Evid Based Nurs 9:83 doi:10.1136/ebn.9.3.83
  • Treatment

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?



randomised controlled trial.


unclear allocation concealment.


blinded (attending nephrologists).

GraphicFollow up period:

20 years (mean 8.5 y).


8 hospitals in Montreal, Quebec and Calgary, Alberta, Canada.


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.


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, …

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