Customized versus conventional video counseling for peritoneal dialysis decision-making in patients with stage 5 chronic kidney disease under a PD-first policy: a randomized controlled study

Parapiboon Watanyu; Pitsawong Wannapat; Wongluechai Laddaporn; Thammavaranucupt Kanin; Raegasint Lalana

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자료유형: 학술저널

저자정보: Parapiboon Watanyu (Department of Medicine Maharat Nakhon Ratchasima Hospital Nakhon Ratchasima Thailand) Pitsawong Wannapat (Department of Medicine Maharat Nakhon Ratchasima Hospital Nakhon Ratchasima Thailand) Wongluechai Laddaporn (Department of Medicine Maharat Nakhon Ratchasima Hospital Nakhon Ratchasima Thailand) Thammavaranucupt Kanin (Department of Medicine Maharat Nakhon Ratchasima Hospital Nakhon Ratchasima Thailand) Raegasint Lalana (Department of Medicine Maharat Nakhon Ratchasima Hospital Nakhon Ratchasima Thailand)

저널정보: 대한신장학회 Kidney Research and Clinical Practice Kidney Research and Clinical Practice Vol.39 No.4

발행연도: 2020.1

수록면: 451 - 459 (9page)

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Background: Indecision regarding the start of peritoneal dialysis (PD) is a challenging problem in chronic kidney disease (CKD) stage 5 patients who receive conventional video counseling. This study aimed to evaluate the effect of video counseling customized to the local context versus conventional video counseling on PD decision-making in CKD stage 5 patients under PD-first policy. Methods: We enrolled 120 patients with stage 5 CKD in Thailand who initiate PD between May 2016 to January 2017 in a randomized, open-label, controlled study. Patients were randomized to either a customized or conventional video counseling group. The primary outcome was PD acceptance rate with complete PD catheter insertion on schedule. The secondary outcomes were change in patient knowledge and confidence in PD and reasons for indecision PD. Results: We analyzed 120 patients (customized, n = 60 vs. conventional, n = 60). The two groups were similar for age (55 vs. 56 years), blood urea nitrogen (89 vs. 86 mg/dL), creatinine (10.37 vs. 11.29 mg/dL), and eGFR (4.7 vs. 5.6 mL/min/1.73 m2 ). The PD acceptance rate along with PD catheter insertion on schedule in the customized video counseling group was not significantly different from that in the conventional video counseling group (66.6% vs. 63.3%, relative risk: 0.97, 95% confidence interval: 0.73 to 1.29; P = 0.86). Patient knowledge of and confidence in PD increased after counseling, but the difference was not significant. Conclusion: Among stage 5 CKD patients, counseling content customized to a local context did not differ in a rate of acceptance for beginning PD with PD catheter insertion on schedule compared with conventional video counseling.

#Counselling #Peritoneal dialysis #Peritoneal dialysis-first policy #Randomized controlled trial

참고문헌 (17)

참고문헌 신청

Stevens PE / 2013 / Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline / Ann Intern Med 158:825~830

Lacson E Jr / 2011 / Effects of a nationwide predialysis educational program on modality choice, vascular access, and patient outcomes / Am J Kidney Dis 58:235~242

Shukla AM / 2019 / What do the US advanced kidney disease patients want? Comprehensive pre-ESRD Patient Education(CPE)and choice of dialysis modality / PLoS One 14:e0215091

Chan CT / 2019 / Dialysis initiation, modality choice, access, and prescription: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) controversies conference / Kidney Int 96:37~47

Narva AS / 2016 / Educating patients about CKD : the path to self-management and patientcentered care / Clin J Am Soc Nephrol 11:694~703

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