2003
DOI: 10.1046/j.1523-1755.2003.00064.x
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Nonadherence in hemodialysis: Associations with mortality, hospitalization, and practice patterns in the DOPPS

Abstract: Nonadherence was associated with increased mortality risk (skipping treatment, excessive IDWG, and high phosphate) and with hospitalization risk (skipping, high phosphate). Certain patient/facility characteristics also were associated with nonadherence.

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Cited by 460 publications
(511 citation statements)
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“…Our analysis indicated that older age and ethnicity (not black, white, or Hispanic/Latino) were associated with lower numbers of missed dialysis sessions (Table 3), consistent with previous studies performed on nonadherence to dialysis treatment in nondisaster settings (16)(17)(18). Selfreported other ethnicity, mainly a Chinese/Asian population, was associated with fewer missed dialysis sessions, whereas non-English-speaking patients (again, mainly Chinese) had a decreased risk of missed dialysis.…”
Section: Discussionsupporting
confidence: 79%
“…Our analysis indicated that older age and ethnicity (not black, white, or Hispanic/Latino) were associated with lower numbers of missed dialysis sessions (Table 3), consistent with previous studies performed on nonadherence to dialysis treatment in nondisaster settings (16)(17)(18). Selfreported other ethnicity, mainly a Chinese/Asian population, was associated with fewer missed dialysis sessions, whereas non-English-speaking patients (again, mainly Chinese) had a decreased risk of missed dialysis.…”
Section: Discussionsupporting
confidence: 79%
“…On the one hand, in the Euro-DOPPS sample, "excessive" IDWG (defined by Ͼ5.7% of body weight, ie, 4 kg in a 70-kg patient) was highest in the countries where patients had the best nutritional status, that is, Italy and France (excessive IDWG in 17.7% and 14.3% of patients, respectively), whereas the lowest values were observed in the United Kingdom and Germany (in 3.4% and 5.6% of patients, respectively). 5 On the other hand, excessive IDWG is associated with higher mortality risk, 19 which suggests poor compliance to play a role. However, it may be hypothesized that in some hemodialysis patients, a moderate IDWG may serve as a positive marker of nutritional intake rather than lack of adherence.…”
Section: Other Variables Linked To Nutritional Statusmentioning
confidence: 99%
“…5 In another report from the DOPPS, it was found that the presence of a dietitian in the facility was associated with a lower likelihood of nonadherence in terms of interdialytic dry weight. 19 …”
Section: Dietitiansmentioning
confidence: 99%
“…On average, dialysis patients are hospitalized nearly twice yearly [7]. Modifiable factors associated with higher case mix-adjusted hospital admissions include more severe anemia and hyperphosphatemia [83,101]. Cardiac problems account for most admissions, and these same laboratory abnormalities are associated more prominently with cardiac admissions.…”
Section: Survival After Initiation Of Rrtmentioning
confidence: 99%