Kidney Week

Abstract: SA-PO865

The Effects of a Participatory Structured Group Educational Program on the Development of CKD: A Population-Based Study

Session Information

• CKD: Socioeconomic Context and Mobile Apps
  November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: CKD (Non-Dialysis)

• 2101 CKD (Non-Dialysis): Epidemiology, Risk Factors, and Prevention

Authors

• Sofue, Tadashi, Kagawa University, Kagawa, Japan

Tadashi Sofue,

• Okano, Yuka, Kagawa National Health Insurance Organization, Takamatsu, Japan

Yuka Okano,

• Matsushita, Nao, Marugame City, Marugame, Japan

Nao Matsushita,

• Moritoki, Masahiro, Kagawa University, Kagawa, Japan

Masahiro Moritoki,

• Nishiyama, Akira, Kagawa University, Kita-gun, Kagawa, Japan

Akira Nishiyama,

• Minamino, Tetsuo, Kagawa University, Kagawa, Japan

Tetsuo Minamino,

Background

The type of lifestyle guidance that is effective for preventing development of chronic kidney disease (CKD) is unknown. Here, we aim to investigate the effects of a participatory structured group education (SGE) program on the development of CKD in a population-based study.

Methods

We retrospectively analyzed 1,060 adult special health check-up examinees with CKD. Examinees with an estimated glomerular filtration rate (eGFR) from 50 to 60 mL/min/1.73 m² and/or proteinuria 1+ were encouraged to attend an SGE program. The SGE program included participatory small group discussions on the attendees’ remaining risk factors. The primary outcome of this study was the change in eGFR per year.

Results

The changes in eGFR in examinees who attended the SGE program (n = 209, +2.9 mL/min/1.73 m²/year [95% confidence interval (CI) +1.9–+3.9]) significantly improved compared with control (n = 383, +1.2 mL/min/1.73 m²/year [95%CI +0.5–+1.9], p = 0.006). Attending an SGE program was independently and positively related to the changes in eGFR at 1 year after attendance, after adjusting for classical covariates (β = 1.55 [95%CI 0.37–2.73], p = 0.01). In subgroup analysis, attending an SGE program was effective for the examinees with a lower eGFR compared with those with only proteinuria.

Conclusion

Our SGE program showed the beneficial effects of preventing the development of CKD, independent of classical factors. The type of SGE program that is more effective for preventing development of CKD should be investigated in a long-term analysis.