IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
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, Brian1; Qian, Jiaqi2; Anand, Shuchi3; Yan, Yucheng2; Chen, Nan4; Wang, Mia1; Wang, Mei5; Zuo, Li6,7; Hou, Fan Fan8; Pisoni, Ronald L.1; Robinson, Bruce M.1; Ramirez, Sylvia P. B.1
关键词hemodialysis adequacy hemodialysis frequency outcomes practice patterns quality of life
刊名NEPHROLOGY DIALYSIS TRANSPLANTATION
2014-09-01
DOI10.1093/ndt/gft472
29期:9页:1770-1777
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Transplantation ; Urology & Nephrology
资助者Amgen ; Kyowa Hakko Kirin ; Sanofi Renal ; AbbVie ; Baxter ; Vifor Fresenius Renal Pharma ; Amgen ; Kyowa Hakko Kirin ; Sanofi Renal ; AbbVie ; Baxter ; Vifor Fresenius Renal Pharma
研究领域[WOS]Transplantation ; Urology & Nephrology
关键词[WOS]DISEASE
英文摘要

Background. Renal replacement therapy is rapidly expanding in China, and two-times weekly dialysis is common, but detailed data on practice patterns are currently limited. Using cross-sectional data from the China Dialysis Outcomes and Practice Patterns Study (DOPPS), we describe the hemodialysis practice in China compared with other DOPPS countries, examining demographic, social and clinical characteristics of patients on two-times weekly dialysis.

Methods. The DOPPS protocol was implemented in 2011 among a cross-section of 1379 patients in 45 facilities in Beijing, Guangzhou and Shanghai. Data from China were compared with a cross section of 11 054 patients from the core DOPPS countries (collected 2009-11). Among China DOPPS patients, logistic and linear regression were used to describe the association of dialysis frequency with patient and treatment characteristics and quality of life.

Results. A total of 26% of the patients in China were dialyzing two times weekly, compared with <5% in other DOPPS regions. Standardized Kt/V was lowest in China (2.01) compared with other regions (2.12-2.27). Female sex, shorter dialysis vintage, lower socioeconomic status, less health insurance coverage, and lack of diabetes and hypertension were associated with dialyzing two times weekly (versus three times weekly). Patients dialyzing two times per week had longer treatment times and lower standardized Kt/V, but similar quality of life scores.

Conclusions. Two-times weekly dialysis is common in China, particularly among patients, who started dialysis more recently, have a lower comorbidity burden and have financial constraints. Quality of life scores do not differ between the two-times and three-times weekly groups. The effect on clinical outcomes merits further study.

语种英语
资助者Amgen ; Kyowa Hakko Kirin ; Sanofi Renal ; AbbVie ; Baxter ; Vifor Fresenius Renal Pharma ; Amgen ; Kyowa Hakko Kirin ; Sanofi Renal ; AbbVie ; Baxter ; Vifor Fresenius Renal Pharma
WOS记录号WOS:000342935600023
引用统计
被引频次:18[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67534
专题北京大学第二临床医学院
作者单位1.Arbor Res Collaborat Hlth, Ann Arbor, MI 48104 USA
2.Shanghai Jiao Tong Univ, Sch Med, Renji Hosp, Div Renal, Shanghai 200030, Peoples R China
3.Stanford Univ, Sch Med, Div Nephrol, Palo Alto, CA 94304 USA
4.Shanghai Jiao Tong Univ, Sch Med, Ruijin Hosp, Dept Nephrol, Shanghai 200030, Peoples R China
5.Peking Univ, Peoples Hosp, Beijing 100871, Peoples R China
6.Peking Univ, Hosp 1, Beijing 100871, Peoples R China
7.Peking Univ, Inst Nephrol, Beijing 100871, Peoples R China
8.Southern Med Univ, Nanfang Hosp, Div Nephrol, Guangzhou, Guangdong, Peoples R China
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GB/T 7714
Bieber, Brian,Qian, Jiaqi,Anand, Shuchi,et al. 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[J]. NEPHROLOGY DIALYSIS TRANSPLANTATION,2014,29(9):1770-1777.
APA Bieber, Brian.,Qian, Jiaqi.,Anand, Shuchi.,Yan, Yucheng.,Chen, Nan.,...&Ramirez, Sylvia P. B..(2014).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.NEPHROLOGY DIALYSIS TRANSPLANTATION,29(9),1770-1777.
MLA Bieber, Brian,et al."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".NEPHROLOGY DIALYSIS TRANSPLANTATION 29.9(2014):1770-1777.
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