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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.
Multidisciplinary interventions to support patients are becoming increasingly recognized and established across various medical fields. In 2022, Japan introduced a certification system for renal replacement therapy (RRT) specialists, aimed at facilitating appropriate RRT selection and improving activities of daily living and quality of life among dialysis and kidney transplant patients. In Europe and the United States, transitional dialysis care, which delivers medical and psychosocial support through multidisciplinary collaboration at the initiation stage of RRT, has garnered considerable attention. However, in Japan, evidence regarding the impact of multidisciplinary interventions during the RRT selection phase remains limited. In this study, we investigated the relationship between promoting shared decision-making (SDM) through multidisciplinary intervention during the RRT selection phase and the implementation of transitional dialysis care.
A total of 348 patients received explanations regarding RRT at our hospital between April 2020 and May 2025. After excluding nine patients who opted for conservative kidney management, 339 patients (mean age 69 ± 13 years; 237 males) were included in the analysis and categorized into two groups according to the presence or absence of multidisciplinary intervention.
Of the total cohort, 240 patients were assigned to the multidisciplinary intervention group. The selection rates for peritoneal dialysis (PD) and renal transplantation were higher in the multidisciplinary intervention group compared with the non-multidisciplinary group (PD: 24.6% vs. 3.0%; renal transplantation: 9.2% vs. 5.1%). Within the multidisciplinary intervention group, patients who received additional support from a medical social worker (N=109) demonstrated even higher selection rates for PD (33.0%) and renal transplantation (11.0%). Patients in the multidisciplinary intervention group had a deeper understanding of RRT, including medical expenses and social security systems, and were more likely to receive psychosocial support. At the initiation of RRT, the multidisciplinary intervention group had a higher rate of established dialysis access (83.6% vs. 73.7%), a trend toward a longer period (Pr) between RRT explanation and initiation (6.8 ± 6.1 months vs. 5.4 ± 5.3 months), and a significantly lower rate of emergency dialysis initiation (24.5% vs. 37.4%) compared with the non-multidisciplinary group. Among patients who underwent emergency dialysis, serum hemoglobin and albumin levels at initiation were significantly lower, the Pr was significantly shorter (3.3 ± 3.5 months vs. 7.5 ± 6.2 months), and the rate of multidisciplinary intervention was significantly lower (51.3% vs. 65.9%) compared with those who initiated dialysis in a scheduled manner. Based on Cox proportional hazards analysis, the risk of emergency dialysis was reduced with multidisciplinary intervention (HR 0.54, 95%CI 0.30–0.97, p<0.05) and longer Pr (HR 0.25, 95% CI 0.13–0.51, p<0.05 for Pr≥6 months vs. Pr<6 months).
Promoting SDM through multidisciplinary intervention during the RRT selection phase increases the selection rates of peritoneal dialysis and renal transplantation, while reducing the incidence of emergency dialysis. Fostering mutual understanding of each stakeholder’s expertise is essential for strengthening interprofessional collaboration.
