Chronic Kidney Disease
Conditions
Keywords
hemodialysis, hyperphoshatemia, compliance
Brief summary
Hyperphosphatemia is a common and severe complication in chronic kidney disease patients treated with hemodialysis. A phosphate restricted diet and oral phosphate binders are the cornerstones in the prevention and treatment of this complication. However, noncompliance is an prevalent problem resulting in poorly controled hyperphosphatemia in a substantial proportion of hemodialysis patients. The present study aims at identifying risk factors for non compliance and also test the hypothesis that compliance can be improved by education patients on the consequences of hyperphosphatemia and the importance of diet and phosphate binder therapy.
Interventions
Information on detrimental conseqences of hyperphosphatemia is presented on DVD
standard care
Information on detrimental conseqences of hyperphosphatemia is presented on DVD and individual dietary counseling is given by dieticican
Sponsors
Study design
Eligibility
Inclusion criteria
* prevalent (\>3months) hemodialysis patients * aged \> 18 years * informed consent
Exclusion criteria
* decreased consciousness * unstable * medical contraindication for phosphorus restricted diet or phsophate binder therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| compliance | baseline and after intervention | impact of education (by DVD and interview with dietician)on compliance with phosphorus restricted diet and phosphate binder therapy |
| serum phosphate levels | baseline and after intervention | impact of education (by DVD and interview with dietician) on serum phosphate levels |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| risk factors of noncompliance | baseline | identification of risk factors for non compliance with emphasis on cognitive function and depression |
Countries
Belgium