Evidence map›Paper›PMID 22753455›Full record

ArticlePeritoneal dialysis international : journal of the International Society for Peritoneal Dialysis

Using a multidisciplinary training program to reduce peritonitis in peritoneal dialysis patients.

Liliana Gadola, Carla Poggi, María Poggio, Lucía Sáez, Alejandra Ferrari, Jorge Romero, Soledad Fumero, Gianella Ghelfi, Liliana Chifflet, Patricia Larre Borges

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06536673 (Educational Intervention Aimed At Reducing Infectious Complications Related to Peritoneal Dialysis), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06536673 nanot yet recruitingnot on this map

Educational Intervention Aimed At Reducing Infectious Complications Related to Peritoneal Dialysis

TypeinterventionalSponsorUniversitat de LleidaRan2024 to 2025Enrolled80ConditionsPeritoneal InfectionArmsIntervention to reduce infectious complications of peritoneal dialysis, Data collection from the patient's clinical history
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Meaning of empowerment in peritoneal dialysis: focus groups with patients and caregivers.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020
    Article
  9. Article
  10. Review
  11. The Current State of Peritoneal Dialysis.Journal of the American Society of Nephrology : JASN · 2016
    Review
  12. The Needs of Older Patients for Peritoneal Dialysis: Training and Support at Home.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2015
    Review
  13. Review
  14. Article
  15. Peritoneal dialysis--taking the lead to promote health literacy.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Liliana GadolaCentro de Nefrología, Hospital de Clínicas, Universidad de la República, Uruguay. lilianagad@gmail.com
Carla Poggi
María Poggio
Lucía Sáez
Alejandra Ferrari
Jorge Romero
Soledad Fumero
Gianella Ghelfi
Liliana Chifflet
Patricia Larre Borges
Hospital de Clínicas · UYUniversidad de la República · UY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe present study evaluated the tool used to assess patients' skills and the impact on peritonitis rates of a new multidisciplinary peritoneal dialysis (PD) education program (PDEP).

methodsAfter the University Hospital Ethics Committee approved the study, the educational and clinical records of PD patients were retrospectively analyzed in two phases. In phase I, an Objective Structured Assessment (OSA) was used during August 2008 to evaluate the practical skills of 25 patients with adequate Kt/V and no mental disabilities who had been on PD for more than 1 month. Test results were correlated with the prior year's peritonitis rate. In phase II, the new PDEP, consisting of individual lessons, a retraining schedule, and group meetings, was introduced starting 1 September 2008. Age, sex, years of education, time on PD, number of training sessions, and peritonitis episodes were recorded. Statistical analyses used t-tests, chi-square tests, and Poisson distributions; a p value of less than 0.05 was considered significant.

resultsIn phase I, 25 patients [16 men, 9 women; mean age: 54 ± 15 years (range: 22 - 84 years); mean time on PD: 35 ± 30 months (range: 1 - 107 months)] were studied. The OSA results correlated with peritonitis rates: patients who passed the test had experienced significantly lower peritonitis rates during the prior year (p < 0.05). In phase II, after the new PDEP was introduced, overall peritonitis rates significantly declined (to 0.28 episodes/patient-year from 0.55 episodes/patient-year, p < 0.05); the Staphylococcus peritonitis rate also declined (to 0.09 episodes/patient-year from 0.24 episodes/patient-year, p < 0.05).

conclusionsThe OSA is a reliable tool for assessing patients' skills, and it correlates with peritonitis rates. The multidisciplinary PDEP significantly improved outcomes by further lowering peritonitis rates.

Indexed as

Program EvaluationAdultAgedAged, 80 and overEducational StatusFemaleHumansMaleMiddle AgedMorbidityPatient Education as TopicPeritoneal DialysisPeritonitisRetrospective StudiesSurvival RateUruguay

Identifiers

PMID22753455
PMCPMC3598264
OpenAlexW2153861334

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.