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randomised controlled trial.
unclear allocation concealment.
blinded (attending nephrologists).
Follow 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 …
For correspondence: Dr G M Devins, Toronto General Hospital, Toronto, Ontario, Canada.
Sources of funding: National Health Research and Development Program; Ortho-Biotech Inc; Canadian Institutes of Health Research.