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


ABSTRACT: 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.The data used in this study were based on electronic medical records and Medicare claims.This is a retrospective, observational study.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.Treatment nonadherence is common among HD patients and is associated with adverse outcomes. Interventions that improve adherence may improve patient health and reduce costs.

SUBMITTER: Gray KS 

PROVIDER: S-EPMC5447693 | biostudies-other | 2017

REPOSITORIES: biostudies-other

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

Gray Kathryn S KS   Cohen Dena E DE   Brunelli Steven M SM  

ClinicoEconomics and outcomes research : CEOR 20170524


<h4>Objective</h4>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.<h4>Data source</h4>The data used in this study were based on electronic medical records and Medicare claims.<h4>Study design</h4>This is a retrospective, observational study.<h4>Principal findings</h4>HD patients miss 9.9% of all treatments. Approximately half of the missed treatments are due to observab  ...[more]

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