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The effects of a participatory structured group educational program on the development of CKD: a population-based study.
Sofue, Tadashi; Okano, Yuka; Matsushita, Nao; Moritoki, Masahiro; Nishijima, Yoko; Fujioka, Hiroshi; Yamasaki, Yasushi; Yamanaka, Masahito; Nishiyama, Akira; Minamino, Tetsuo.
Afiliación
  • Sofue T; Division of Nephrology and Dialysis, Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, 1750-1 Ikenobe, Miki-Chou, Kida-Gun, Kagawa, 761-0793, Japan. sofue@med.kagawa-u.ac.jp.
  • Okano Y; Kagawa National Health Insurance Organization, Takamatsu, Kagawa, Japan.
  • Matsushita N; Health and Welfare Department, Marugame, Kagawa, Japan.
  • Moritoki M; Division of Nephrology and Dialysis, Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, 1750-1 Ikenobe, Miki-Chou, Kida-Gun, Kagawa, 761-0793, Japan.
  • Nishijima Y; Division of Nephrology and Dialysis, Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, 1750-1 Ikenobe, Miki-Chou, Kida-Gun, Kagawa, 761-0793, Japan.
  • Fujioka H; Department of Nephrology, Kagawa Rosai Hospital, Marugame, Kagawa, Japan.
  • Yamasaki Y; Department of Nephrology and Rheumatology, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan.
  • Yamanaka M; Department of Urology, Takamatsu Red Cross Hospital, Takamatsu, Kagawa, Japan.
  • Nishiyama A; Department of Pharmacology, Kagawa University, Takamatsu, Kagawa, Japan.
  • Minamino T; Division of Nephrology and Dialysis, Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, 1750-1 Ikenobe, Miki-Chou, Kida-Gun, Kagawa, 761-0793, Japan.
Clin Exp Nephrol ; 23(8): 1031-1038, 2019 Aug.
Article en En | MEDLINE | ID: mdl-31030309
BACKGROUND: The type of lifestyle guidance that is effective for preventing development of chronic kidney disease (CKD) is unknown. Here, we aim to investigate the effects of a participatory structured group education (SGE) program on the development of CKD in a population-based study. METHODS: We retrospectively analyzed 1060 adult special health check-up examinees with CKD. Examinees with an estimated glomerular filtration rate (eGFR) from 50 to 60 mL/min/1.73 m2 and/or proteinuria 1+ were encouraged to attend an SGE program. The SGE program included participatory small group discussions on the attendees' remaining risk factors. The primary outcome of this study was the change in eGFR per year. RESULTS: The changes in eGFR in examinees who attended the SGE program (n = 209, + 2.9 mL/min/1.73 m2 [95% confidence interval (CI) + 1.9 to + 3.9]) significantly improved compared with control (n = 383, + 1.2 mL/min/1.73 m2 [95% CI + 0.5 to + 1.9], p = 0.006). Attending an SGE program was independently and positively related to the changes in eGFR at 1 year after attendance, after adjusting for classical covariates (ß = 1.55 [95% CI 0.37-2.73], p = 0.01). Attending an SGE program was effective for the examinees with a lower eGFR compared with those with only proteinuria. CONCLUSIONS: Our SGE program showed the beneficial effects of preventing the development of CKD, independent of classical factors. The type of SGE program that is more effective for preventing development of CKD should be investigated in a long-term analysis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Participación del Paciente / Proteinuria / Conocimientos, Actitudes y Práctica en Salud / Educación del Paciente como Asunto / Conducta de Reducción del Riesgo / Insuficiencia Renal Crónica / Procesos de Grupo Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Aged / Female / Humans / Male Idioma: En Revista: Clin Exp Nephrol Asunto de la revista: NEFROLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Participación del Paciente / Proteinuria / Conocimientos, Actitudes y Práctica en Salud / Educación del Paciente como Asunto / Conducta de Reducción del Riesgo / Insuficiencia Renal Crónica / Procesos de Grupo Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Aged / Female / Humans / Male Idioma: En Revista: Clin Exp Nephrol Asunto de la revista: NEFROLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón