| Series: | Kidney International Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468024925003134 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849707149684375552 |
|---|---|
| author | Yugo Shibagaki Tadashi Sofue Hiroo Kawarazaki Tatsunori Toida Tomo Suzuki Hiroki Nishiwaki Kenichiro Asano Hiroyuki Terawaki Takafumi Ito Hideaki Oka Kei Nagai Minoru Murakami Kojiro Nagai Daisuke Komukai Takayuki Adachi Satoshi Furukata Takaaki Tsutsui Kiichiro Fujisaki Seita Sugitani Hideaki Shimizu Tomoya Nishino Hiroaki Asada Hideki Shimizu Tatsuo Tsukamoto Izaya Nakaya Yosuke Yamada Ryohei Inanaga Shohei Yamada Shohei Nakanishi Atsuhiro Maeda Mari Yamamoto Shuma Hirashio Takeshi Okamoto Takayuki Nakamura Ken-ichi Miyoshi Hiroshi Kado Susumu Toda Shigeru Shibata Keiko Nishi Makoto Yamamoto Tsukasa Naganuma Ryo Zamami Masahide Furusho Hitoshi Miyasato Yukihiro Tamura Yoshihiko Raita Chisato Fukuhara Keita Uehara Kosuke Inoue Yasuhiro Taki Nobuyuki Nakano Noriaki Kurita Shigeyuki Arai Tsuyoshi Watanabe Keita Iwasaki Yuuki Itou Fumika Nagase Kenta Torigoe Shinichi Abe Kumiko Muta Tomomi Endo Keita Mori Michiya Shinozaki Megumi Oikawa Tsuyoshi Ohshiro Yoshitaka Ishibashi Ryo Sugiyama |
| author_facet | Yugo Shibagaki Tadashi Sofue Hiroo Kawarazaki Tatsunori Toida Tomo Suzuki Hiroki Nishiwaki Kenichiro Asano Hiroyuki Terawaki Takafumi Ito Hideaki Oka Kei Nagai Minoru Murakami Kojiro Nagai Daisuke Komukai Takayuki Adachi Satoshi Furukata Takaaki Tsutsui Kiichiro Fujisaki Seita Sugitani Hideaki Shimizu Tomoya Nishino Hiroaki Asada Hideki Shimizu Tatsuo Tsukamoto Izaya Nakaya Yosuke Yamada Ryohei Inanaga Shohei Yamada Shohei Nakanishi Atsuhiro Maeda Mari Yamamoto Shuma Hirashio Takeshi Okamoto Takayuki Nakamura Ken-ichi Miyoshi Hiroshi Kado Susumu Toda Shigeru Shibata Keiko Nishi Makoto Yamamoto Tsukasa Naganuma Ryo Zamami Masahide Furusho Hitoshi Miyasato Yukihiro Tamura Yoshihiko Raita Chisato Fukuhara Keita Uehara Kosuke Inoue Yasuhiro Taki Nobuyuki Nakano Noriaki Kurita Shigeyuki Arai Tsuyoshi Watanabe Keita Iwasaki Yuuki Itou Fumika Nagase Kenta Torigoe Shinichi Abe Kumiko Muta Tomomi Endo Keita Mori Michiya Shinozaki Megumi Oikawa Tsuyoshi Ohshiro Yoshitaka Ishibashi Ryo Sugiyama |
| author_sort | Yugo Shibagaki |
| collection | DOAJ |
| description | Introduction: Shared decision-making (SDM) is a key process in selecting renal replacement therapy (RRT). This study analyzed SDM perceptions, preferences, as well as patient- and facility-level factors influencing SDM perception among Japanese patients with chronic kidney disease (CKD) who selected RRT. Methods: We conducted a cross-sectional survey of 475 adult patients with CKD from 49 medical facilities. SDM awareness and recognition, preferences for SDM timing and frequency, discussion content, and desired professional involvement were assessed. Patient- and facility-level factors associated with SDM perceptions were evaluated using multivariable analysis. Results: The mean participant age was 67.4 years. Hemodialysis, peritoneal dialysis, and kidney transplantation were chosen by 71%, 24.4%, and 4.4% of patients, respectively. Although 81.2% recalled SDM occurring during RRT selection, only 4.7% were well aware of SDM before the survey. Patients prioritized discussions about daily life impact, financial burden, and family-related concerns. Most patients preferred SDM initiation when RRT was imminent, and to be conducted over multiple sessions. Many patients valued the involvement of medical social workers and their usual nonnephrologist physicians in addition to nephrologists. Multiple outpatient visits for RRT selection, involving nurse participation and extended consultation times, were significantly associated with SDM perceptions (prevalence ratio [PR]: 1.59, 95% confidence interval [CI]: 1.05–2.42). Conclusion: Many Japanese patients with CKD retrospectively evaluated RRT selection as involving SDM; however, a few were familiar with the concept beforehand. This underscores the importance of establishing systems that facilitate repeated SDM discussions at critical moments for patients. These discussions should emphasize the impact of RRT on patients’ lives and involve a multidisciplinary team. |
| format | Article |
| id | doaj-art-ea33ef57b8dc4eeda55e01a11dcdeca8 |
| institution | DOAJ |
| issn | 2468-0249 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Kidney International Reports |
| spelling | doaj-art-ea33ef57b8dc4eeda55e01a11dcdeca82025-08-20T03:16:00ZengElsevierKidney International Reports2468-02492025-08-011082778278810.1016/j.ekir.2025.05.011Japanese Patients’ Perceptions of Shared Decision-Making in Renal Replacement TherapyYugo Shibagaki0Tadashi Sofue1Hiroo Kawarazaki2Tatsunori Toida3Tomo Suzuki4Hiroki Nishiwaki5Kenichiro Asano6Hiroyuki Terawaki7Takafumi Ito8Hideaki Oka9Kei Nagai10Minoru Murakami11Kojiro Nagai12Daisuke Komukai13Takayuki Adachi14Satoshi Furukata15Takaaki Tsutsui16Kiichiro Fujisaki17Seita Sugitani18Hideaki Shimizu19Tomoya Nishino20Hiroaki Asada21Hideki Shimizu22Tatsuo Tsukamoto23Izaya Nakaya24Yosuke Yamada25Ryohei Inanaga26Shohei Yamada27Shohei Nakanishi28Atsuhiro Maeda29Mari Yamamoto30Shuma Hirashio31Takeshi Okamoto32Takayuki Nakamura33Ken-ichi Miyoshi34Hiroshi Kado35Susumu Toda36Shigeru Shibata37Keiko Nishi38Makoto Yamamoto39Tsukasa Naganuma40Ryo Zamami41Masahide Furusho42Hitoshi Miyasato43Yukihiro Tamura44Yoshihiko Raita45Chisato Fukuhara46Keita Uehara47Kosuke Inoue48Yasuhiro Taki49Nobuyuki Nakano50Noriaki Kurita51Shigeyuki AraiTsuyoshi WatanabeKeita IwasakiYuuki ItouFumika NagaseKenta TorigoeShinichi AbeKumiko MutaTomomi EndoKeita MoriMichiya ShinozakiMegumi OikawaTsuyoshi OhshiroYoshitaka IshibashiRyo SugiyamaDivision of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki-city, Kanagawa, JapanDepartment of Cardiorenal and Cerebrovascular Medicine, Faculty of Medicine, Kagawa University, Miki-cho, Kita-gun, Kagawa, JapanDepartment of Internal Medicine, Division of Nephrology, Teikyo University Hospital Mizonokuchi, Kawasaki-city, Kanagawa, JapanSchool of Pharmaceutical Sciences, Kyushu University of Medical Science, Nobeoka-city, Miyazaki, Japan; Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima-city, Fukushima, JapanDepartment of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima-city, Fukushima, Japan; Department of Nephrology, Kameda Medical Center, Kamogawa-city, Chiba, JapanDepartment of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima-city, Fukushima, Japan; Division of Nephrology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama-city, Kanagawa, JapanDepartment of Nephrology, Kurashiki Central Hospital, Kurashiki-city, Okayama, JapanDepartment of Internal Medicine, Nephrology, Teikyo University Chiba Medical Center, Ichihara-city, Chiba, JapanDepartment of Internal Medicine, Nephrology, Teikyo University Chiba Medical Center, Ichihara-city, Chiba, JapanDepartment of Nephrology, Matsuyama Red Cross Hospital, Matsuyama-city, Ehime, JapanDepartment of Nephrology, Hitachi General Hospital, Hitachi-city, Ibaraki, JapanDepartment of Nephrology, Saku Central Hospital, Saku-city, Nagano, JapanDepartment of Nephrology, Shizuoka General Hospital, Shizuoka-city, Shizuoka, JapanDepartment of Nephrology, Kawasaki Saiwai Hospital, Kawasaki-city, Kanagawa, JapanDepartment of Nephrology, Social Medical Corporation Yuuaikai Yuuai Medical Center, Tomigusuku-city, Okinawa, JapanDepartment of Nephrology, Fukaya Red Cross Hospital, Fukaya-city, Saitama, JapanKidney Disease and Dialysis Center, Hidaka Hospital, Hidaka-kai, Takasaki-city, Gunma, JapanDepartment of Nephrology, Iizuka Hospital, Iizuka-city, Fukuoka, JapanDepartment of Nephrology, Japanese Red Cross Wakayama Medical Center, Wakayama-city, Wakayama, JapanDepartment of Nephrology, Daido Hospital, Nagoya-city, Aichi, JapanDepartment of Nephrology, Nagasaki University Hospital, Nagasaki-city, Nagasaki, JapanDepartment of Nephrology, Okazaki City Hospital, Okazaki-city, Aichi, JapanDepartment of Nephrology, Funabashi Municipal Medical Center, Funabashi-city, Chiba, JapanMedical Research Institute Kitano Hospital, PIIF Tazuke-Kofukai, Osaka-city, Osaka, JapanDepartment of Nephrology and Rheumatology, Iwate Prefectural Central Hospital, Morioka-city, Iwate, JapanDepartment of Nephrology, Aizawa Hospital, Matsumoto-city, Nagano, JapanDepartment of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima-city, Fukushima, Japan; Department of Nephrology, Shin-Yurigaoka General Hospital, Kawasaki-city, Kanagawa, JapanDepartment of Nephrology, Japanese Red Cross Medical Center, Shibuya-ku, Tokyo, JapanDepartment of Nephrology, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji-city, Hyogo, JapanDepartment of Nephrology and Dialysis Center, Kouzenkai-Maeda Hospital, Imari-city, Saga, JapanDepartment of Rheumatology and Nephrology, Chubu Rosai Hospital, Nagoya-city, Aichi, JapanDepartment of Nephrology, NHO Hiroshimanishi Medical Center, Otake-city, Hiroshima, JapanDivision of Nephrology. Nagoya Ekisaikai Hospital, Nagoya-city, Aichi, JapanDepartment of Urology, JCHO Nihonmatsu Hospital, Nihonmatsu-city, Fukushima, JapanDepartment of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine, Toon-city, Ehime, JapanDepartment of Nephrology, Omihachiman Community Medical Center, Omihachiman-city, Shiga, JapanDivision of Nephrology, Department of Internal Medicine, Uji Takeda Hospital, Uji-city, Kyoto, JapanDivision of Nephrology, Department of Internal Medicine, Teikyo University School of Medicine, Itabashi-Ku, Tokyo, JapanDepartment of Nephrology, Ogawa Clinic, Nobeoka-city, Miyazaki, JapanDepartment of Internal Medicine, Okinawa Miyako Hospital, Miyakojima-city, Okinawa, JapanDepartment of Nephrology, Yamanashi Prefectural Central Hospital, Kofu-city, Yamanashi, JapanDepartment of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus, Nishihara-cho, Okinawa, JapanDepartment of Nephrology, National Hospital Organization Kagoshima Medical Center, Kagoshima-city, Kagoshima, JapanDepartment of Internal Medicine, Okinawa Prefectural Yaeyama Hospital, Ishigaki-city, Okinawa, JapanDepartment of Internal Medicine, Oosumikanoya Hospital, Kanoya-city, Kagoshima, JapanDepartment of Nephrology, Okinawa Prefectural Chubu Hospital, Uruma-city, Okinawa, JapanDepartment of Nephrology, Heartlife Hospital, Nakagusuku-village, Nakagami-gun, OkinawaDepartment of Internal Medicine, Division of Nephrology and Rheumatology, Regional Independent Administrative Corporation Naha City Hospital, Naha-city, Okinawa, JapanDivision of Nephrology, Kochi Memorial Hospital, Kochi-city, Kochi, JapanDepartment of Nephrology, Inagi Municipal Hospital, Inagi-city, Tokyo, JapanDivision of Internal Medicine, Clinic of Utsunomiya Jinn-naika-hifuka, Utsunomiya-city, Tochigi, JapanDepartment of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima-city, Fukushima, Japan; Correspondence: Noriaki Kurita, Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima City, Fukushima 960-1295, Japan.Introduction: Shared decision-making (SDM) is a key process in selecting renal replacement therapy (RRT). This study analyzed SDM perceptions, preferences, as well as patient- and facility-level factors influencing SDM perception among Japanese patients with chronic kidney disease (CKD) who selected RRT. Methods: We conducted a cross-sectional survey of 475 adult patients with CKD from 49 medical facilities. SDM awareness and recognition, preferences for SDM timing and frequency, discussion content, and desired professional involvement were assessed. Patient- and facility-level factors associated with SDM perceptions were evaluated using multivariable analysis. Results: The mean participant age was 67.4 years. Hemodialysis, peritoneal dialysis, and kidney transplantation were chosen by 71%, 24.4%, and 4.4% of patients, respectively. Although 81.2% recalled SDM occurring during RRT selection, only 4.7% were well aware of SDM before the survey. Patients prioritized discussions about daily life impact, financial burden, and family-related concerns. Most patients preferred SDM initiation when RRT was imminent, and to be conducted over multiple sessions. Many patients valued the involvement of medical social workers and their usual nonnephrologist physicians in addition to nephrologists. Multiple outpatient visits for RRT selection, involving nurse participation and extended consultation times, were significantly associated with SDM perceptions (prevalence ratio [PR]: 1.59, 95% confidence interval [CI]: 1.05–2.42). Conclusion: Many Japanese patients with CKD retrospectively evaluated RRT selection as involving SDM; however, a few were familiar with the concept beforehand. This underscores the importance of establishing systems that facilitate repeated SDM discussions at critical moments for patients. These discussions should emphasize the impact of RRT on patients’ lives and involve a multidisciplinary team.http://www.sciencedirect.com/science/article/pii/S2468024925003134chronic kidney diseasehealth care professionalspatient preferencesrenal replacement therapyshared decision-making |
| spellingShingle | Yugo Shibagaki Tadashi Sofue Hiroo Kawarazaki Tatsunori Toida Tomo Suzuki Hiroki Nishiwaki Kenichiro Asano Hiroyuki Terawaki Takafumi Ito Hideaki Oka Kei Nagai Minoru Murakami Kojiro Nagai Daisuke Komukai Takayuki Adachi Satoshi Furukata Takaaki Tsutsui Kiichiro Fujisaki Seita Sugitani Hideaki Shimizu Tomoya Nishino Hiroaki Asada Hideki Shimizu Tatsuo Tsukamoto Izaya Nakaya Yosuke Yamada Ryohei Inanaga Shohei Yamada Shohei Nakanishi Atsuhiro Maeda Mari Yamamoto Shuma Hirashio Takeshi Okamoto Takayuki Nakamura Ken-ichi Miyoshi Hiroshi Kado Susumu Toda Shigeru Shibata Keiko Nishi Makoto Yamamoto Tsukasa Naganuma Ryo Zamami Masahide Furusho Hitoshi Miyasato Yukihiro Tamura Yoshihiko Raita Chisato Fukuhara Keita Uehara Kosuke Inoue Yasuhiro Taki Nobuyuki Nakano Noriaki Kurita Shigeyuki Arai Tsuyoshi Watanabe Keita Iwasaki Yuuki Itou Fumika Nagase Kenta Torigoe Shinichi Abe Kumiko Muta Tomomi Endo Keita Mori Michiya Shinozaki Megumi Oikawa Tsuyoshi Ohshiro Yoshitaka Ishibashi Ryo Sugiyama Japanese Patients’ Perceptions of Shared Decision-Making in Renal Replacement Therapy Kidney International Reports chronic kidney disease health care professionals patient preferences renal replacement therapy shared decision-making |
| title | Japanese Patients’ Perceptions of Shared Decision-Making in Renal Replacement Therapy |
| title_full | Japanese Patients’ Perceptions of Shared Decision-Making in Renal Replacement Therapy |
| title_fullStr | Japanese Patients’ Perceptions of Shared Decision-Making in Renal Replacement Therapy |
| title_full_unstemmed | Japanese Patients’ Perceptions of Shared Decision-Making in Renal Replacement Therapy |
| title_short | Japanese Patients’ Perceptions of Shared Decision-Making in Renal Replacement Therapy |
| title_sort | japanese patients perceptions of shared decision making in renal replacement therapy |
| topic | chronic kidney disease health care professionals patient preferences renal replacement therapy shared decision-making |
| url | http://www.sciencedirect.com/science/article/pii/S2468024925003134 |
| work_keys_str_mv | AT yugoshibagaki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tadashisofue japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hirookawarazaki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tatsunoritoida japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tomosuzuki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hirokinishiwaki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT kenichiroasano japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hiroyukiterawaki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT takafumiito japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hideakioka japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT keinagai japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT minorumurakami japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT kojironagai japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT daisukekomukai japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT takayukiadachi japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT satoshifurukata japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT takaakitsutsui japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT kiichirofujisaki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT seitasugitani japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hideakishimizu japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tomoyanishino japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hiroakiasada japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hidekishimizu japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tatsuotsukamoto japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT izayanakaya japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT yosukeyamada japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT ryoheiinanaga japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT shoheiyamada japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT shoheinakanishi japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT atsuhiromaeda japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT mariyamamoto japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT shumahirashio japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT takeshiokamoto japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT takayukinakamura japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT kenichimiyoshi japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hiroshikado japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT susumutoda japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT shigerushibata japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT keikonishi japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT makotoyamamoto japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tsukasanaganuma japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT ryozamami japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT masahidefurusho japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT hitoshimiyasato japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT yukihirotamura japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT yoshihikoraita japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT chisatofukuhara japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT keitauehara japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT kosukeinoue japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT yasuhirotaki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT nobuyukinakano japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT noriakikurita japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT shigeyukiarai japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tsuyoshiwatanabe japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT keitaiwasaki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT yuukiitou japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT fumikanagase japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT kentatorigoe japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT shinichiabe japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT kumikomuta japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tomomiendo japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT keitamori japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT michiyashinozaki japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT megumioikawa japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT tsuyoshiohshiro japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT yoshitakaishibashi japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy AT ryosugiyama japanesepatientsperceptionsofshareddecisionmakinginrenalreplacementtherapy |