ArticleJournal of general internal medicine2026
Patient Referral and Education Program Prior to Renal Replacement Therapy (PREP-RRT): A Pilot Study.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAfrican American individuals with CKD are less likely to receive early CKD education and care than their White counterparts and have a more rapid progression to kidney failure.
objectiveTo determine if a brief inpatient intervention increased CKD knowledge.
designPre-post evaluation of a pilot intervention.
participantsThe PREP-RRT pilot study recruited hospitalized adult African American patients with an estimated glomerular filtration rate (GFR) ≤ 45 from a general medicine inpatient service at a Midwestern academic medical center.
interventionsA social worker provided CKD patient education and motivational interviewing for behavior change. MAIN MEASURES: The primary outcome was change in patient knowledge about CKD, using the Kidney Knowledge Survey (KiKS), and kidney failure treatment options. KEY
resultsOut of the 60 patients, 52% were female (n = 21) with a mean age of 61 years old (range 28-76). Only 45% of patients (n = 27) had sufficient CKD knowledge at baseline. The median pre-intervention CKD knowledge score was 16 (interquartile range (IQR) 13-18) and the post-intervention score was 19 (IQR 17-21). Paired t-tests showed significant improvement in the primary outcome, CKD knowledge (p < 0.001). Overall baseline knowledge of kidney failure treatment modalities was low (< 30% with some to great knowledge for all modalities), and participants reported a significant increase in knowledge across kidney failure treatment modalities (all p < 0.05 except p = 0.17 conservative management). Patient intent to make lifestyle changes was high pre-intervention and did not change significantly.
conclusionsA brief, culturally tailored inpatient intervention successfully increased knowledge of CKD and kidney failure treatment options for African American hospitalized patients. More intensive interventions are needed to sustain knowledge gains and motivation for lifestyle changes.
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