Download the full-sized PDF of Relocation of remote dwellers living with hemodialysis: A time trade-off surveyDownload the full-sized PDF



Permanent link (DOI):


Export to: EndNote  |  Zotero  |  Mendeley


This file is in the following communities:

Nursing, Faculty of


This file is in the following collections:


Relocation of remote dwellers living with hemodialysis: A time trade-off survey Open Access


Author or creator
Tonelli, Marcello
Molzahn, Anita
Wiebe, Natasha
Davison, Sara N.
Gill, John S.
Hemmelgarn, Brenda R.
Manns, Braden J.
Pannu, Neesh
Pelletier, Rick
Thompson, Stephanie
Klarenbach, Scott W.
Additional contributors
Health care services
Remote dwellers
End-stage renal disease
Type of item
Journal Article (Published)
Background There has been little research exploring the experience of dialysis therapy for people living in remote communities. Remote residence location has previously been associated with excess mortality in hemodialysis (HD) patients, suggesting that relocation to a referral center might improve outcomes. It is unknown whether patients view this approach as acceptable. Methods We studied 121 remote-dwelling chronic HD patients using the time trade-off method applied to hypothetical scenarios. Results Participants indicated that they would trade a median of 6 years of life in their current location (including current social supports) (95% CI 2.25–7) for 10 years of life in a referral center without any of their existing social supports (meaning they would be willing to forgo 4 years of life to remain in their current residence location). When current social supports were assumed to continue in both locations, people were only willing to forego a median of 2 years of life (95% CI 1–4) to remain in their current location. Older participants were much less willing to accept relocation than younger participants; the median time trade-off associated with relocation and without social supports was 2 years for participants aged <50 years, 3 years for those aged 50–69.9 years and 9 years for those aged ≥70 years. Conclusions Hemodialysis patients currently living remotely were willing to forgo much of their remaining life expectancy rather than relocate—especially among older participants. These findings suggest that decisions about relocation should be accompanied by discussion of anticipated changes in quality of life and life expectancy.
Date created
License information
© 2015 Tonelli, M., Molzahn, A., Wiebe, N., Davison, S.N., Gill, J.S., Hemmelgarn, B.R., Manns, B.J., Pannu, N., Pelletier, R., Thompson, S., & Klarenbach, S.W. This version of this article is open access and can be downloaded and shared. The original author(s) and source must be cited.

Citation for previous publication
Tonelli, Marcello, Molzahn, Anita, Wiebe, Natasha, Davison, Sara N., Gill, John S., Hemmelgarn, Brenda R., Manns, Braden J., Pannu, Neesh, Pelletier, Rick, Thompson, Stephanie, & Klarenbach, Scott W. (2015). Relocation of remote dwellers living with hemodialysis: A time trade-off survey. Nephrology, Dialysis, Transplantation, 30(10), 1767-1773.


Link to related item

File Details

Date Uploaded
Date Modified
Audit Status
Audits have not yet been run on this file.
File format: pdf (Portable Document Format)
Mime type: application/pdf
File size: 381665
Last modified: 2017:10:11 14:20:05-06:00
Filename: NDT_30_10_1767.pdf
Original checksum: 6e12d33962fed77c7d87a62d5da066bd
Well formed: true
Valid: true
File title: Adding specialized clinics for remote-dwellers with chronic kidney disease: A cost-utility analysis
File author: Natasha Wiebe
Page count: 18
File language: en-CA
Activity of users you follow
User Activity Date