Effectiveness of multidisciplinary pre-dialysis education and team care on patients lifestyles and clinical outcomes

Abstract

Introduction and Aims: Multidisciplinary predialysis education (MPE) programs may improve the medical care of patients and has significantly impact of clinical and quality of life outcomes. The aim of the study was to assess the influence of multidisciplinary predialysis education on lifestyles and clinical outcomes in chronic kidney disease (CKD) patients. Methods: A total of 4350 chronic kidney disease patients with an estimated glomerular filtration rate between 15 to 60 mL/min/1.73 m2 and with an age of 18 to 105 years were included to the study in a period of July 2007 to January 2012. Patients were followed-up for 12 months according to lifestyle and clinical parameters. Also patients were evaluated to control of the hypertension, proteinuria levels, total number of anti-hypertensive medications, and the use of total drugs per day. All patients and their families received at least 5 times interactive pre-dialysis education seminars by a pre-dialysis education team which include 1 nephrologist, 3 physicians, 2 hemodialysis and 1 peritoneal dialysis nurses, 3 dietitians, 1 social work expert, and 1 psychologist. An appropriate diet list was prepared for all patients and an optimal medical care was given based on the NKF/DOQI guidelines