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Context Matters: A Qualitative Synthesis of Adherence Literature for People on Hemodialysis.


ABSTRACT:

Background

Patients with ESKD treated with hemodialysis in the United States have persistently higher rates of nonadherence compared with patients in other developed countries. Nonadherence is associated with an increased risk of death and higher medical expenditure. There is an urgent need to address it with feasible, effective interventions as the prevalence of patients on hemodialysis in the United States continues to grow. However, published adherence interventions demonstrate limited long-term efficacy.

Methods

We conducted a synthesis of qualitative studies on adherence to hemodialysis treatment, medications, and fluid and dietary restrictions to identify gaps in published adherence interventions, searching PubMed, CINAHL, PsychInfo, Embase, and Web of Science database

SUBMITTER: Taylor KS 

PROVIDER: S-EPMC10101575 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature