Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Exercise instruction during haemodialysis treatment after changes to the insurance regime: a nationwide questionnaire survey in Japan.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : Nature Publishing Group, copyright 2011-
    • Subject Terms:
      Renal Dialysis* ; Exercise Therapy*/methods; Humans ; Japan ; Surveys and Questionnaires ; Exercise ; Male ; Resistance Training
    • Abstract:
      In April 2022, an additional medical fee for exercise instruction during haemodialysis treatment was approved for insurance claims in Japan. We conducted a questionnaire survey to investigate the current situation regarding exercise therapy during haemodialysis treatment after this change. Questionnaires were mailed to 4257 haemodialysis facilities, almost all the haemodialysis facilities in Japan, on January 31, 2023. In total, 1657 facilities responded, of which 550 (33%) provided exercise instruction during haemodialysis treatment, and 65% of these claimed the new fee. Of the 550 facilities that had claimed the fee at the time of survey, 245 (55%) started exercise instruction in April 2022 or later. Exercise instruction focused on resistance training (81%) and aerobic exercise (62%) for 20-30 min (66%) three times a week (80%). The instructors included physicians in 45% of facilities, nurses in 74%, and physical therapists in 36%. Efficacy was evaluated in 76% of the facilities providing instruction, mainly by assessing change in muscle strength (49%). Overall, 39% of facilities had experienced some adverse events, but none were life-threatening. In conclusion, after the change in the insurance regime, exercise instruction during haemodialysis treatment has become more popular, and more patients on haemodialysis are undergoing exercise therapy.
      (© 2024. The Author(s).)
    • References:
      Clin J Am Soc Nephrol. 2010 Dec;5(12):2258-68. (PMID: 20947789)
      Nutrients. 2022 Sep 30;14(19):. (PMID: 36235729)
      Maturitas. 2016 Nov;93:78-82. (PMID: 27338978)
      Am J Kidney Dis. 2014 Sep;64(3):383-93. (PMID: 24913219)
      J Nephrol. 2021 Feb;34(1):155-164. (PMID: 33387341)
      Am J Kidney Dis. 2002 Aug;40(2):331-8. (PMID: 12148106)
      Nutrients. 2021 Apr 24;13(5):. (PMID: 33923264)
      J Cachexia Sarcopenia Muscle. 2022 Feb;13(1):145-158. (PMID: 34989172)
      Am J Clin Nutr. 2003 Apr;77(4):842-6. (PMID: 12663281)
      Ther Apher Dial. 2022 Apr;26(2):362-367. (PMID: 34213076)
      Am J Nephrol. 2014;40(5):478-90. (PMID: 25504020)
      Adv Ren Replace Ther. 2003 Jan;10(1):78-83. (PMID: 12616466)
      Jpn J Clin Oncol. 2022 May 31;52(6):539-544. (PMID: 35349681)
      Cochrane Database Syst Rev. 2022 Jan 12;1:CD014653. (PMID: 35018639)
      Eur J Med Res. 2023 Oct 5;28(1):401. (PMID: 37798739)
      NEJM Evid. 2023 Sep;2(9):EVIDoa2300057. (PMID: 38320198)
    • Contributed Indexing:
      Keywords: Exercise instruction; Haemodialysis; Insurance claim; Questionnaire survey
    • Publication Date:
      Date Created: 20240422 Date Completed: 20240424 Latest Revision: 20240426
    • Publication Date:
      20240426
    • Accession Number:
      PMC11035573
    • Accession Number:
      10.1038/s41598-024-59995-4
    • Accession Number:
      38649730