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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
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E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
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The prevention and management of kidney disease remain a substantial challenge in contemporary medicine. To enhance public awareness of kidney health, the Taiwanese government launched the Pre-end-stage Kidney Disease (Pre-ESKD) multidisciplinary health education program in 2023. According to national data from 2020, 43.7% of patients initiating dialysis had participated in this program. Further analysis demonstrated that individuals who engaged in the program exhibited significantly lower mortality rates compared with nonparticipants, and a higher proportion remained on long-term dialysis. These findings underscore the critical role of integrated health education and multidisciplinary care interventions in delaying disease progression and improving survival outcomes.
The end-stage kidney disease (ESKD) health education program is initiated when a patient’s estimated glomerular filtration rate (eGFR) falls below 45 ml/min/1.73 m², jointly managed by nephrologists, case managers, and dietitians, which includes biannual nurse and dietitian-led educational interventions. Once the eGFR further declines to less than 15 ml/min/1.73 m², the multidisciplinary team engages with the patient to deliberate on permanent dialysis options and determines the appropriate timing for permanent access placement based on the trajectory of disease progression.
From 2020 to 2024, , a total of 1,052 chronic kidney disease (CKD) patients completed the Pre-ESKD multidisciplinary health education program and initiated permanent dialysis, with a mean follow-up of 3.56 years and a mean age of 65.9 years; 59.4% were male. At enrollment, the mean eGFR was 21.33 ± 31.01 ml/min/1.73 m², declining to 5.79 ± 3.49 ml/min/1.73 m² at dialysis initiation. Most patients entered the program at CKD stage 5 (427 patients, 40.59%) or stage 4 (362 patients, 34.41%). Nearly all patients were followed for over 3 months (1,051 patients, 99.9%), with 432 patients (41.06%) receiving annual dietitian-led education, 1,000 patients (95.06%) receiving annual nurse-led education and 674 patients (64.07%) completing permanent access preparation before first dialysis. At the final assessment, 489 patients (46.48% )had eGFR < 5 ml/min/1.73 m², 596 patients (56.65%) had hemoglobin > 8.5 g/dL (mean 8.94 ± 2.03 g/dL), and 58.5% had serum albumin > 3.5 g/dL (mean 3.65 ± 0.50 g/dL).
With respect to renal replacement therapy, 264 patients (25.1%) initiated peritoneal dialysis, 781 patients (74.24%) initiated hemodialysis, and 7 patients (0.67%) underwent kidney transplantation.
Indicator
Number
Percentage
1. Proportion of patients with hemoglobin (Hb) > 8.5 g/dL
596
56.65%
2. Proportion of patients with serum albumin > 3.5 g/dL (BCG)
615
58.46%
3. Proportion who completed nutrition education (within one year before dialysis)
432
41.06%
4. Proportion who completed nursing education (within one year before dialysis)
1,000
95.06%
5. Proportion of CKD stage 5 patients followed for more than 6 months before dialysis
1,043
99.14%
6. Proportion of CKD stage 5 patients followed for more than 3 months before dialysis
1,051
99.90%
7. Without Temporary Catheter Used for Dialysis (%)
674
64.07%
Through long-term, integrated Pre-ESKD multidisciplinary health education program, more than half of the patients maintained favorable hemoglobin and albumin concentrations despite having extremely low eGFR levels. The high readiness of patients to complete permanent dialysis access before their first session highlights the program's effectiveness. Future research should investigate the program's impact on long-term survival, healthcare costs, and quality of life to provide more comprehensive evidence.
