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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

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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

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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

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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

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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.
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Related Experiment Video

Updated: Jan 29, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
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A Digital Modality Decision Program for Patients With Advanced Chronic Kidney Disease.

Ruth Dubin1,2, Anna Rubinsky3

  • 1San Francisco Veterans Affairs Medical Center, San Francisco, CA, United States.

JMIR Formative Research
|February 7, 2019
PubMed
Summary

A digital education program improved end-stage renal disease (ESRD) patient knowledge and decision-making for renal replacement therapies. All participants successfully chose a treatment after the program, with increased interest in kidney transplant and peritoneal dialysis.

Keywords:
chronic kidney diseaseend-stage renal diseaseonline social networkingpatient educationrenal dialysis

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Area of Science:

  • Nephrology
  • Medical Education
  • Digital Health

Background:

  • Patient education for end-stage renal disease (ESRD) can reduce adverse outcomes.
  • It also increases the adoption of in-home renal replacement therapies.

Purpose of the Study:

  • To assess if a scalable online education program enhances patient knowledge.
  • To determine if the program facilitates informed decision-making regarding renal replacement therapy (RRT) options.

Main Methods:

  • A 4-week digital program with text, videos, and social features was developed.
  • Patients with advanced chronic kidney disease (CKD stages IV-V) were enrolled.
  • Pre- and post-intervention surveys measured knowledge, self-efficacy, and RRT choice.

Main Results:

  • 25 participants completed the study; 100% made an RRT choice post-intervention, up from 68% prior.
  • Kidney transplant preference rose from 48% to 84% (P=.01); peritoneal dialysis preference increased from 16% to 52% (P=.004).
  • Significant improvements were noted in knowledge (65 to 83, P<.001) and self-efficacy (3.7 to 4.3, P<.001) scores.

Conclusions:

  • A digital ESRD education program is feasible.
  • Such programs may aid patients in making informed RRT decisions.
  • Further research is needed to confirm the impact on clinical outcomes.