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Single-center randomized, parallel-group study assessing efficacy of actual support of RRT modality selection program and HBPM system in patients with chronic kidney disease(CKD)

Research Project

Project/Area Number 25870732
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Kidney internal medicine
Clinical nursing
Research InstitutionSophia University

Principal Investigator

KOSAKA Shiho  上智大学, 総合人間科学部, 助教 (60634665)

Research Collaborator NISHI Shinichi  神戸大学, 大学院・医学研究科・腎臓・免疫内科学分野・腎臓内科学部門, 教授
SHIBAGAKI Yugo  聖マリアンナ医科大学, 腎臓・高血圧内科, 教授
HOSHINO Junichi  虎の門病院, 腎センター, 部長
TAKAHASHI Kazuo  藤田保健衛生大学, 医学部, 講師
KENMOCHI Takashi  藤田保健衛生大学, 医学部, 教授
UBARA Yoshifumi  虎の門病院分院, 腎センター, 部長
SAWA Naoki  虎の門病院分院, 腎センター, 部長
YAMANOUCHI Masayuki  虎の門病院分院, 腎センター, 医員
HAYAMI Noriko  虎の門病院分院, 腎センター, 医員
SUMIDA Keiichi  虎の門病院分院, 腎センター, 医員
SEKINE Akinari  虎の門病院, 腎センター, 医員
HAYASHI Mikiko  藤田保健衛生大学, 病院・看護部, レシピエント移植コーディネーター
ITO Ayumi  藤田保健衛生大学, 病院・看護部, 透析認定看護師
TSUKAMOTO Naoko  上智大学, 総合人間科学部, 教授
KATAGIRI Yukiko  上智大学, 総合人間科学部, 助手
HAMADA Masami  名古屋大学, 大学院・医学系研究科
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords慢性腎臓病 / 多職種連携 / 腎代替療法 / 意思決定支援 / 看護 / Decision Aid / 自己管理支援 / 腎代替療法意思決定支援 / CKD total care / 腎代替療法選択支援
Outline of Final Research Achievements

First of all, we had investigated how and when modality selection supports for patients with Chronic Kidney Disease(CKD) are used by nephrologists in Japan, through a nationwide questionnaire survey of nephrologists.As a results, a gap between ideal and actual timing of discussion of Renal Replacement Therapy - Modality Selection (RRT-MS) with patients in Japan was identified.To promote appropriate timing of RRT-MS among CKD patients,early and multidisciplinary support systems should be structured.
Second,I had developed a support decision making (SDM) application for patients with chronic kidney disease (CKD), to prevent their future disease progression and support decision making regarding renal replacement therapy modality selection.We had developed a Web-based application (CKD-SDM app) consisting of 136 items and 6 menus that consisted of 2 levels (primary and advanced). We are running to conduct an intervention study in the future inspecting the validity of this program.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (5 results)

All 2017 2016 2015 Other

All Journal Article (1 results) (of which Acknowledgement Compliant: 1 results) Presentation (3 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results) Remarks (1 results)

  • [Journal Article] 慢性腎臓病患者の腎代替療法意思決定支援の新たな展開2017

    • Author(s)
      小坂志保
    • Journal Title

      メディカルサイエンスダイジェスト

      Volume: 5 Pages: 4-6

    • Related Report
      2016 Annual Research Report
    • Acknowledgement Compliant
  • [Presentation] 慢性腎臓病患者における腎代替療法意思決定支援の理想と現実 ~全国の腎臓専門医への調査から~2016

    • Author(s)
      小坂志保
    • Organizer
      第61回日本透析医学会
    • Place of Presentation
      大阪国際会議場(大阪、日本)
    • Year and Date
      2016-06-10
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] Ideal and actual support of renal replacement therapy modality selection in patients with chronic kidney disease.2015

    • Author(s)
      Shiho Kosaka,et al
    • Organizer
      American Society of Nephrology Kidney Week2015
    • Place of Presentation
      San Diego, USA
    • Year and Date
      2015-11-05
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] かかりつけ医からの腎臓専門医へのCKD患者初診依頼の実態2015

    • Author(s)
      小坂志保、他
    • Organizer
      第58回日本腎臓学会学術集会
    • Place of Presentation
      名古屋国際会議場(愛知、名古屋)
    • Year and Date
      2015-06-05 – 2015-06-07
    • Related Report
      2014 Research-status Report
  • [Remarks] CKD-SDM app

    • URL

      http://www.ckdsdm.com/

    • Related Report
      2016 Annual Research Report

URL: 

Published: 2014-07-25   Modified: 2019-07-29  

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