{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T02:47:55Z","timestamp":1782182875610,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Shared hemodialysis care, or \u201cshared care,\u201d empowers in\u2010center hemodialysis patients to undertake some dialysis\u2010related tasks. Although its benefits are increasingly recognized, data on shared care is not routinely reported, and its impact on patient experience is less studied. Shared decision\u2010making\u2014a key component of patient experience\u2014is consistently rated poorly by renal patients. Using data from the UK Kidney Patient Reported Experience Measure survey, we examined the variation in shared care offered across 67 UK kidney centers and assessed its association with shared decision\u2010making scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Shared care offer and acceptance was assessed by a single survey question. A measure of shared decision\u2010making was derived from patient responses to three questions (scored between 1\u2009=\u2009low and 7\u2009=\u2009high). Associations between shared care and shared decision\u2010making scores were analyzed at an individual level using linear mixed models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Analyzes included 6861 patients. 53% of respondents were offered shared care (47% in 2022), with rates from 13% to 93% between centers. Shared care was more likely to be offered to those aged 31\u201355\u2009years, ethnic minorities and in satellite units. Those offered shared care gave higher scores for each question on shared decision\u2010making, with a mean increase of 0.61 (95% CI 0.51\u20130.70,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) across all questions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Shared care participation in the UK is increasing but there remains considerable variation between centers with inequitable access to the opportunities it brings according to patient age, ethnicity and dialysis unit location. This study is the first to demonstrate a positive association between shared care and shared decision\u2010making, suggesting that offering shared care can support shared decision\u2010making and improve patient experience of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hdi.70104","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T02:30:49Z","timestamp":1782181849000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Shared Hemodialysis Care Practice Patterns and Their Association With Shared Decision\u2010Making in the United Kingdom"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9965-7219","authenticated-orcid":false,"given":"Kevin","family":"Breen","sequence":"first","affiliation":[{"name":"Oxford University Hospitals NHS Trust, University of Oxford Nuffield Department of Surgery  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalini","family":"Santhakumaran","sequence":"additional","affiliation":[{"name":"UK Kidney Association  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Wilkie","sequence":"additional","affiliation":[{"name":"Sheffield Teaching Hospitals NHS Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neill","family":"Duncan","sequence":"additional","affiliation":[{"name":"Imperial College Renal and Transplant Centre  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Barnes","sequence":"additional","affiliation":[{"name":"Kidney Care UK  Alton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"Hamill","sequence":"additional","affiliation":[{"name":"UK Kidney Association  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Stannard","sequence":"additional","affiliation":[{"name":"UK Kidney Association  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Busby","sequence":"additional","affiliation":[{"name":"University of Hertfordshire  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Bristow","sequence":"additional","affiliation":[{"name":"Kidney Care UK  Alton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udaya","family":"Udayaraj","sequence":"additional","affiliation":[{"name":"Oxford University Hospitals NHS Trust, University of Oxford Nuffield Department of Medicine  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.013"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102012\u2010001570"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620\u2010017\u20100401\u20102"},{"key":"e_1_2_7_5_1","unstructured":"UK Kidney Association and Kidney Care UK \u201cPatient Reported Experience of Kidney Care 2023 \u201daccessed May 9 2025 https:\/\/kcuk.cdn.ngo\/media\/documents\/106695_PREM_report_2023_FINAL\u2010compressed.pdf."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfad171"},{"key":"e_1_2_7_7_1","unstructured":"NICE \u201cRecommendations | Shared Decision Making | Guidance. 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