Optimizing Chronic Kidney Disease Management
Synthesis of the Literature
The Journal of Renal Nutrition released an article titled “Improvement in hyperphosphatemia. Using phosphate education and planning talks” that summarized their qualitative research. The goal of the study was to address the common problem of hyperphosphatemia in hemodialysis patients with end-stage renal disease. Conventional approaches, including phosphate binders and low-phosphate diets, frequently don’t work.
The study included forty-six hyperphosphatemia hemodialysis patients who were eligible to undergo a four-talk PEP. Series with defined objectives for long-term serum phosphate level management. Serum phosphate levels were the main outcome measure used in the qualitative data obtained during each discussion. Patients who finished the complete PEP talk series showed a slight improvement (-0.31 mg/dL) in their serum phosphate levels. Patients noted that non-tailored prescriptions for phosphate binder and a dearth of resources for suitable dietary modifications were significant obstacles.
Therefore, In outpatient dialysis units, persistent hyperphosphatemia is successfully managed with the PEP talk series strategy. Hence, This strategy combines pharmacotherapy, dietary modifications, and behavioral interventions to identify patient-specific barriers and provide resources to overcome them, leading to long-lasting improvements in serum phosphate levels for hemodialysis patients experiencing persistent elevation
Optimizing Chronic Kidney Disease Management
Hence, Databases like the Cochrane Central Register of Controlled Trials, CINAHL, MEDLINE, PsycINFO, and EMBASE.com were among those they searched from January 2000 to November 2019. Therefore, Intentional weight reduction and studies focusing on a specific nutrient were excluded, and bias was evaluated using the Cochrane risk-of-bias method. In individual investigations, effectiveness was evaluated by computing the mean difference between groups for each outcome.
Hence, twelve controlled trials with 1906 people were included in the study. The results showed that a multidisciplinary hospital and community care approach, along with a high fruit and vegetable intake, helped halt the decline in glomerular filtration rate in persons with stage 3–4 CKD. APA