ISPD guideline-driven retraining, exit site care and decreased peritonitis: a single-center experience in Israel

Einbinder, Yael; Cohen-Hagai, Keren; Shitrit, Pnina; Zitman‐Gal, Tali; Erez, Daniel; Benchetrit, Sydney; Korzets, Ze’ev; Kotliroff, Andy

doi:10.1007/s11255-019-02100-w

Cited by 8 publications

(14 citation statements)

References 28 publications

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“…In other word, patients' selfmanagement abilities may decline with longer dialysis. Therefore, the importance of providing additional dialysis-related knowledge is emphasized, which has also been con rmed in some studies that demonstrated that retraining can help reduce the incidence of PD-associated peritonitis and improve selfe cacy [4,5].…”

Section: Discussionmentioning

confidence: 96%

“…The patient-centered self-management program assists patients in following prescriptions and maintaining better nutritional and volume status [6]. Karadag E et al found that improving the self-management capacity has been shown to help reduce the occurrence of PD-related peritonitis [4,5]. A patient's outstanding self-management ability cannot be separated from the patient's positive and optimistic attitude towards life; moreover, depression and cognitive decline proved to be closely linked to MIAS in PD patients [20].…”

Section: Discussionmentioning

confidence: 99%

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The Association Between Self-Management Ability and Malnutrition-Inflammation-Atherosclerosis Syndrome in Peritoneal Dialysis Patients: A Cross-Sectional Study

Huang¹,

Fang²,

Song³

et al. 2020

Preprint

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BackgroundThe relationship between malnutrition-inflammation-atherosclerosis syndrome (MIAS) and self-management ability has not been previously revealed even though both play an important role in the management of peritoneal dialysis (PD) patients.Materials and methodsIn total, 93 patients were enrolled in this study. A self-management questionnaire was used for the evaluation of self-management ability. The identification of MIAS was based on one or more of the following three conditions: C-reactive protein (CRP) ≥10 mg/L, malnutrition–inflammation score (MIS) > 7, and the presence of atherosclerosis related medical records. The possible association between different self-management abilities and MIAS was analyzed with a Spearman correlation analysis.ResultsThere were 40 (43.0%) patients in the atherosclerosis group, and 38 (40.9%), 38 (40.9%), 10 (10.8%), and 7 (7.5%) patients in the MIAS0, MIAS1, MIAS2, and MIAS3 groups, respectively. The group with a score above the mean score of the Dialysis Effect Evaluation and Monitoring dimension had a fewer number of hospitalizations, higher albumin levels, lower MIS scores, lower level of IL-6, and a lower number of MIAS factors. The Pearson and Spearman correlation analyses also revealed that this dimension was negatively correlated with the MIAS, MIS, IL-6, BNP, number of hospitalizations, and age and positively associated with albumin and prealbumin. ConclusionThe Dialysis Effect Evaluation and Monitoring dimension of the self-management scale for PD patients is closely linked to the MIAS, and the better the dialysis effect evaluation and monitoring capacity, the lower the chance of exposure to malnutrition and inflammation.Trial registrationChina Clinical Trials Register: SH9H-2020-T20-2, retrospectively registered 15 January 2020.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

The Association Between Self-Management Ability and Malnutrition-Inflammation-Atherosclerosis Syndrome in Peritoneal Dialysis Patients: A Cross-Sectional Study

Huang¹,

Fang²,

Song³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In other words, patients' selfmanagement abilities may decline with longer dialysis. Therefore, the importance of providing additional dialysis-related knowledge is emphasized, which has also been con rmed in some studies that demonstrated that retraining can help reduce the incidence of PD-associated peritonitis and improve selfe cacy [4,5].…”

Section: Discussionmentioning

confidence: 96%

The association between self-management ability and malnutrition-inflammation-atherosclerosis syndrome in peritoneal dialysis patients: A cross-sectional study

Huang¹,

Fang²,

Song³

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundThe relationship between malnutrition-inflammation-atherosclerosis syndrome (MIAS) and self-management ability has not been previously revealed even though both play an important role in the management of peritoneal dialysis (PD) patients.MethodsIn total, 93 patients were enrolled in this study. A self-management questionnaire was used for the evaluation of self-management ability. The identification of MIAS was based on one or more of the following three conditions: C-reactive protein (CRP) ≥10 mg/L, malnutrition–inflammation score (MIS) >7, and the presence of atherosclerosis-related medical records. The possible association between different self-management abilities and MIAS was analyzed with a Spearman correlation analysis.ResultsThere were 40 (43.0%) patients in the atherosclerosis group, and 38 (40.9%), 38 (40.9%), 10 (10.8%), and 7 (7.5%) patients in the MIAS0, MIAS1, MIAS2, and MIAS3 groups, respectively. The group with a score above the mean score of the Dialysis Effect Evaluation and Monitoring dimension had a fewer number of hospitalizations, higher albumin levels, lower MIS scores, a lower level of IL-6, and a lower number of MIAS factors. The Pearson and Spearman correlation analyses also revealed that this dimension was negatively correlated with the MIAS, MIS, IL-6, BNP, number of hospitalizations, and age and positively associated with albumin and prealbumin. ConclusionThe Dialysis Effect Evaluation and Monitoring dimension of the self-management scale for PD patients is closely linked to the MIAS, and a better dialysis effect evaluation and monitoring capacity results in a decreased likelihood of exposure to malnutrition and inflammation.Trial registrationChinese Clinical Trial Registry: SH9H-2020-T20-2, retrospectively registered January 15, 2020.

show abstract

“…The patient-centered self-management program assists patients in following prescriptions and maintaining better nutritional and volume status [6]. Karadag E et al found that improving the self-management capacity has been shown to help reduce the occurrence of PD-related peritonitis [4,5].A patient's outstanding self-management abilitycannot be separated from the patient's positive and optimistic attitude towards life;moreover, depression and cognitive declineproved to be closely linked to MIAS in PD patients [20].To date, research concerning self-management ability and MIAS or individual factors alone is limited. Our study may be a pilot study, and further studies exploring the causality among the factors are warranted.…”

Section: Discussionmentioning

confidence: 99%

“…Strengthening the training of PD patients and improving their abilities can reduce the incidence of PDassociated peritonitis [4], enhance self-e cacy [5], and achieve a better uid and nutritional status [6]. Although all patients received standardized training, there were differences in the self-management ability among the patients, leading to differences in PD outcomes.…”

Section: Introductionmentioning

confidence: 99%

The association between self-management ability and malnutrition-inflammation-atherosclerosis syndrome in peritoneal dialysis patients: A cross-sectional study

Huang¹,

Fang²,

Song³

et al. 2021

Preprint

View full text Add to dashboard Cite

BackgroundThe relationship between malnutrition-inflammation-atherosclerosis syndrome (MIAS) and self-management ability has not been previously revealed even though both play an important role in the management of peritoneal dialysis (PD) patients.MethodsIn total, 93 patients were enrolled in this study. A self-management questionnaire was used for the evaluation of self-management ability. The identification of MIAS was based on one or more of the following three conditions: C-reactive protein (CRP)≥10 mg/L, malnutrition–inflammation score(MIS)>7, and the presence of atherosclerosis-related medical records. The possible association between different self-management abilities and MIAS was analyzed with a Spearman correlation analysis.ResultsThere were 40 (43.0%) patients in the atherosclerosis group, and 38 (40.9%), 38 (40.9%), 10 (10.8%), and 7 (7.5%) patients in the MIAS0, MIAS1, MIAS2, and MIAS3 groups, respectively. The group with a score above the mean score of the Dialysis Effect Evaluation and Monitoring dimension had a fewer number of hospitalizations, higher albumin levels, lower MIS scores, a lower level of IL-6, and a lower number of MIAS factors. The Pearson and Spearman correlation analyses also revealed that this dimension was negatively correlated with the MIAS, MIS, IL-6, BNP, number of hospitalizations, and age and positively associated with albumin and prealbumin.ConclusionThe Dialysis Effect Evaluation and Monitoring dimension of the self-management scale for PD patients is closely linked to the MIAS, and a better dialysis effect evaluation and monitoring capacity results in a decreased likelihood of exposure to malnutrition and inflammation.Trial registrationChinese Clinical Trial Registry: SH9H-2020-T20-2, retrospectively registered January 15, 2020.

show abstract

ISPD guideline-driven retraining, exit site care and decreased peritonitis: a single-center experience in Israel

Cited by 8 publications

References 28 publications

The Association Between Self-Management Ability and Malnutrition-Inflammation-Atherosclerosis Syndrome in Peritoneal Dialysis Patients: A Cross-Sectional Study

The Association Between Self-Management Ability and Malnutrition-Inflammation-Atherosclerosis Syndrome in Peritoneal Dialysis Patients: A Cross-Sectional Study

The association between self-management ability and malnutrition-inflammation-atherosclerosis syndrome in peritoneal dialysis patients: A cross-sectional study

The association between self-management ability and malnutrition-inflammation-atherosclerosis syndrome in peritoneal dialysis patients: A cross-sectional study

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