Table 2. Comparing priority ratings between kidney patients and clinicians for the ten topics to which patients assigned highest priority.
Abbreviations: N, number of respondents who rated the importance of a topic; SD, standard deviation.
| KIDNEY PATIENTS | CLINICIANS | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Nephrologists (N = 687) | Nurses (N = 194) | Surgeons & radiologists (N = 140) | ||||||||||
| Topic | Rank a) | N | Mean adjusted (SD) rating | Rank a) | Mean adjusted (SD) rating | P-value b) | Rank a) | Mean adjusted (SD) rating | P-value b) | Rank a) | Mean adjusted (SD) rating | P-value b) |
| Catheter thrombosis | 1 | 9 | 4.47 (0.33) | 14 | 4.33 (0.33) | 0.25 | 11 | 4.33 (0.33) | 0.24 | 28 | 4.12 (0.37) | 0.011 |
| Selection of vascular access type c) | 2 | 85 | 4.39 (0.29) | 2 | 4.49 (0.31) | < 0.01 | 9 | 4.34 (0.37) | 0.22 | 1 | 4.57 (0.24) | < 0.001 |
| Training clinicians to create/maintain access | 3 | 85 | 4.37 (0.41) | 13 | 4.34 (0.34) | 0.53 | 14 | 4.32 (0.34) | 0.35 | 8 | 4.41 (0.36) | 0.41 |
| Catheter infection | 4 | 9 | 4.36 (0.19) | 1 | 4.53 (0.27) | 0.03 | 1 | 4.49 (0.27) | 0.08 | 18 | 4.30 (0.37) | 0.40 |
| Fistula/graft infection | 6 | 76 | 4.35 (0.36) | 4 | 4.40 (0.33) | 0.26 | 3 | 4.41 (0.29) | 0.21 | 16 | 4.31 (0.32) | 0.36 |
| Perioperative fistula/graft infection | 5 | 76 | 4.34 (0.34) | 22 | 4.27 (0.41) | 0.08 | 4 | 4.40 (0.33) | 0.21 | 23 | 4.20 (0.46) | < 0.01 |
| Preoperative assessment of vessels | 7 | 85 | 4.33 (0.40) | 18 | 4.30 (0.38) | 0.42 | 24 | 4.20 (0.41) | 0.012 | 5 | 4.49 (0.34) | < 0.01 |
| Fistula/graft-related heart disease | 8 | 71 | 4.33 (0.40) | 29 | 4.11 (0.41) | < 0.001 | 30 | 4.15 (0.37) | < 0.01 | 35 | 3.99 (0.40) | < 0.001 |
| Selection of vascular access site | 9 | 85 | 4.32 (0.36) | 5 | 4.40 (0.35) | 0.08 | 15 | 4.32 (0.36) | 0.87 | 4 | 4.50 (0.27) | < 0.001 |
| Strategies to organize vascular access care d) | 10 | 85 | 4.31 (0.37) | 21 | 4.28 (0.37) | 0.45 | 16 | 4.31 (0.35) | 0.87 | 6 | 4.42 (0.34) | 0.04 |
a) Ranking based on mean (standard deviation) standardized ratings
b) Based on two sample t-test of mean standardized ratings between patients and clinician group. P-values of <0.01 indicate a disagreement on priorities between patients and clinicians, with values between 0.010 and 0.014 being considered borderline significant.
c) Topic includes subtopics such as choosing between fistula, graft and tunneled catheter; clinical and social (contra-)indications for specific access types; last resort access types
d) Topic includes subtopics such as who should create fistulas; specialized vascular access centres; multidisciplinary vascular access teams; vascular access coordinators; formalized care pathways