Effect of an educational program on the predialysis period for patients with chronic renal failure

Inaguma, Daijo; Tatematsu, Miho; Shinjo, Hibiki; Suzuki, Sachiyo; Mishima, Tomoko; Inaba, Shinichiro; Kurata, Kei

doi:10.1007/s10157-006-0439-2

Cited by 26 publications

(29 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These authors found that the number of patients using a double-lumen dialysis catheter, and the duration and cost of hospitalization in training the participating group, were significantly less than those in the nonparticipating group. Also although there was no significant difference in renal function at the initiation of renal replacement therapy between the two groups-serum albumin, hemoglobin, and hematocrit in the participating group were significantly higher than in the nonparticipating group [91]. Roderick et al reported that for patients whose referral to a nephrologist was delayed, laboratory results were significantly worse at the start of RRT, they were less likely to have received standard treatments for CKD, fewer of them had a permanent dialysis access in place at the start of RRT (18 vs. 47%, P = 0.001), and they had a significantly longer initial stay in hospital (18 vs. 10 days, P = 0.001) [95,96].…”

Section: Role Of Predialysis Trainingmentioning

confidence: 61%

“…All now recognize the benefits of medical management in the predialysis period (i.e., the period before dialysis initiation) including the use of renin angiotensin inhibitors, strict control of blood pressure, a reduction in anemia, dietary therapy, and control of calcium and phosphate levels. Reports now indicate that implementation of these measures in the predialysis period, especially in CKD stages 2-4, retard deterioration or even improve renal function, prevent the progression or development of complications, and defer the need for renal replacement [91]. A recent paper examined the initial characteristics of patients referred in various stages of CKD and tried to identify factors associated with subsequent changes in estimated glomerular filtration rate (eGFR).…”

Section: Role Of Predialysis Trainingmentioning

confidence: 98%

“…In Japan more than 95% of patients are dialyzed by incenter hemodialysis (HD), and use of peritoneal dialysis (PD), is extremely low. In some patients, in fact, HD is initiated without the individual knowing that he/she has the option of PD at home [91].…”

Section: Role Of Predialysis Trainingmentioning

confidence: 99%

See 2 more Smart Citations

Home dialysis as a first option: a new paradigm

et al. 2009

View full text Add to dashboard Cite

Traditionally, the initial choice of dialysis for patients with end stage renal disease (ESRD) has been in-center hemodialysis (HD) or peritoneal dialysis (PD). Usually, the choice between these (PD vs. HD) has been based on the characteristics of the dialysis techniques. Obviously the choice of peritoneal dialysis implied dialysis at home, but its geographic location has been only a secondary consideration. Peritoneal dialysis has evolved as a dependable mode that gives good outcomes. This method has become more attractive with the option of overnight cyclers and the recent use of home helpers in some jurisdictions. At the same time the interest in home hemodialysis was rekindled by reports of good outcomes with short daily or nocturnal hemodialysis. Home dialysis (PD or HD) offers high quality of treatment, a high degree of patient independence, and is financially attractive. Therefore, we propose a change in our approach to the choice of the initial form of dialysis for patients with ESRD. Instead of choosing between HD and PD we should present the new patients the advantage of dialysis at home and instead of asking them to choose between peritoneal dialysis or hemodialysis, they should be offered the option to choose between dialysis at home (PD or HD) or in-hospital. This paper will review the advantages of the home-based dialysis methods and the arguments for this simple but vital change in the process of choosing the method of dialysis.

show abstract

Section: Role Of Predialysis Trainingmentioning

confidence: 61%

Section: Role Of Predialysis Trainingmentioning

confidence: 98%

See 1 more Smart Citation

Home dialysis as a first option: a new paradigm

et al. 2009

View full text Add to dashboard Cite

show abstract

“…We therefore consider the criteria adopted for ER to be valid. It has been reported that patient education by specialist staff headed by nephrologists prior to the initiation of HD decreases the likelihood of the need for urgent dialysis, resulting in a decrease in the need for the creation of a temporary VA [13]. Lee et al [14] reported that a permanent VA had been created beforehand in 46.5% of the patients followed up by a nephrologist.…”

Section: Discussionmentioning

confidence: 97%

Nephrologist care for 12 months or more increases hemodialysis initiation with permanent vascular access

Inaguma

Ando²,

Ikeda³

et al. 2011

Clin Exp Nephrol

Self Cite

View full text Add to dashboard Cite

show abstract

“…It has been reported that patient education by nephrologists before initiation of dialysis decreases the likelihood of the need for urgent dialysis, resulting in a reduction in the need for the creation of a temporary vascular access [27]. Schmidt et al showed that the need for emergency HD was significantly less among ER patients compared with LR patients (22% versus 90%) [13].…”

Section: Discussionmentioning

confidence: 99%

Early Referral to a Nephrologist Improved Patient Survival: Prospective Cohort Study for End-Stage Renal Disease in Korea

Kim

et al. 2013

PLoS ONE

View full text Add to dashboard Cite

The timing of referral to a nephrologist may influence the outcome of chronic kidney disease patients, but its impact has not been evaluated thoroughly. The results of a recent study showing an association between early referral and patient survival are still being debated. A total of 1028 patients newly diagnosed as end-stage renal disease (ESRD) from July 2008 to October 2011 were enrolled. Early referral (ER) was defined as patients meeting with a nephrologist more than a year before dialysis and dialysis education were provided, and all others were considered late referral (LR). The relationship of referral pattern with mortality in ESRD patients was explored using a Cox proportional hazards regression models. Time from referral to dialysis was significantly longer in 599 ER patients than in 429 LR patients (62.3±58.9 versus 2.9±3.4 months, P<0.001). Emergency HD using a temporary vascular catheter was required in 485 (47.2%) out of all patients and in 262 (43.7%) of ER compared with 223 (52.0%) of LR (P = 0.009). After 2 years of follow-up, the survival rate in ER was better than that in LR (hazard ratio [HR] 2.38, 95% confidence interval [CI] 1.27–4.45, P = 0.007). In patients with diabetes nephropathy, patient survival was also significantly higher in ER than in LR (HR 4.74, 95% CI 1.73–13.00, P = 0.002). With increasing age, HR also increased. Timely referral to a nephrologist in the predialytic stage is associated with reduced mortality.

show abstract

Effect of an educational program on the predialysis period for patients with chronic renal failure

Abstract: This study suggests that providing sufficient information before dialysis initiation may be effective in both physical condition at dialysis initiation, and medical economic benefits through the understanding of the dialysis.

Cited by 26 publications

References 13 publications

Home dialysis as a first option: a new paradigm

Home dialysis as a first option: a new paradigm

Nephrologist care for 12 months or more increases hemodialysis initiation with permanent vascular access

Early Referral to a Nephrologist Improved Patient Survival: Prospective Cohort Study for End-Stage Renal Disease in Korea

Contact Info

Product

Resources

About