P966
THE INTERACTIVE WORKSHOP BETWEEN GENERAL PRACTITIONERS AND MULTIDISCIPLINARY TEAM IS PIVOTAL IN MODERN COMMUNITY-BASED HEALTHCARE SETTINGS
N. Kobayashi1,*, Y. Aga2, Y. Onishi3, I. Nojima3, H. Morinaga3
1General Medicine, 2Nutrition, Okayama Saidiiji Hospital, 3Comprehensive Therapy for Chronic Kidney Disease, Okayama University Hospital, Okayama, Japan
Rationale: Chronic kidney disease (CKD) is one of the major noncommunicable diseases worldwide. In ESPEN 2024, we reported the usefulness of the 24hr-recall method by dietitians to assess daily sodium intake, which is essential for managing CKD. Although care by nephrologists generally results in better outcomes for CKD patients, the shortage of nephrologists makes this impractical. Here, we report the impact of interactive workshops with general practitioners (GPs) and multidisciplinary team in the treatment of CKD patients for the past 4 years.
Methods: We held the community-based interactive workshops on CKD every four months with the cooperation of neighboring GPs. In addition, we held multidisciplinary team meetings every month, including board-certified nephrologists and dietitians. The findings from these meetings were fed back into the workshops.
Results: Consultations of CKD patients from neighboring general practitioners have increased by 10 % per year (Figure 1). The number of medical nutrition therapy for outpatients has increased by 8 % per year (Figure 2). The number of hemodialysis patients did not change, but the number of peritoneal dialysis patients has increased by 20 % yearly.
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Conclusion: Regular workshops may have increased the number of referrals of CKD patients, resulting in earlier intervention and more effective medical nutrition therapy. Dieticians not only offered helpful guidance on managing patients’ nutrition, but also acted as valuable mediators between doctors and patients. In the context of community medicine in Japan, where a declining birthrate and aging population severely limit medical sources, the presence of a dietician becomes increasingly crucial.
Disclosure of Interest: None declared