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In-center Hemodialysis Absenteeism: Prevalence and Association with Outcomes

Overview
Journal Clinicoecon Outcomes Res
Publisher Dove Medical Press
Specialty Health Services
Date 2017 Jun 6
PMID 28579814
Citations 5
Authors
Kathryn S Gray
Dena E Cohen
Steven M Brunelli
Affiliations
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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 HD patients and is associated with adverse outcomes. Interventions that improve adherence may improve patient health and reduce costs.

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