The Practices and Views of US and Canadian Nephrologists, Nurses, and Allied Health Professionals Regarding Exercise and Physical Activity for People Receiving Peritoneal Dialysis
Bibliographic record
Abstract
Background: In the US and Canada people receiving peritoneal dialysis (PD) are frequently sedentary and experience poor physical function. This creates clinical challenges because basic physical function is required to maintain independence for this home-based therapy. The aim of this study was to explore exercise-related practices and perceptions of nephrologists, PD nurses and allied health clinicians across the US and Canada. Methods: Secondary analysis of an international cross-sectional 13-item web-based survey of PD health professionals, exploring perspectives and practices regarding exercise for people receiving PD. Recruitment in the US and Canada was done through professional nephrology networks including the American Society of Nephrology, the Canadian Society of Nephrology, the American Nephrology Nurses' Association and the Canadian Association of Nephrology Nurses and Technicians. Results: 211 clinicians (88 nephrologists, 87 nurses and 36 allied health professionals) responded from the US (49%) and Canada (51%) with most (72%) reporting greater than 2 years PD experience. Most respondents (89%) believed PD patients could perform more exercise than they currently do. Most respondents (86%) agreed that structured exercise programs would be beneficial for people receiving PD. Eighty-six percent stated that PD patients would benefit from exercise professionals, however, only 27% of Canadian and 4% of US clinics had exercise professionals involved in programs. Sixty-one percent agreed and 34% were unsure whether people receiving PD could perform abdominal strengthening exercises safely. Seventy-three percent of PD programs had formal guidelines for swimming, 78% for lifting, 63% for falls, and 78% for physical activity resumption following PD catheter insertion. Conclusions: US and Canadian PD health professionals recognize the importance of exercise in people receiving PD and most programs have exercise-related policies. Even though there are few dedicated PD exercise programs in the US and Canada, most clinicians believed that exercise professionals and structured exercise programs would benefit people receiving PD.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".