MO562: Prevalence and Determinants of Predialysis Dietitian Follow-Up-Results From the Brazilian Dialysis Registry

Autor: Fabiana Nerbass, Helbert Lima, Osvaldo Merege Vieira Neto, Ricardo Sesso, Jocemir Lugon
Rok vydání: 2022
Předmět:
Zdroj: Nephrology Dialysis Transplantation. 37
ISSN: 1460-2385
0931-0509
DOI: 10.1093/ndt/gfac074.007
Popis: BACKGROUND AND AIMS There are lacking of data regarding predialysis dietitian follow-up of CKD patients considering large populational datasets. We aimed to evaluate the prevalence and socio-demographic determinants of predialysis dietitian follow-up in a large cohort of Brazilian dialysis patients. METHOD We evaluated retrospectively data from all incident adult dialysis patients included in the Brazilian Dialysis Registry from January 2011 to September 2021. Predialysis dietitian follow-up was said to be present when a period >6 months of dietitian care was reported. Gender, age, skin color, education, body mass index, chronic kidney disease (CKD) etiology, first chronic dialysis program, healthcare provider and geographic regions were considered in the logistic regression model. RESULTS A total of 10 382 patients met the inclusion criteria and 1254 (12.1%) reported predialysis dietitian follow-up, and most of them referred by nephrologist (94.2%). The independent determinants of dietitian follow-up were older age, white skin color, higher education level, not having diabetes, living in North/Northeast and South (compared with Southeast), and having a nonpublic healthcare provider. When considered only patients with predialysis nephrologic care, higher education, hemodialysis as the first dialysis modality and living in the North/Northeast and South regions (compared with Southeast) were associated with dietitian follow-up. CONCLUSION Predialysis dietitian follow-up for more than 6 months in a country in which the public health system is the main dialysis provider is still very low. The nephrologist is pivotal for referral to dietitians but socioeconomic factors also seem to play a role in this regard.
Databáze: OpenAIRE
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