Description of a disease management model in patients undergoing dialysis in Colombia

Bunch, Alfonso; Tamer, Layla; Ardila, Freddy; Laganis, Stefano; Castaño, Roberto; Vesga, Jasmín; López, Patricia; Sanabria, Rafael M

doi:10.22265/acnef.3.1.206

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…The observed mortality rate, hospitalization rate, and number of hospital days in our analysis is somewhat lower than other reports 24,25 and also lower than our previous experiences from the RTS network in Colombia, where we have reported mortality rate of 14.6 events per 100 PY and hospitalization rates of 1.15 hospitalizations per PY 26 . This could be due to a number of predictive factors like population characteristics, the RTS model of care and the impact of the new dialyzer, among others.…”

Section: Discussioncontrasting

confidence: 86%

“…12 The observed mortality rate, hospitalization rate, and number of hospital days in our analysis is somewhat lower than other reports 24,25 and also lower than our previous experiences from the RTS network in Colombia, where we have reported mortality rate of 14.6 events per 100 PY and hospitalization rates of 1.15 hospitalizations per PY. 26 This could be due to a number of predictive factors like population characteristics, the RTS model of care and the impact of the new dialyzer, among others. We must note that due to the study design of a single cohort without a comparison group, these observed outcomes cannot be causally attributed to the implementation of the MCO membrane, but only generate a hypothesis that must be contrasted with other types of designs.…”

Section: Discussionmentioning

confidence: 99%

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Medium cut‐off dialyzers in a large population of hemodialysis patients in Colombia: COREXH registry

Bunch¹,

Sánchez

Nilsson

et al. 2020

Ther Apher Dial

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Expanded hemodialysis (HDx) provides increased clearance of conventional and large middle molecules through innovative medium cutoff (MCO) membranes. However, there is a paucity of real‐world data regarding the benefits and safety of HDx. This large observational study evaluated outcomes among patients in Colombia undergoing HDx at a extended dialysis clinical services provider. This was a prospective single cohort study of prevalent patients who were treated with HDx; baseline information was collected from the most recent data before patients were started on HDx. Patients were followed prospectively for 1 year for changes in serum albumin and other laboratory parameters compared with the baseline. Survival, hospitalization and safety were assessed from the start of HDx. A total of 1000 patients were invited to enroll; 992 patients met the inclusion criteria for data analysis and 638 patients completed the year of follow‐up. Seventy‐four (8%) patients died during 866 patient‐years (PY) of follow‐up; the mortality rate was 8.54 deaths/100 PY (95% confidence interval [CI], 6.8‐10.7). There were 673 hospitalization events with a rate of 0.79 events/PY (95% CI, 0.73‐0.85) with 6.91 hospital days/PY (95% CI, 6.74‐7.09). The observed variability from baseline and maximum average change in mean serum albumin levels were −1.8% and −3.5%, respectively. No adverse events were related to the MCO membrane. HDx using an MCO membrane maintains stable serum albumin levels and is safe in terms of nonoccurrence of dialyzer related adverse events.

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Section: Discussioncontrasting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Medium cut‐off dialyzers in a large population of hemodialysis patients in Colombia: COREXH registry

Bunch¹,

Sánchez

Nilsson

et al. 2020

Ther Apher Dial

Self Cite

View full text Add to dashboard Cite

show abstract

“…Ya en estadios más avanzados se reportan esfuerzos de establecer modelos de gestión de enfermedades basados en gestoría de casos e integración de redes de servicios pretendiendo obtener un alto impacto en términos de desenlaces y de eficiencia (Bunch et al, 2016).…”

Section: Capítulo V Discusiónunclassified

Impacto económico de la carga de enfermedad de complicaciones de pacientes diabéticos tipo II en afiliados a una aseguradora de salud en Colombia

Estrada¹,

reinaldo²

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Description of a disease management model in patients undergoing dialysis in Colombia

Cited by 2 publications

References 14 publications

Medium cut‐off dialyzers in a large population of hemodialysis patients in Colombia: COREXH registry

Medium cut‐off dialyzers in a large population of hemodialysis patients in Colombia: COREXH registry

Impacto económico de la carga de enfermedad de complicaciones de pacientes diabéticos tipo II en afiliados a una aseguradora de salud en Colombia

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