Multidisciplinary predialysis education reduced the inpatient and total medical costs of the first 6 months of dialysis in incident hemodialysis patients

PLoS ONE

Volumn 9, Issue 11, 2014, Pages

  Yu, Yu Jen ^a,b   Wu, I Wen ^a,b   Huang, Chun Yu ^c   Hsu, Kuang Hung ^c   Lee, Chin Chan ^a,b   Sun, Chio Yin ^a,b   Hsu, Heng Jung ^a,b   Wu, Mai Szu ^a,d,e  

^a CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

^b CHANG GUNG UNIVERSITY COLLEGE OF MEDICINE   (Taiwan)

^c CHANG GUNG UNIVERSITY   (Taiwan)

^d TAIPEI MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^e TAIPEI MEDICAL UNIVERSITY   (Taiwan)

Author keywords

[No Author keywords available]

Indexed keywords

CREATININE;

ADULT; AGE DISTRIBUTION; ARTICLE; BIOCHEMISTRY; COHORT ANALYSIS; CONTROLLED STUDY; CREATININE BLOOD LEVEL; DEMOGRAPHY; DOUBLE LUMEN CATHETER; END STAGE RENAL DISEASE; FEMALE; GLOMERULUS FILTRATION RATE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HEMODIALYSIS; HEMODIALYSIS PATIENT; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MULTIDISCIPLINARY PREDIALYSIS EDUCATION; PRACTICE GUIDELINE; RANDOMIZED CONTROLLED TRIAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); SEX DIFFERENCE; VASCULAR ACCESS; ADOLESCENT; AGED; CHRONIC KIDNEY FAILURE; ECONOMICS; HOSPITAL PATIENT; LENGTH OF STAY; PATHOLOGY; PATIENT EDUCATION; PROGRAM EVALUATION; PROSPECTIVE STUDY; RENAL REPLACEMENT THERAPY; STATISTICAL MODEL; TIME; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; COHORT STUDIES; FEMALE; GLOMERULAR FILTRATION RATE; HOSPITALIZATION; HUMANS; INPATIENTS; KIDNEY FAILURE, CHRONIC; LENGTH OF STAY; LINEAR MODELS; MALE; MIDDLE AGED; PATIENT EDUCATION AS TOPIC; PROGRAM EVALUATION; PROSPECTIVE STUDIES; RENAL DIALYSIS; TIME FACTORS; YOUNG ADULT;

EID: 84911480340     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0112820     Document Type: Article

References (22)

1. Lysaght MJ (2002) Maintenance dialysis population dynamics: current trends and long-term implications. J Am Soc Nephrol 13 Suppl 1: S37-40.
2. Meguid El Nahas A, Bello AK (2005) Chronic kidney disease: the global challenge. Lancet 365: 331-340.
3. Wu MS, Wu IW, Shih CP, Hsu KH (2011) Establishing a platform for battling end-stage renal disease and continuing quality improvement in dialysis therapy in Taiwan - Taiwan Renal Registry Data System (TWRDS). Acta Nephrologica 25: 148-153.
4. Yang WC, Hwang SJ, Taiwan Society of Nephrology (2008) Incidence, prevalence and mortality trends of dialysis end-stage renal disease in Taiwan from 1990 to 2001: the impact of national health insurance. Nephrol Dial Transplant 23: 3977-3982.
5. Hwang SJ, Tsai JC, Chen HC (2010) Epidemiology, impact and preventive care of chronic kidney disease in Taiwan. Nephrology (Carlton) 15 Suppl 2: 3-9.
6. Muntner P, He J, Hamm L, Loria C, Whelton PK (2002) Renal insufficiency and subsequent death resulting from cardiovascular disease in the United States. J Am Soc Nephrol 13: 745-753.
7. Collins AJ, Foley RN, Chavers B, Gilbertson D, Herzog C, et al. (2014) US Renal Data System 2013 Annual Data Report. Am J Kidney Dis 63: A7.
8. Department of Health. National Health Insurance Annual Statistical Report 2012. Taiwan: Department of Health, 2014. Available: http://www.nhi.gov.tw. Accessed 2014 September 2.
9. Goldstein M, Yassa T, Dacouris N, McFarlane P (2004) Multidisciplinary predialysis care and morbidity and mortality of patients on dialysis. Am J Kidney Dis 44: 706-714.
10. Devins GM, Mendelssohn DC, Barre PE, Taub K, Binik YM (2005) Predialysis psychoeducational intervention extends survival in CKD: a 20-year follow-up. Am J Kidney Dis 46: 1088-1098.
11. Bradbury BD, Fissell RB, Albert JM, Anthony MS, Critchlow CW, et al. (2007) Predictors of early mortality among incident US hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS). Clin J Am Soc Nephrol 2: 89-99.
12. Jungers P, Massy ZA, Nguyen-Khoa T, Choukroun G, Robino C, et al. (2001) Longer duration of predialysis nephrological care is associated with improved long-term survival of dialysis patients. Nephrol Dial Transplant 16: 2357-2364.
13. Wu MS, Lin CL, Chang CT, Wu CH, Huang JY, et al. (2003) Improvement in clinical outcome by early nephrology referral in type II diabetics on maintenance peritoneal dialysis. Perit Dial Int 23: 39-45.
14. Tseng CL, Kern EF, Miller DR, Tiwari A, Maney M, et al. (2008) Survival benefit of nephrologic care in patients with diabetes mellitus and chronic kidney disease. Arch Intern Med 168: 55-62.
15. Dogan E, Erkoc R, Sayarlioglu H, Durmus A, Topal C (2005) Effects of late referral to a nephrologist in patients with chronic renal failure. Nephrology (Carlton) 10: 516-519.
16. Wu IW, Wang SY, Hsu KH, Lee CC, Sun CY, et al. (2009) Multidisciplinary predialysis education decreases the incidence of dialysis and reduces mortality-a controlled cohort study based on the NKF/DOQI guidelines. Nephrol Dial Transplant 24: 3426-3433.
17. Chen SH, Tsai YF, Sun CY, Wu IW, Lee CC, et al. (2011) The impact of selfmanagement support on the progression of chronic kidney disease-a prospective randomized controlled trial. Nephrol Dial Transplant 26: 3560-3566.
18. Wei SY, Chang YY, Mau LW, Lin MY, Chiu HC, et al. (2010) Chronic kidney disease care program improves quality of pre-end-stage renal disease care and reduces medical costs. Nephrology (Carlton) 15: 108-115.
19. Stroupe KT, Fischer MJ, Kaufman JS, O'Hare AM, Sohn MW, et al. (2011) Predialysis nephrology care and costs in elderly patients initiating dialysis. Med Care 49: 248-256.
20. U.S. Renal Data System, USRDS 2013. Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2013.
21. Chen YR, Yang Y, Wang SC, Chiu PF, Chou WY, et al. (2013) Effectiveness of multidisciplinary care for chronic kidney disease in Taiwan: a 3-year prospective cohort study. Nephrol Dial Transplant 28: 671-682.
22. Cho EJ, Park HC, Yoon HB, Ju KD, Kim H, et al. (2012) Effect of multidisciplinary pre-dialysis education in advanced chronic kidney disease: Propensity score matched cohort analysis. Nephrology (Carlton) 17: 472-479.