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Related Concept Videos

Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Chronic Obstructive Pulmonary Disease01:24

Chronic Obstructive Pulmonary Disease

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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
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Chronic Obstructive Pulmonary Disease-II: Pathophysiology01:20

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Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
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Assessment of Vascular Function in Patients With Chronic Kidney Disease
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An inpatient educational program for chronic kidney disease.

Shinji Machida1, Yugo Shibagaki1, Tsutomu Sakurada2

  • 1Department of Nephrology and Hypertension, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan.

Clinical and Experimental Nephrology
|October 21, 2018
PubMed
Summary

A 1-week inpatient education program slowed chronic kidney disease (CKD) progression over two years. Patients with lower urinary protein levels and advanced CKD stages (4-5) showed the most benefit from this CKD intervention.

Keywords:
Chronic kidney diseaseEducation programPredialysisRenal function

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Area of Science:

  • Nephrology
  • Public Health
  • Medical Education

Background:

  • Chronic kidney disease (CKD) poses a significant health challenge in Japan, necessitating effective prevention strategies.
  • Predialysis CKD patients require interventions to slow disease progression and improve outcomes.

Purpose of the Study:

  • To evaluate the 2-year effectiveness of a 1-week inpatient education program for predialysis CKD patients.
  • To identify factors influencing the success of CKD education programs in slowing renal function decline.

Main Methods:

  • Retrospective analysis of estimated glomerular filtration rate (eGFR) in 105 CKD patients completing a 1-week inpatient education program.
  • Comparison of renal function deterioration rates pre- and post-program (6-24 months), classifying patients as Responders or Non-responders.

Main Results:

  • The education program significantly slowed renal function deterioration for up to 24 months post-discharge (p < 0.01).
  • Low urinary protein (UP) levels (<0.5 g/gCr) and advanced CKD stages (4-5) predicted a greater slowing of CKD progression.

Conclusions:

  • The inpatient education program demonstrated a sustained, albeit diminishing, slowing effect on CKD progression over two years.
  • Early intervention in patients with low UP levels is recommended; the program also benefits patients with advanced CKD stages 4-5.