What does this research mean for the field?

Q: What does this research mean for the field?

Pre-dialysis clinic attendance independently improves patient-perceived quality of life within the first six months of hemodialysis initiation. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

April 5, 2002BMC NephrologyOpen Access

Pre-dialysis clinic attendance improves quality of life among hemodialysis patients

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Why the study?

Does pre-dialysis clinic attendance improve quality of life in incident hemodialysis patients?

Population

120 adult incident hemodialysis patients with chronic irreversible renal failure who initiated hemodialysis…

Comparison

Attendance at a multidisciplinary pre-dialysis… vs No previous pre-dialysis clinic attendance prior…

Design

Cohort

Follow-up

within six months of hemodialysis initiation

Authors

CWChristine A. WhiteQueen's University RPRachel M. PilkeyQueen's University MLMiu LamHarvard University

Discussion

Member takes

Implication

May support pre-dialysis referral for QOL in new HD patients; extends objective data but leaves open randomized confirmation.

Structured PICO

Does pre-dialysis clinic attendance improve quality of life in incident hemodialysis patients?

Population

120 adult incident hemodialysis patients (mean age 62.7 years, 55.8% male) with chronic irreversible renal failure who initiated hemodialysis between January 1 1998 and January 1 2000 and completed the QOL survey within six months of dialysis initiation.

Intervention

Attendance at a multidisciplinary pre-dialysis clinic on at least one occasion prior to dialysis initiation.

Comparator

No previous pre-dialysis clinic attendance prior to dialysis initiation.

Outcome

Quality of life (QOL) scores measured within the first six months of hemodialysis initiation using the SF 36-Item Health Survey.patient reported

Pre-dialysis clinic attendance is associated with significantly better patient-perceived physical and emotional quality of life within the first six months of starting hemodialysis.

Limitations

Retrospective study design
Referral bias (lower residual renal function in non-attenders)
Patient self-selection bias (non-compliant patients may be less willing to attend)

Cite This Study

White et al. (2002) studied this question.

synapsesocial.com/papers/6a19dd573f3ec013f0df2bcc https://doi.org/10.1186/1471-2369-3-3

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Pre-dialysis clinic attendance improves quality of life among hemodialysis patients

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Pre-dialysis clinic attendance improves quality of life among hemodialysis patients

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider