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NDT Advance Access originally published online on September 7, 2009
Nephrology Dialysis Transplantation 2009 24(11):3277-3279; doi:10.1093/ndt/gfp448
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© The Author 2009. Published by Oxford University Press [on behalf of ERA-EDTA]. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


We don't need no education ... . (Pink Floyd, The Wall ) Multidisciplinary predialysis education programmes: pass or fail?

Wim Van Biesen, Francis Verbeke and Raymond Vanholder

Renal Division, University Hospital Ghent, Ghent, Belgium

Correspondence and offprint requests to: Wim Van Biesen; E-mail: wim.vanbiesen@ugent.be

Keywords: chronic kidney disease; early referral; education; multidisciplinary; predialysis

The first 150 words of the full text of this article appear below.

In the famous Pink Floyd song, education fails as it reduces every pupil in a totalitarian way to ‘another brick in the wall’. Recently, much attention has been paid to timely referral and multidisciplinary predialysis education (MPE) programmes (for review see [1]). In this issue of Nephrology Dialysis Transplantation (NDT), Wu et al. [2] report the results of a non-randomized observational trial on the impact of an established MPE programme on the outcome of patients with chronic kidney disease (CKD) stage 3 or higher. The authors conclude that such an MPE programme decreases the number of patients ending up on dialysis, and reduces mortality. In what follows, we try to discuss why some methodological aspects of studying the effect of MPE make that the question whether all centres should have MPE programmes cannot be answered by a definite ‘yes’; as such, we also try to offer . . . [Full Text of this Article]



   How does the positive outcome in the Wu study compare to other studies?
 


   How and why do MPE programmes work?
 

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