An international study of patient compliance with hemodialysis.
Context International differences in compliance of patients undergoing hemodialysis are poorly characterized and could contribute to international survival differences.
Objective To compare international differences in patient compliance with hemodialysis treatments.
Design A prospective observational study of patients undergoing hemodialysis in 1995 and a cross-sectional survey of health care professionals caring for hemodialyzed patients in 1996.
Setting and Patients Four dialysis centers in the southeastern United States with 415 patients undergoing hemodialysis, 1 center in Sweden with 84 patients, and 4 centers in Japan with 194 patients participated in the prospective observational study.
In the cross-sectional survey, nurses and nephrologists from the United States (n=49), Japan (n=21), and Sweden (n=16) responded to questions regarding the compliance of their patients undergoing hemodialysis.
Main Outcome Measures Percentage of patients who miss a dialysis treatment and number of missed dialysis treatments.
Results Of 415 US patients, 147 missed 699 treatments over a 6-month period (28. 1 missed treatments per 100 patient-months or 2.3% of all prescribed treatments).
During a 3-month period, there were 0 missed treatments per 100 patient-months for patients from Japan and 0 missed treatments per 100 patient-months for patients from Sweden (P<. 001). (...)
Mots-clés Pascal : Insuffisance rénale, Homme, Traitement, Hémodialyse, Evaluation, Etude transversale, Etude multicentrique, Complaisance, Coopération, Implication moi, Survie, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Appareil urinaire pathologie, Rein pathologie, Etude internationale
Mots-clés Pascal anglais : Renal failure, Human, Treatment, Hemodialysis, Evaluation, Cross sectional study, Multicenter study, Compliance, Cooperation, Self involvement, Survival, United States, North America, America, Epidemiology, Urinary system disease, Kidney disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0235861
Code Inist : 002B27B03. Création : 16/11/1999.