Dietitian-led education program to improve phosphate control in a single-center hemodialysis population.
|dc.contributor.author||Scally, Andy J.||*|
|dc.identifier.citation||Reddy, V., Symes, F., Sethi, N., Scally, A. J., Scott, J., Mumtaz, R. and Stoves, J. Dietitian-led education program to improve phosphate control in a single-center hemodialysis population. Journal of Renal Nutrition, 19 (4), 314-20.||en_US|
|dc.description.abstract||Objective We sought to analyze the effect of a structured, dietitian-led education program on patients' general knowledge of phosphate and phosphate binders, and its impact on serum phosphate concentrations in a single-center hemodialysis population. Design We compared subjects before and after intervention. Setting This study involved two dialysis units operated by a single center. Patients One hundred and fifteen hemodialysis patients consented to participate in this study (54% male; mean age, 61.1 years; 32% Asian). Patients acted as their own controls. One hundred and eight patients completed the study. Intervention All patients completed a questionnaire to assess their knowledge of phosphate and phosphate-binder therapy. Small group teaching sessions were then delivered to patients by a single dietitian, with the aid of a hospital interpreter as required. Patients also received information booklets or audio cassettes translated into Urdu. A second identical questionnaire was completed a month later. Main Outcome Measures Outcome measures involved pre-education and posteducation knowledge scores, monthly measurements of serum phosphate, calcium, and mean Kt/V, and parathyroid hormone concentrations every 3 months during the 5 month run-in period and subsequent 5-month study period. Results The education program significantly improved patients' general knowledge of phosphate and of phosphate-binders (P < .001), especially in patients with a low pretest score and those of South Asian origin. This result was associated with a significant reduction in serum phosphate in patients with hyperphosphatemia (P = .032). Conclusions These findings suggest that a combination of educational initiatives is effective in enhancing patients' knowledge of phosphate and phosphate-binders, and consequently in improving serum phosphate levels in patients with hyperphosphatemia.||en_US|
|dc.subject||Dietitian-led education program||en_US|
|dc.title||Dietitian-led education program to improve phosphate control in a single-center hemodialysis population.||en_US|
|dc.type.version||published version paper||en_US|