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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education by DVD and dietician | Active Comparator | Information on detrimental conseqences of hyperphosphatemia is presented on DVD and individual dietary counseling is given by dieticican |
|
| Education by unpersonalised DVD | Active Comparator | Information on detrimental consequences of hyperphosphatemia is presented on DVD |
|
| Standard Care | Placebo Comparator | standard care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| education by DVD | Behavioral | Information on detrimental conseqences of hyperphosphatemia is presented on DVD |
|
| Measure | Description | Time Frame |
|---|---|---|
| compliance | impact of education (by DVD and interview with dietician)on compliance with phosphorus restricted diet and phosphate binder therapy | baseline and after intervention |
| serum phosphate levels | impact of education (by DVD and interview with dietician) on serum phosphate levels | baseline and after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| risk factors of noncompliance | identification of risk factors for non compliance with emphasis on cognitive function and depression | baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pieter Evenepoel, MD | Contact | 003216344580 | pieter.evenepoel@uz.kuleuven.ac.be |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospitals Leuven | Recruiting | Leuven | 3000 | Belgium |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D010349 | Patient Compliance |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| D064686 | Nutritionists |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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| Standard care | Behavioral | standard care |
|
| Education by DVD and dietician | Behavioral | Information on detrimental conseqences of hyperphosphatemia is presented on DVD and individual dietary counseling is given by dieticican |
|
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D006282 | Health Personnel |
| D005159 | Health Care Facilities Workforce and Services |