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Improving the quality of hemodialysis treatment: a community-based randomized controlled trial to overcome patient-specific barriers.

Author: BunoskyLisa M, CebulRandall D, LeonJaneen B, SehgalAshwini R, SiminoffLaura A, SingerMendel E

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, U.S. Gov't, P.H.S.Research funding provided by the Public Health Service (PHS).

Overview

Hemodialysis patients in the US have the highest death rates in the developed world, with 23% dying each year. One in six patients receive inadequate dialysis, which is linked to higher hospitalizations and costs. Three barriers to sufficient dialysis have been identified: under-prescription of dialysis, use of catheters, and shortened treatment time.
Paper Details　
Original Abstract of the Article :
Mortality rates among US hemodialysis patients are the highest in the industrialized world at 23% per year. Measures of dialysis dose (Kt/V) correspond strongly with survival and are inadequate in one sixth of patients. Inadequate dialysis is also associated with increased hospitalizations and high ...See full text at original site
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引用元：
https://doi.org/10.1001/jama.287.15.1961

データ提供：米国国立医学図書館（NLM）

Improving Hemodialysis Treatment: A Community-Based Approach

Hemodialysis, a life-sustaining treatment for individuals with kidney failure, is a vital part of their lives. However, the quality of hemodialysis treatment can vary, and some patients may not receive adequate dialysis. This study focuses on improving the quality of hemodialysis treatment by addressing barriers that patients face. The researchers conducted a community-based randomized controlled trial, which allowed them to study the effectiveness of an intervention designed to overcome barriers related to dialysis underprescription, catheter use, and shortened treatment time. The findings suggest that this intervention, which involved providing education and support, led to a significant increase in the adequacy of hemodialysis treatment.

Addressing Barriers to Improve Hemodialysis Quality

This study provides compelling evidence that addressing patient-specific barriers to hemodialysis can lead to significant improvements in the adequacy of treatment. The findings highlight the effectiveness of a community-based intervention in improving the quality of care for individuals undergoing hemodialysis.

Empowering Patients and Optimizing Care

This study underscores the importance of empowering patients and their families to participate in their care. By addressing barriers and providing support, healthcare providers can help ensure that patients receive the best possible care. Remember, a journey through a desert can be easier with a supportive companion, and the same is true for navigating the challenges of chronic illness.

Dr. Camel's Conclusion

This study emphasizes the importance of understanding and addressing the barriers that patients face in accessing and receiving adequate hemodialysis treatment. The findings highlight the potential of community-based interventions to improve care and empower individuals to play a more active role in managing their health.

Date :
  1. Date Completed 2002-04-25
  2. Date Revised 2019-07-01
Further Info :

Pubmed ID

11960538

DOI: Digital Object Identifier

10.1001/jama.287.15.1961

Related Literature

Article Analysis
・Effective treatment of dialysis
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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