Pre-dialysis medical social worker support significantly reduced patient mortality (HR 0.58) compared to no support in patients with end-stage kidney disease initiating hemodialysis.
Observational (n=257)
No
Does pre-dialysis medical social worker support reduce mortality in patients with kidney failure?
Pre-dialysis medical social worker support is associated with improved survival in patients with end-stage kidney disease, particularly in older, malnourished, and socially supported individuals.
Effect estimate: HR 0.58 (95% CI 0.34-0.98)
p-value: p=0.04
= 0.04) was associated with lower patient mortality in addition to age, male sex, serum albumin levels 1 month before hemodialysis initiation, and serum creatinine levels 1 month before hemodialysis initiation. Stratified analyses showed a marked positive impact of MSW support in patients aged ≥70 years, male sex, living with family, and malnutrition. MSW support facilitated smoother transitions to maintenance hemodialysis centers through pre-settlement dialysis centers, alleviated patient anxiety, and ensured transportation arrangements. This study highlights the critical role of MSWs in improving clinical outcomes for patients with ESKD who are at higher social risks. Future multicenter studies are warranted to validate these findings and enhance their generalizability.
Kitamura et al. (Sun,) conducted a observational in End-stage kidney disease (n=257). Pre-dialysis medical social worker (MSW) support vs. No pre-dialysis MSW support was evaluated on Patient mortality (HR 0.58, 95% CI 0.34-0.98, p=0.04). Pre-dialysis medical social worker support significantly reduced patient mortality (HR 0.58) compared to no support in patients with end-stage kidney disease initiating hemodialysis.
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