2004
DOI: 10.1053/j.jrn.2003.09.008
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The effect of diet education on the laboratory values and knowledge of hemodialysis patients with hyperphosphatemia

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Cited by 116 publications
(159 citation statements)
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“…[7] Similarly, Ford et al showed that serum phosphorus levels and the calcium-phosphorus product were improved after six months when patients were given a 20-30 minute diet education program each month specifically targeting phosphorus. [8] Conversely, Schlatter et al found that a teaching intervention in a group of 29 hemodialysis patients with high phosphorus levels had a weak affect on serum phosphorus levels, despite an increase in phosphorus knowledge. In their analysis, the relationship between a decrease in serum phosphorus and increases in phosphorus knowledge did not reach statistical significance after a single education session utilizing a teaching booklet, osteodystrophy tool, and medication diary.…”
Section: Discussionmentioning
confidence: 98%
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“…[7] Similarly, Ford et al showed that serum phosphorus levels and the calcium-phosphorus product were improved after six months when patients were given a 20-30 minute diet education program each month specifically targeting phosphorus. [8] Conversely, Schlatter et al found that a teaching intervention in a group of 29 hemodialysis patients with high phosphorus levels had a weak affect on serum phosphorus levels, despite an increase in phosphorus knowledge. In their analysis, the relationship between a decrease in serum phosphorus and increases in phosphorus knowledge did not reach statistical significance after a single education session utilizing a teaching booklet, osteodystrophy tool, and medication diary.…”
Section: Discussionmentioning
confidence: 98%
“…In addition, there is conflicting data regarding the utility of educational counseling to alter patient knowledge of dietary phosphorus. [7][8][9] Low health literacy (the ability to read, understand, and act on health care information) affects more than 90 million adults in the US [10][11][12] and is associated with a variety of adverse outcomes, including sub-optimal chronic disease self-management. [13][14][15][16][17] Although no definitive association between these variables has been established, Jain et al recently reported that of 92 MD patients, no association between health literacy and serum phosphate was identified.…”
Section: Introductionmentioning
confidence: 99%
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“…2,3 Thus, controlling hyperphosphatemia, highly prevalent in dialysis patients, is of paramount relevance and is one of the major objectives of health care professionals involved with dialysis patients. 4 The following three strategies help controlling serum phosphorus: adequate dialysis; dietary phosphorus restriction; and use of phosphorus binders. 5 The nutritional guidance about phosphorus intake is very delicate, because severe restrictions are contraindicated and, in addition, a great part of the food that is a source of phosphorus is also a source of protein.…”
Section: Introductionmentioning
confidence: 99%
“…[7] Moreover, phosphorus in additives is almost entirely absorbed while only 60% of naturally occurring phosphorus is absorbed. [8] Education regarding high phosphorus foods is a key component of hyperphosphatemia management, [9,10] but the use of phosphorus containing additives may make it difficult for patients and dietitians to accurately estimate the phosphorus content of foods.…”
Section: Introductionmentioning
confidence: 99%