Predicting Transfers to Hemodialysis in Peritoneal Dialysis Patients Using the Surprise Question

Predicting Transfers to Hemodialysis in Peritoneal Dialysis Patients Using the Surprise Question

The investigators will assess the prediction performance of the modified Surprise Question (Will the participant be surprised if this patient transfers to hemodialysis in the next 6 months?) for identification of peritoneal dialysis at high risk of transfer to hemodialysis. The investigators will also assess the prediction performance of a modified mortality surprise question (Will the participant be surprised if this patient dies in the next 6 months?).

Physicians and nurses will be asked two questions regarding each of their peritoneal dialysis patients:

1. Will the participant be surprised if this patient transfers to hemodialysis in the next 6 months?
2. Will the participant be surprised if this patient dies in the next 6 months?

Patients will be followed for 6 months for outcomes (with two extra months for ascertainment of outcomes).

Patients:

Inclusion Criteria:

• Incident and prevalent PD population at Satellite Healthcare

Exclusion Criteria:

• Age < 18 years
• Patients already enrolled in hospice
• Patients on PD training
• Patients on backup hemodialysis