Two-times weekly hemodialysis in China: frequency, associated patient and treatment characteristics and Quality of Life in the China Dialysis Outcomes and Practice Patterns study

Bieber, Brian; Qian, Jiaqi; Anand, Shuchi; Yan, Yucheng; Chen, Nan; Mia, Wang; Wang, Mei; Zuo, Li; Hou, Fan Fan; Pisoni, Ronald L.; Robinson, Bruce M.; Ramirez, Sylvia

doi:10.1093/ndt/gft472

Cited by 82 publications

(105 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Data from the recently launched Chinese Renal Data System and data available from city registries show that a significant proportion of patients are on two-times weekly HD [13,14,15,16]. Twenty-eight percent of patients registered in Beijing were undergoing two-times weekly HD in 2002, according to the Beijing Hemodialysis Quality Control and Improvement Center [14,15,16,17]. The 2005 Shanghai Dialysis Registry reported patients were receiving dialysis an average of 2.6 times per week.…”

Section: Hemodialysismentioning

confidence: 99%

Present Status of Renal Replacement Therapy in Asian Countries

Navva¹,

Sreepada²,

Nayak³

2015

Blood Purif

View full text Add to dashboard Cite

Background: Asia is a huge and populous continent with diverse economies where the status of renal replacement therapy varies among different countries. Summary: The penetration of dialysis is poor among low income countries like India and China. A lack of trained nephrologists and limited numbers of dialysis facilities plague South Asian countries. Most of the hemodialysis centers are in the private sector; the few centers that are government-run or run by charitable organizations cannot meet growing needs. China has shown that twice-a-week hemodialysis can be feasible in female patients with small build. Peritoneal dialysis (PD) has less penetration among the developing countries than the developed countries in Asia. Novel schemes in India including the ‘once-in-a-lifetime payment' scheme and an insurance scheme for peritonitis are attracting more patients to PD. New biocompatible PD solutions and home care facilities have brought down the peritonitis rates. The PD-first policy in Thailand alongside the domestic manufacture of PD fluids has decreased the cost of PD there. Iran has shown drastic changes in its PD policy (from 0 to 1,150 recruitments in 5 years) in spite of its high transplantation rate. Home hemodialysis is practiced in mostly affluent countries like Japan, where again it accounts for only 0.1% of all hemodialysis. Key Messages: Developing countries should have more budgetary allocation for chronic ailments such as chronic kidney disease that can be utilized for training programs and establishing dialysis units, and thus meet the growing demands for renal replacement therapy. PD should be encouraged and adopted as first modality of renal replacement therapy considering its ease and economy.

show abstract

Section: Hemodialysismentioning

confidence: 99%

Present Status of Renal Replacement Therapy in Asian Countries

Navva¹,

Sreepada²,

Nayak³

2015

Blood Purif

View full text Add to dashboard Cite

show abstract

“…Several studies have targeted Chinese HD patients in mainland China [1, 17], Taiwan [5, 13], and Hong Kong [12]. These studies restrained their focus to generic HRQOL of general functioning and well-being without covering HRQOL impact specifically due to ESRD disease and associated HD.…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life and Its Factors of Hemodialysis Patients in Suzhou, China

Pan

Zhou³

et al. 2018

Blood Purif

View full text Add to dashboard Cite

Background: To identify factors of health-related quality of life (HRQOL) of Chinese end-stage renal disease patients undergoing hemodialysis (HD). Methods: In all, 315 HD patients were recruited from a tertiary hospital in Suzhou, China. Each patient completed the Kidney Disease Quality of Life Short Form. It generated 4 types of HRQOL scores: PCS score, MCS score, kidney disease component summary (KDCS) score, and SF-6D index score. Multiple linear regressions were conducted to identify the factors associated with each of the scores. Results: Factors associated with poorer HRQOL were determined including: middle age and above (≥45 years), without partner, presence of complication, long dialysis vintage (≥4.5 years) with physical component summary; low education level, presence of comorbidity, long dialysis vintage, low hemoglobin level with mental component summary; without partner, presence of comorbidity, long dialysis vintage with KDCS; middle age and above, without partner, low education level; long dialysis vintage, more frequent dialysis (≥2 times/week) with SF-6D. Conclusion: The study evaluated the HRQOL of HD patients in mainland China.

show abstract

“…The use of dialysis for patients reaching end-stage renal disease (ESRD) is rapidly increasing and approaching that of USA [3,4]. Till the end of 2015, the number of dialysis patients is over 448,000 (385,000 for hemodialysis (HD) and 63,000 for peritoneal dialysis (PD)), which is far behind the estimated 1 million ESRD patients who need dialysis in current China [5].…”

Section: Introductionmentioning

confidence: 99%

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Huang

Lai

et al. 2017

Renal Failure

View full text Add to dashboard Cite

Aim: Returning to society plays an important role in improving the quality of life in maintenance hemodialysis (MHD) patients, and retention of employment is one of the core enablers. The study is to assess the employment status and to determine the variables for unemployment in Chinese MHD patients. Methods: Prevalent MHD patients from four dialysis centers in Shanghai China were enrolled. We assessed patients' employment status, current social functioning, hemodialysis modality, annual income and general health condition. Among current unemployed working-age patients, the reasons of quitting jobs and willingness of being reemployed were evaluated. Results: A total of 231 patients were studied, among which 114 patients were unemployed 1 year before hemodialysis. Among 117 employed patients, 16 patients quitted jobs before dialysis inception, while 49 patients quitted jobs at the initiation of HD, and 26 patients followed after a few months' HD. The main reasons for ceasing employment were physical insufficiency, conflict between dialysis and work schedules, lack of support from employers and resistance from family members. Among the 166 patients who were in their working age, 26 patients were employed. The unemployed patients had the characters of elder age, lower education level, higher annual family income, higher female ratio, lower blood flow, lower physical functioning, and social functioning and lower frequency of weekend hemodialysis and HDF/HF. Among the 140 unemployed patients, only 47 patients had the willingness of being reemployed. Their unemployment status was positively associated with elder age ((OR) 3.13, 95% CI, 1.08-9.1), lower education level ((OR) 1.97, 95% CI, 1.05-5.92), and higher family income ((OR) 7.75, 95% CI, 2.49-24.14).

show abstract

Two-times weekly hemodialysis in China: frequency, associated patient and treatment characteristics and Quality of Life in the China Dialysis Outcomes and Practice Patterns study

Cited by 82 publications

References 15 publications

Present Status of Renal Replacement Therapy in Asian Countries

Present Status of Renal Replacement Therapy in Asian Countries

Health-Related Quality of Life and Its Factors of Hemodialysis Patients in Suzhou, China

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Contact Info

Product

Resources

About