Evidence map›Paper›PMID 34210293›Full record

Trial reportBMC nephrology2021

Implementation and effectiveness of an intensive education program on phosphate control among hemodialysis patients: a non-randomized, single-arm, single-center trial.

Jinmei Yin, Jun Yin, Rongli Lian, Peiqiu Li, Jing Zheng

Abstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. A Survey Study on Soy Food Consumption in Patients with Chronic Kidney Diseases.Inquiry : a journal of medical care organization, provision and financing
    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

5 authors.

Jinmei Yin *Blood purification center, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Jun Yin *Blood purification center, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Rongli LianDepartment of critical medicine, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Peiqiu LiBlood purification center, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Jing ZhengSchool of Nursing, Guangdong Pharmaceutical University, 283 Jianghai Avenue, Guangzhou, 510310, Guangdong Province, China. zhengj38@gdpu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyperphosphatemia is a common complication in patients on maintenance hemodialysis. Patients' adherence to phosphorus control can be improved by consistent education. However, few studies have focused on the model construction and effects of health education on phosphate control for hemodialysis patients.

objectiveTo develop an intensive education program focusing on phosphate control among hemodialysis patients and to analyze the effectiveness of this program.

designA non-randomized, single-arm, single-center trial lasting for 6 months.

settingThis program was conducted in a hemodialysis center in a teaching hospital in Zhuhai, China.

participantsPatients on maintenance hemodialysis with hyperphosphatemia.

methodsAn intensive hyperphosphatemia control education program lasting for 6 months was conducted among 366 hemodialysis patients applying the First Principles of Instruction model, which focused on mastering four stages: (a) activation of prior experience, (b) demonstration of skills, (c) application of skills and (d) integration of these skills into real-world activities. The controlled percentage of serum phosphorus, knowledge of hyperphosphatemia, and adherence to phosphate binders before and after the education program were assessed.

resultsThe proportion of controlled serum phosphorus was significantly increased from 43.5 to 54.9% (P<0.001). The scores on the knowledge of phosphate control were improved significantly from 59.0 ± 18.9 to 80.6 ± 12.4 (P < 0.001). The proportion of high adherence to phosphate binders was increased dramatically from 21.9 to 44.5% (P < 0.001).

conclusionThe intensive education program can effectively improve serum phosphorus, knowledge of hyperphosphatemia, and adherence to phosphate binders among hemodialysis patients.

trial registrationChinese Clinical Trial Registry, ChiCTR2100042017 . Retrospectively registered January 12th, 2021.

Indexed as

Patient Education as TopicAdolescentAdultAgedAged, 80 and overChelating AgentsDietFemaleHealth Knowledge, Attitudes, PracticeHumansHyperphosphatemiaKidney Failure, ChronicMaleMedication AdherenceMiddle AgedPhosphorusChelating AgentsPhosphorusEducationHemodialysisMedication adherencePhosphate

Identifiers

PMID34210293
PMCPMC8252215

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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.