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Observational Study
. 2013 Jul-Aug;33(4):367-71.
doi: 10.3747/pdi.2011.00255. Epub 2013 Apr 1.

Effects of a pre-dialysis patient education program on the relative frequencies of dialysis modalities

Werner Ribitsch  1 , Bernd Haditsch, Ronald Otto, Gernot Schilcher, Franz Quehenberger, Johannes M Roob, Alexander R Rosenkranz
Affiliations
Observational Study

Effects of a pre-dialysis patient education program on the relative frequencies of dialysis modalities

Werner Ribitsch et al. Perit Dial Int. 2013 Jul-Aug.

Abstract

Background: Pre-dialysis education can guide the choice of the dialysis modality best tailored to meet the needs and preferences of individual patients with chronic kidney disease.

Methods: In a retrospective single-center cohort study, we evaluated the impact of a pre-dialysis education program on the incidence rates of patients using hemodialysis (HD) and peritoneal dialysis (PD) in our unit. The frequency distribution of dialysis modalities between people attending our education program and people not attending the program (control group) was analyzed for the 4-year period 2004 - 2008.

Results: From among all the incident chronic kidney disease 5D patients presenting during the 4-year period, we analyzed 227 who started dialysis either with an arteriovenous fistula or a PD catheter. In that cohort, 70 patients (30.8%) took part in the education program, and 157 (69.2%) did not receive structured pre-dialysis counseling. In the group receiving education, 38 patients (54.3%) started with PD, and 32 (45.7%), with HD. In the standard-care group not receiving education, 44 patients (28%) started with PD, and 113 (72%), with HD (p < 0.001).

Conclusions: Our multidisciplinary pre-dialysis program had a significant impact on the frequency distribution of dialysis modalities, increasing the proportion of patients initiating dialysis with PD.

Keywords: Dialysis modalities; integrated care concept; pre-dialysis education.

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Figures

Figure 1
Figure 1
— Flowchart of incident end-stage renal disease (ESRD) patients with chronic kidney disease stage 5 on dialysis during 2004 - 2008, after exclusion of patients starting dialysis with a central venous catheter. INDIAL = Information on Dialysis program; HD = hemodialysis; PD = peritoneal dialysis.
See this image and copyright information in PMC

References

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