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dc.contributor.authorReddy, V.*
dc.contributor.authorSymes, F.*
dc.contributor.authorSethi, N.*
dc.contributor.authorScally, Andy J.*
dc.contributor.authorScott, J.*
dc.contributor.authorMumtaz, R.*
dc.contributor.authorStoves, J.*
dc.date.accessioned2014-07-02T10:39:46Z
dc.date.available2014-07-02T10:39:46Z
dc.date.issued2009
dc.identifier.citationReddy, 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.identifier.urihttp://hdl.handle.net/10454/6383
dc.description.abstractObjective 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.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1053/j.jrn.2008.11.001en_US
dc.subjectHemodialysisen_US
dc.subjectDietitian-led education programen_US
dc.subjectPhosphateen_US
dc.subjectPatient educationen_US
dc.titleDietitian-led education program to improve phosphate control in a single-center hemodialysis population.en_US
dc.status.refereedyesen_US
dc.typeArticleen_US
dc.type.versionpublished version paperen_US


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