Shared decision-making in patient-centered care for individuals with chronic kidney disease – A scoping review

Chronic kidney disease (CKD) patients often struggle to balance the risks and benefits of their treatment options, leading to dilemma in decision-making process. Shared decision-making (SDM) is considered as the cornerstone of patient-centered care by engaging patients in treatment choices across various chronic diseases, including CKD. This review explores the significance of SDM in CKD care and highlights the barriers to its implication. This review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses-scoping reviews guidelines. Literature search was conducted using Scopus, ProQuest, and PubMed databases. Out of the initially searched 18742 articles, 20 articles are included in this review. The findings revealed that SDM improved patient engagement, self-efficacy, and reduced decisional conflict in CKD management. However, barriers such as limited health literacy, disease-knowledge gaps, and inadequate communication hindered effective decision-making. In addition, social, demographic, and psychosocial factors influenced self-care behaviors and treatment choices. Despite the potential benefits, many CKD patients do not experience SDM due to inadequate information and time constraints. Educating patients and training healthcare professionals are crucial steps for improving SDM practice in CKD care. Future studies should explore patient-clinician interaction and focus on the effects of culture and ethnicity on decision-making for effective treatment.