Skipped Treatments, Markers of Nutritional Nonadherence, and Survival Among Incident Hemodialysis Patients

Unruh, Mark; Evans, Idris; Fink, Nancy E.; Powe, Neil R.; Meyer, Klemens B.

doi:10.1053/j.ajkd.2005.09.002

Cited by 78 publications

(85 citation statements)

References 38 publications

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“…The persistent influence may relate to intrinsic, health-related patient characteristics; one possibility is a general tendency to nonadherence with medical recommendations, which has been associated with increased mortality. [24][25][26][27][28][29] Previous studies of the consequences associated with leaving hospital against medical advice, including 2 population-based studies, 6,8 were restricted to selected types of patients.…”

Section: Discussionmentioning

confidence: 99%

Rates of readmission and death associated with leaving hospital against medical advice: a population-based study

Garland

Ramsey

Fransoo

et al. 2013

CMAJ

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Section: Discussionmentioning

confidence: 99%

Rates of readmission and death associated with leaving hospital against medical advice: a population-based study

Garland

Ramsey

Fransoo

et al. 2013

CMAJ

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“…24,40,71,72,81 Decreased compliance with HD prescription has also been associated with poor medical outcomes and increased mortality. 71,79,80,82,83 …”

Section: Treatment Compliancementioning

confidence: 99%

Psychosocial Aspects of Chronic Disease

Cukor¹,

Cohen²,

Peterson³

et al. 2007

Journal of the American Society of Nephrology

325

274

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“…All calcium levels were corrected for albumin [corrected calcium ϭ calcium level ϩ 0.8*(4 Ϫ albumin level)]. Baseline statin use (26) and nonadherence to dialysis sessions (27), defined as missing Ͼ3% of sessions, were as described previously.…”

Section: Data Collectionmentioning

confidence: 99%

Serum Phosphate Levels and Risk of Infection in Incident Dialysis Patients

Plantinga

Fink

Melamed

et al. 2008

Clinical Journal of the American Society of Nephrology

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Background and objectives: Hyperphosphatemia is highly prevalent in dialysis patients and may be associated with immune dysfunction. The association of serum phosphate level with infection remains largely unexamined.Design, setting, participants, & measurements: In an incident cohort of 1010 dialysis patients enrolled from 1995 to 1998 and treated in 80 US clinics, the association of phosphate level (low <3.5; normal 3.5 to 5.5; high >5.5 mg/dl) at baseline and during follow-up with the risk for incident inpatient and outpatient infection-related events was examined. Infectious events were identified from US Renal Data System data (mean follow-up 3.3 yr). Incidence rate ratios for all infections, sepsis, respiratory tract infections, and osteomyelitis were obtained using multivariable Poisson models, adjusting for potential confounders (age, race, gender, smoking, comorbidity, and laboratory values).Results: Infections of any type (n ‫؍‬ 1398) were more frequent among patients with high phosphate levels at baseline, relative to normal; this association was not changed by adjustment for parathyroid hormone level. Similarly, high versus normal baseline phosphate was associated with increased risk for sepsis and osteomyelitis but not respiratory tract infections. Associations with calcium were generally NS, and results with calcium-phosphate product mirrored the phosphate results.Conclusions: High phosphate levels may be associated with increased risk for infection, contributing further to the rationale for aggressive management of hyperphosphatemia in dialysis patients.

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Skipped Treatments, Markers of Nutritional Nonadherence, and Survival Among Incident Hemodialysis Patients

Cited by 78 publications

References 38 publications

Rates of readmission and death associated with leaving hospital against medical advice: a population-based study

Rates of readmission and death associated with leaving hospital against medical advice: a population-based study

Psychosocial Aspects of Chronic Disease

Serum Phosphate Levels and Risk of Infection in Incident Dialysis Patients

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