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Pioneering patient-led intervention tackles multiple challenging symptoms in dialysis patients with success - Video

Published On 2023-06-21T09:00:12+05:30  |  Updated On 21 Jun 2023 1:25 PM IST
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Overview

When a patient with chronic kidney disease finally reaches the point that their kidneys fail, doctors have a treatment available: dialysis. But undergoing dialysis often brings a high burden of other unpleasant symptoms – fatigue, pain, and depression – that are outside the typical nephrologist’s wheelhouse and can be difficult to treat

A new patient-guided intervention using telemedicine improves these troublesome symptoms with results that persist for several months after the intervention ends, according to the results of a randomized clinical trial published in JAMA Internal Medicine by physician-scientists at the University of Pittsburgh and the University of New Mexico.

The researchers developed the Technology Assisted Stepped Collaborative Care (TĀCcare) trial to test whether 12 weekly sessions of cognitive behavioral therapy delivered via telemedicine either while patients receive their dialysis or at home could improve symptoms. To ensure the results weren’t simply an effect of the added attention from the tele-sessions, they had a comparison group of patients receive weekly health education via telemedicine.

The researchers recruited a diverse pool of 160 participants from Pennsylvania and New Mexico who were receiving dialysis and had clinically significant levels of fatigue, pain, or depression. They averaged 58 years old, and 28% were Black, 13% American Indian and 18% Hispanic.

Compared to those who received educational materials, patients who received TÄ€Ccare had a 6% improvement in energy levels and a 10% improvement in pain severity, both of which were sustained for six months following therapy. They also had an improvement in depression symptoms, but it was very small.

Reference: Effects of Technology Assisted Stepped Collaborative Care Intervention to Improve Symptoms in Patients Undergoing Hemodialysis The TÄ€Ccare Randomized Clinical Trial, JAMA Internal Medicine, DOI 10.1001/jamainternmed.2023.2215

Speakers

Isra Zaman

B.Sc Life Sciences, M.Sc Biotechnology, B.Ed

Isra Zaman is a Life Science graduate from Daulat Ram College, Delhi University, and a postgraduate in Biotechnology from Amity University. She has a flair for writing, and her roles at Medicaldialogues include that of a Sr. content writer and a medical correspondent. Her news pieces cover recent discoveries and updates from the health and medicine sector. She can be reached at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751
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