In-center hemodialysis absenteeism: prevalence and association with outcomes.

ABSTRACT:

Objective

The aim of this study was to determine the rate of missed treatments among hemodialysis (HD) patients, and the association between treatment nonadherence and clinical outcomes.

Data source

The data used in this study were based on electronic medical records and Medicare claims.

Study design

This is a retrospective, observational study.

Principal findings

HD patients miss 9.9% of all treatments. Approximately half of the missed treatments are due to observable medical events, predominantly hospitalizations, while half result from nonadherence ("absence"). A single absence is associated with a 1.4-fold greater risk of hospitalization, and a 2.2-fold greater risk of death in the subsequent 30 days.

Conclusion

Treatment nonadherence is common among

SUBMITTER: Gray KS 

PROVIDER: S-EPMC5447693 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature