Box 1. Suggestions for delivering precision-based dialysis
DomainRecommendations
CKD progression• Appropriate diagnosis of CKD
• Utilization of technology for risk factor modification (e.g., diet, BP, activity, weight, comorbidities, prognosis)
• Accessibility to genetic testing
• Improving health literacy
Initiation of KRT• Accessibility to tele-education
• Shared and informed decision making
• Establishing conservative approach as treatment choice for modality
• Inclusion of environmental and lifestyle factors in modality choice
• Dialysis access placement according to patient characteristics
• Team-based approach for KRT education
• Providing emotional support
• Incremental dialysis
Developing the workforce• Training the workforce in home dialysis
• Expertise in dialysis access placement
• Competency-based educator programs
Health system initiative• Patient clinical and social characteristics in payment model
• Kidney residual function in adequacy metric
• Developing patient-centered quality metrics, including QOL, anxiety, depression, pain, and dialysis-related symptoms
• Financial incentives for home care partners/patients, including tax credits for electricity bills and home remodeling
• Funding programs providing supportive and palliative care
• Subsidizing efforts for urgent start PD, transitional care dialysis units
  • QOL, quality of life; PD, peritoneal dialysis.