Video Decision Aid Increases Advance Care Planning in Advanced CKD

The VIDEO-KD randomized clinical trial tested whether a video decision aid on dialysis and conservative kidney management, paired with patient-created video declarations, increased advance care planning documentation among older adults with advanced chronic kidney disease across 12 ambulatory clinics. The trial reported higher 12-month ACP documentation in the intervention group than controls (56.6% vs 40.0%) and more documented discussion of kidney failure treatment options (46.1% vs 31.6%); intervention participants were also less likely to remain undecided about treatment and more often preferred conservative kidney management.

Most relevant for: Ambulatory care of older adults (65 and older) with advanced chronic kidney disease facing decisions about dialysis versus conservative management.

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