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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.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
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.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
As we face an aging population, many older patients require support through long-term care insurance and related services at the time of hemodialysis initiation. We have promoted pre-dialysis intervention by medical social workers (MSWs) to help post-dialysis patients' lives. We aimed to examine the association between pre-dialysis MSW intervention and post-dialysis outcomes to identify patients for whom pre-dialysis MSW intervention is beneficial.
We included patients who initiated maintenance hemodialysis between 2016 and 2023 at Nagasaki Harbor Medical Center, provided they had at least one month of follow-up after their first nephrology consultation. Baseline clinical and laboratory data one month before dialysis initiation, and the status of pre-dialysis MSW intervention were assessed. Patients were followed up until 5 years after hemodialysis initiation.
Among 257 patients (mean age 72 ± 11 years; 64% male; 49% with diabetes), 132 (51%) received pre-dialysis MSW intervention. Compared with the non-intervention group, the intervention group showed significantly lower rates of unplanned dialysis initiation (22% vs. 70%), shorter hospital stays (median 8 days vs. 19 days), and lower rates of long-term care insurance application (9% vs. 21%) around dialysis initiation (all P < 0.05). Among major baseline factors, only the mean serum creatinine level differed significantly between groups (7.9 vs. 7.5 mg/dL, P = 0.03). During a median follow-up of 801 days, 64 patients died. The MSW intervention group showed better survival in Kaplan–Meier analysis (HR 0.57, 95% CI 0.34–0.95, P = 0.04). Multivariable Cox regression adjusted for age, sex, diabetes, ischemic heart disease, serum albumin, and creatinine levels confirmed the independent prognostic benefit of MSW intervention (HR 0.58, 95% CI 0.34–0.98, P = 0.04). Sensitivity analyses indicated that pre-dialysis MSW intervention was particularly effective among patients aged ≥70 years, men, those living with family, and those with a Geriatric Nutritional Risk Index (GNRI) < 91 one month before dialysis (all P < 0.05).
Pre-dialysis intervention by MSWs may improve outcomes after hemodialysis initiation. Early assessment of social risks and proactive use of social resources are desirable for patients approaching dialysis initiation.
