Évolution du temps de transport des patients hémodialysés en région Provence-Alpes-Côte-d’Azur entre 1995 et 2008

Devictor, Bénédicte; Gentile, Stéphanie; Delarozière, Jean-Christophe; Durand, Anne; Brunet, Philippe; Berland, Yvon; Sambuc, Roland; Paca, néphrologues référents du réseau Rein

doi:10.1016/j.nephro.2011.08.004

Cited by 5 publications

(1 citation statement)

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“…The lack of differences cannot indicate to health managers that HD patients living far from the dialysis unit present the same level of well-being as patients who do not travel to undergo HD. Health care givers in many regions of the globe have restructured dialysis unit geography with positive results [18-20]. We think Brazil is an excellent setting to study distance effects because of its characteristics: continental size, ideal number of dialysis units in developed areas and huge difficulties concerning accessibility to medical specialists in underdeveloped areas.…”

Section: Discussionmentioning

confidence: 99%

Distance between residence and the dialysis unit does not impact self-perceived outcomes in hemodialysis patients

Santos

Arcanjo

2012

BMC Res Notes

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BackgroundPatients have to travel long distances to undergo hemodialysis (HD) in some regions. We aimed to search for an association of the distance between patients’ residence and the dialysis unit with quality of life, depression and coping among end-stage renal disease (ESRD) patients undergoing maintenance HD.MethodsWe studied 161 ESRD patients undergoing HD during April 2009. Quality of life, depression and coping were assessed by the SF-36, the 10-item CES-D and the Jalowiec Coping Scale, respectively. The sample was stratified in three groups: I-patients residing in Sobral (where the dialysis unit is located); II-patients residing in towns up to 100 km from Sobral; and III-patients residing in towns distant greater than 100 km from Sobral. Analysis of variance was used to detect differences in quality of life and coping scores between the groups. Logistic regression was used to test distance as a predictor of depression.ResultsThere were 47 (29.2%) patients residing in Sobral, 46 (28.6%) up to 100 km away and 68 (42.2%) greater than 100 km from Sobral. There were no differences related to quality of life and coping scores between the groups. Distance was not a predictor of depression.ConclusionsSocial and cultural factors may explain the lack of differences. Studies from other regions are needed to clarify the distance effects on self-perceived outcomes among HD patients.

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Section: Discussionmentioning

confidence: 99%