Hélène Bonnal|Clémence Béchade|Annabel Boyer|Thierry Lobbedez|Sonia Guillouët|Christian Verger|Maxence Ficheux|Antoine Lanot
Effects of educational practices on the peritonitis risk in peritoneal dialysis: a retrospective cohort study with data from the French peritoneal Dialysis registry (RDPLF)
Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|BP (France)|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université
abstract background peritoneal dialysis pd homebased therapy performed patients relatives numerous cases role patients educational practices risk peritonitis well assessed aim evaluate effect pd learning methods risk peritonitis methods retrospective multicentric study based data french registry incident adults assisted family autonomous pd exchanges france 2012 2015 included event interest occurrence peritonitis cox hurdle regression models used statistical analysis asses survival free peritonitis risk first subsequent peritonitis results 1035 patients included 967 93 received education specialized nurse written support used pd learning 907 87 patients audio support 221 21 patients evaluation grid used assess comprehension 625 60 patients zero part hurdle model use written support starting pd learning handson training alone associated lower survival free peritonitis respectively hr 159 95ci 10125 hr 194 95ci 108349 whereas count part use audio support starting pd learning handson training combination theory associated lower risk presenting episodes peritonitis first episode respectively hr 055 95ci 031098 hr 057 95ci 033096 conclusions various pd education modalities associated differences risk peritonitis prospective randomized trials necessary confirm causal effect caregivers assess patients preferred learning style literacy level adjust pd learning method individual