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Abstract: TH-PO013

A Curriculum of Online Education Significantly Improved Nephrologists' Knowledge and Confidence in Managing CKD-aP

Session Information

  • Educational Research
    November 03, 2022 | Location: Exhibit Hall, Orange County Convention Center‚ West Building
    Abstract Time: 10:00 AM - 12:00 PM

Category: Educational Research

  • 900 Educational Research


  • Bell, Elaine, Medscape Education Global, London, United Kingdom
  • Marko, Joy, Medscape LLC, New York, New York, United States
  • Burton, James, Dept of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom

Chronic kidney disease-associated pruritus (CKD-aP) is a common and distressing condition that affects ≥60% of people undergoing hemodialysis. Intense itching is associated with poor quality of life and an increased risk of death. However, there are limited options for controlling CKD-aP, making it a challenging condition to manage effectively.


A curriculum of 6 activities was developed on CKD-aP, including a panel discussion, video lecture and interactive case-based education. Data were collected 2020 to 2021 with n numbers ranging from 56 to 178 completing pre- and post-activity questions. For each activity, educational effect was assessed with a repeated-pairs pre-/post-assessment; 3 multiple-choice, knowledge questions and 1 self-efficacy, 5-point Likert scale confidence question were analyzed. Data were subsequently combined and analyzed by theme to provide a summative overview of the effect of the education across the combined activities. A McNemar’s test was conducted to assess statistical significance of changes from pre- to post-assessment.


Nephrologists demonstrated a statistically significant improvement in knowledge or competence across 6 of the 7 learning themes (pathogenesis of itch; impact of itch; diagnosis & severity assessment; mode of action of difelikefalin; treatment/clinical data; all P <0.001)
There was a numerical improvement in knowledge regarding the prevalence of CKD-aP
The relative improvements in % of correct responses for each learning theme ranged from 10%–121%
Pre-education, 19% of nephrologists felt confident or very confident in managing people with CKD-aP, but this rose to 48% post-education


These results highlight the benefits of a curriculum of education in helping nephrologists understand how to better manage pruritus associated with CKD. However, the results suggest that nephrologists would benefit from further education on the prevalence and impact of CKD-aP and to support them in translating knowledge of novel treatment strategies into clinical practice in order to optimize outcomes.


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