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A pre-dialysis psychoeducational intervention increased length of survival more than usual care in patients with chronic kidney disease

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Q In patients with chronic kidney disease, does a pre-dialysis psychoeducational intervention increase length of survival?

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

unclear allocation concealment.

Embedded ImageBlinding:

blinded (attending nephrologists).

Embedded ImageFollow up period:

20 years (mean 8.5 y).

Embedded ImageSetting:

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

Embedded ImagePatients:

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.

Embedded ImageIntervention:

172 patients were allocated to a pre-dialysis psychoeducational intervention, which comprised a single, 60–75 minute “one on one” slide and lecture …

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