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Association Between Individualized Education for Kidney Replacement Therapy Modality Selection and Peritoneal
Yasuko Ito1, Ryuichi Yoshimura1, Takaki Yamauchi1
1Division of Nephrology, Department of Internal Medicine, Teikyo University Chiba Medical Center, Chiba, Japan.
Introduction:
Peritoneal dialysis (PD) is an established home-based kidney replacement therapy (KRT), but its uptake remains low in Japan. We evaluated whether individualized education in a dedicated outpatient clinic was associated with the initiation of PD.
Methods:
In this retrospective cross-sectional study, 175 patients who initiated maintenance hemodialysis or PD between April 2021 and September 2024 were classified by attendance at a dedicated KRT modality selection clinic. Logistic regression and propensity score matching were performed.
Results:
Among 175 patients, 40 attended the clinic. PD was initiated in 35.0% of attendees compared with 10.4% of nonattendees. Clinic attendance was independently associated with PD initiation (adjusted odds ratio, 4.51; 95% confidence interval, 1.89-10.77; p < 0.001), and this association remained significant after matching.
Conclusions:
Individualized education in a dedicated outpatient clinic was associated with a higher likelihood of PD initiation.
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