Inpatient educational program delays the need for dialysis in patients with chronic kidney disease stage G5

• DOI: 10.1007/s10157-020-01979-5
• Publication Date: 2020-10-11T08:03:46Z
• Authors: Wei Han Takagi; Kiyomi Osako; Shinji Machida; Kenichiro Koitabashi; Yugo Shibagaki; Tsutomu Sakurada
• Keywords: Male; Health Services Needs and Demand; Inpatients; Time Factors; 4. Education; Middle Aged; 3. Good health; Hospitalization; 03 medical and health sciences; 0302 clinical medicine; Patient Education as Topic; Renal Dialysis; Humans; Female; Renal Insufficiency, Chronic; Propensity Score; Aged; Glomerular Filtration Rate; Retrospective Studies

Inpatient educational programs (IEPs) for patients with chronic kidney disease (CKD) decrease CKD progression. However, patients with end-stage kidney disease who started dialysis during the observation period were excluded from previous studies.After adjusting for age, sex, baseline estimated glomerular filtration rate, hemoglobin level, and the presence of diabetes mellitus using 1:1 propensity score matching (caliper width of 0.008) in the groups that did and did not receive an IEP, we compared the time period from the beginning of CKD stage G5 to the start of dialysis and patient characteristics at the start of dialysis.Prior to matching, 41 patients received an IEP and 260 did not. After propensity score matching, the 41 patients who received an IEP had a longer period from the beginning of stage G5 to the start of dialysis (344 vs. 257 days, P = 0.011), shorter hospitalization period upon the start of dialysis (14 vs. 18 days, P = 0.015) compared with the 41 patients who did not receive an IEP. In addition, the proportion of patients with a planned start of dialysis tended to be higher in the IEP group (95.1 vs. 83.0%, P = 0.077).An IEP may delay the start of dialysis in patients with end-stage kidney disease, contribute to better preparation of vascular access placement and the smoother start of dialysis.