Association between facility-level adherence to phosphorus management guidelines and mortality in haemodialysis patients: a prospective cohort study.

ABSTRACT:

Objectives

To examine the association between facility-level adherence to phosphorus management guidelines and mortality among patients with haemodialysis, and to explore the facility-related factors associated with facility-level guideline adherence.

Design

Prospective cohort study.

Setting

The Dialysis Outcomes and Practice Pattern Study, which included 57 representative dialysis facilities in Japan between 2012 and 2015.

Participants

A total of 2054 adult patients who received maintenance haemodialysis were included. We defined exposure according to the following four categories, depending on whether facility-level target ranges of serum phosphorus concentration adhered to the Japanese clinical practice guidelines: adherence group (lower limit ≥3.5 mg/dL and

SUBMITTER: Itaya T 

PROVIDER: S-EPMC8449959 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature