Obstacles to achieving adequate dialysis dose: Compliance, education, transportation, and reimbursement

Latham, Carolyn

doi:10.1016/s0272-6386(98)70170-2

Cited by 17 publications

(7 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although actual travel distance may be less critical to patient treatment decisions than the location of dialysis services close to other important health care and social services that the patient may need to access, long travel times or increased travel may have significant implications for patient health outcomes and quality of life, especially in rural areas. For dialysis patients, studies in the United States and other countries have found that longer driving times are associated with lower treatment attendance, increased mortality, and decreased quality of life . Shorter travel times to dialysis have been associated with increased quality of life and patient satisfaction .…”

Section: Discussionmentioning

confidence: 99%

Geographic Disparities in Patient Travel for Dialysis in the United States

Stephens

Brotherton

Dunning

et al. 2013

The Journal of Rural Health

View full text Add to dashboard Cite

Purpose: To estimate travel distance and time for US hemodialysis patients and to compare travel of rural versus urban patients.Methods: Dialysis patient residences were estimated from ZIP code-level patient counts as of February 2011 allocated within the ZIP code proportional to census tract-level population, obtained from the 2010 US Census. Dialysis facility addresses were obtained from Medicare public-use files. Patients were assigned to an "original" and "replacement" facility, assuming patients used the facility closest to home and would select the next closest facility as a replacement, if a replacement facility was required. Driving distances and times were calculated between patient residences and facility locations using GIS software. Findings:The mean one-way driving distance to the original facility was 7.9 miles; for rural patients average distances were 2.5 times farther than for urban patients (15.9 vs 6.2 miles). Mean driving distance to a replacement facility was 10.6 miles, with rural patients traveling on average 4 times farther than urban patients to a replacement facility (28.8 vs 6.8 miles). Conclusion:Rural patients travel much longer distances for dialysis than urban patients. Accessing alternative facilities, if required, would greatly increase rural patient travel, while having little impact on urban patients. Increased travel could have clinical implications as longer travel is associated with increased mortality and decreased quality of life.

show abstract

Section: Discussionmentioning

confidence: 99%

Geographic Disparities in Patient Travel for Dialysis in the United States

Stephens

Brotherton

Dunning

et al. 2013

The Journal of Rural Health

View full text Add to dashboard Cite

show abstract

“…These include not only peritonitis and catheter-related complications, but also non-compliance, a high incidence of cycler alarms during the course of treatment, and the lack of precise information concerning the mechanics of APD [11,15,16,17]. These include not only peritonitis and catheter-related complications, but also non-compliance, a high incidence of cycler alarms during the course of treatment, and the lack of precise information concerning the mechanics of APD [11,15,16,17].…”

Section: Discussionmentioning

confidence: 99%

Treatment data during pediatric home peritoneal teledialysis

et al. 2003

View full text Add to dashboard Cite

Peritoneal teledialysis (telePD) is a modembased communication link between the patients' cyclers and a computer in the dialysis unit that allows the transmission and storage of a series of automated peritoneal dialysis (APD) treatment data. In order to evaluate the usefulness of telePD in quantifying the problems that may occur during pediatric APD, we retrospectively studied four patients with a median age of 14.1±1.8 years during their initial months of telePD. The selection criteria were potential non-compliance in two cases (patients 1 and 2) and catheter malposition or fibrin occlusion in two (patients 3 and 4). The patients were treated using a Fresenius PD Night Cycler with teledialysis software. Thirty consecutive treatments per patient in the 1st and 4th months were examined, and a series of treatment parameters was calculated. The percentage of treatments with alarms and the number of alarms per treatment were high in both the 1st and the 4th month, particularly in patients 3 and 4. The main causes of the alarms were tube kinking, catheter malfunction, fibrin occlusion, and failure of electrical power. The number of shortened treatments significantly decreased in the 4th month of tele-PD. One non-compliant family was identified during the 1st month of PD, but psychosocial support helped to decrease the number of shortened treatments due to noncompliance in the 4th month. During the 4th month of telePD, the dwell time/total treatment time ratio (which represents the time of contact between the peritoneum and dialysis fluid) increased as a result of technical interventions aimed at reducing the infusion plus drain time.In conclusion, telePD proved to be useful in detecting and solving the clinical and technical problems of APD.

show abstract

“…In addition, attention to the patient's need for organized transportation assistance may help to increase total treatment time compliance among in-center HD patients. Latham (33) reported that the average number of no shows per patient per year recorded by one large dialysis service provider was 0.5 in geographic areas where transportation assistance was available to patients, compared to an average of 2.5 no shows per patient in geographic areas where only limited or no transportation assistance was available.…”

Section: Improving Compliance In Dialysis Patientsmentioning

confidence: 99%

Improving Compliance in Dialysis Patients: Does Anything Work?

Kutner

2001

Seminars in Dialysis

View full text Add to dashboard Cite

Noncompliance with prescribed therapy significantly impacts dialysis patient care and outcome. At least one-half of hemodialysis (HD) patients are likely to be noncompliant with some part of their treatment regimen, and one-third of peritoneal dialysis (PD) patients are believed to miss prescribed exchanges. Psychosocial issues, younger age, and smoking behavior have been linked with compliance problems in multiple studies. Few interventions have been rigorously tested, but patient education and/or individualized attention, supervision, encouragement, and support are widely advocated strategies to improve patient compliance. Areas in need of continued study include psychosocial determinants of compliance in PD as well as HD patients, compliance behavior patterns over time, and the parameters within which dialysis compliance can vary and still achieve specified treatment goals.

show abstract

Obstacles to achieving adequate dialysis dose: Compliance, education, transportation, and reimbursement

Cited by 17 publications

References 10 publications

Geographic Disparities in Patient Travel for Dialysis in the United States

Geographic Disparities in Patient Travel for Dialysis in the United States

Treatment data during pediatric home peritoneal teledialysis

Improving Compliance in Dialysis Patients: Does Anything Work?

Contact Info

Product

Resources

About