A pre-dialysis psychoeducational intervention increased length of survival more than usual care in patients with chronic kidney disease
Q In patients with chronic kidney disease, does a pre-dialysis psychoeducational intervention increase length of survival?
METHODS
Design:
randomised controlled trial.
Allocation:
unclear allocation concealment.
Blinding:
blinded (attending nephrologists).
Follow up period:
20 years (mean 8.5 y).
Setting:
8 hospitals in Montreal, Quebec and Calgary, Alberta, Canada.
Patients:
400 patients with chronic kidney disease and progressive reduction in kidney function (ie, serum creatinine concentrations of 3.96 mg/dl [350 μmol/l] and increasing), including those with immediate requirement for initiation of renal replacement therapy.
Intervention:
172 patients were allocated to a pre-dialysis psychoeducational intervention, which comprised a single, 60–75 minute “one on one” slide and lecture presentation by a trained health educator. Topics addressed included normal kidney function, kidney diseases, dietary management, and renal replacement therapy (ie, …
