In-center hemodialysis absenteeism: prevalence and association with outcomes
| Autor: | Steven M. Brunelli, Kathryn S. Gray, Dena E. Cohen |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty medicine.medical_treatment Economics Econometrics and Finance (miscellaneous) ambulatory/outpatient care 030232 urology & nephrology Psychological intervention Medicare 03 medical and health sciences 0302 clinical medicine Epidemiology Medicine 0501 psychology and cognitive sciences Original Research Data source business.industry Health Policy Medical record 05 social sciences ClinicoEconomics and Outcomes Research Emergency medicine Absenteeism epidemiology Observational study Hemodialysis Risk of death business chronic disease |
| Zdroj: | ClinicoEconomics and Outcomes Research: CEOR |
| ISSN: | 1178-6981 |
| DOI: | 10.2147/ceor.s136577 |
| Popis: | Kathryn S Gray, Dena E Cohen,Steven M Brunelli DaVita Clinical Research, Minneapolis, MN, USA Objective: The aim of this study was to determine the rate of missed treatments among hemodialysis (HD) patients, and the association between treatment nonadherence and clinical outcomes.Data source: The data used in this study were based on electronic medical records and Medicare claims.Study design: This is a retrospective, observational study.Principal findings: HD patients miss 9.9% of all treatments. Approximately half of the missed treatments are due to observable medical events, predominantly hospitalizations, while half result from nonadherence (“absence”). A single absence is associated with a 1.4-fold greater risk of hospitalization, and a 2.2-fold greater risk of death in the subsequent 30 days.Conclusion: Treatment nonadherence is common among HD patients and is associated with adverse outcomes. Interventions that improve adherence may improve patient health and reduce costs. Keywords: Medicare, ambulatory/outpatient care, epidemiology, chronic disease |
| Databáze: | OpenAIRE |
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