The benefit of planned dialysis to early survival on hemodialysis versus peritoneal dialysis: a nationwide prospective multicenter study in Korea

Lim, Jeong-Hoon; Kim, Ji Hye; Jeon, Yena; Kim, Yon Su; Kang, Shin‐Wook; Yang, Chul Woo; Kim, Nam-Ho; Jung, Hee-Yeon; Choi, Ji-Young; Park, Sun-Hee; Kim, Chan‐Duck; Kim, Yong-Lim; Cho, Jang‐Hee

doi:10.1038/s41598-023-33216-w

Cited by 4 publications

(2 citation statements)

References 45 publications

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“… This study aimed to comprehend patient outcomes and diverse practices of renal dialysis in various healthcare settings in Saudi Arabia using a quantitative research design. Descriptive research design was used as one of the quantitative research types, focusing on providing a detailed account of a phenomenon or population [ 11 ]. This design involves the collection and analysis of data without manipulating variables.…”

Section: Methodsmentioning

confidence: 99%

The utilization of renal dialysis: a comprehensive study in Saudi Arabia

Alghamdi,

Alonazi

2024

BMC Public Health

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Background Understanding the trend of utilization of renal dialysis in Saudi Arabia (SA) is fundamental as it provides a general overview of renal care. The practice of renal dialysis assists in identifying challenges, opportunities, and potential areas for improvement in the provision of the services. Objectives This research investigated the utilization of renal dialysis services in SA by exploring the number of renal dialysis centers, hemodialysis machines (HD), and peritoneodialysis patients. Methods The dataset for this study was derived from a collaboration between the General Authority of Statistics (GaStat) and the Ministry of Health (MoH), focusing on indicators for renal dialysis centers and patients across health sectors in 2021. Analysis was conducted using MS Excel 365 and IBM SPSS Version 29, incorporating multiple regression techniques. The health sector was treated as the dependent variable. At the same time, the number of hemodialysis (HD) machines and the counts of HD and peritoneal dialysis patients were considered independent variables. Results Around 275 renal dialysis centers, over 8000 HD machines, 20,440 HD patients, and 1,861 peritoneal patients were tallied from two resources. The findings revealed a negative relationship between the health sector and several renal dialysis centers and peritoneodialysis patients, as demonstrated by p < 0.05 in multiple regression analysis. Conclusion The number of renal dialysis centers influences the availability of HD machines, affecting the number of HD and peritoneodialysis patients. Most national patients preferred MoH over other semi-governmental and private sectors, and vice versa for non-Saudis.

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Section: Methodsmentioning

confidence: 99%

The utilization of renal dialysis: a comprehensive study in Saudi Arabia

Alghamdi,

Alonazi

2024

BMC Public Health

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“…These initiatives include Saudi Vision 2030, the National Transformation Program (NTP), compulsory health insurance, and the Saudi Center for Organ Transplantation (SCOT). These efforts play a significant role in advancing dialysis services in Saudi Arabia [7]. Therefore, examining how people utilize renal dialysis in MoH, other governmental sector hospitals and private healthcare sectors is essential.…”

Section: Introductionmentioning

confidence: 99%

The Utilization of Renal Dialysis in Saudi Arabia: A Comprehensive Study in Saudi Arabia

Alghamdi,

Alonazi

2024

Preprint

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Background: Understanding the trend of utilization of renal dialysis in Saudi Arabia is fundamental as it provides a general overview of renal care. As a result, it assists in identifying challenges, opportunities, and potential areas for improvement in the provision of renal dialysis services, justifying the significance of the present study, which focused on the utilization of renal dialysis services in Saudi Arabia in 2021. Objectives: This research investigated the utilization of renal dialysis services in Saudi Arabia by focusing on the number of renal dialysis centers, hemodialysis machines, and hemodialysis and peritoneodialysis patients. Methods: The data from the General Authority of Saudi Arabia and the Ministry of Health (MoH) indicators for Renal Dialysis Centers and Patients by Health Sectors in 2021 using MS Excel 365 and SPSS Version 29. As a result, the number of renal dialysis centers was considered a dependent variable, and the number of HD machines, HD, and peritoneodialyis patients were the independent variables to determine the relationship between the variables. Results: The findings revealed a positive relationship between the number of renal dialysis centers, the number of HD machines, and HD and peritoneodialysis patients, as demonstrated by p<0.05 in these three healthcare sectors. Conclusion: The number of renal dialysis centers influences the availability of HD machines, affecting the number of HD and peritoneodialyis patients. Most patients (Saudi Arabians) preferred MoH over other governmental sectors and private sectors, while this is vice versa in the case of non-Saudi Arabians. Keywords: Renal Dialysis, Quality of Care, Chronic Renal Failure, and Saudi Arabia

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Early referral to nephrological care improves long-term survival and hospitalization after dialysis initiation, independent of optimal dialysis start – a call for harmonization of reimbursement policies

Haarhaus,

Bratescu,

Pana

et al. 2024

Renal Failure

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Early treatment of kidney disease can slow disease progression and reduce the increased risk of mortality associated with end-stage kidney disease. However, uncertainty exists whether early referral (ER) to nephrological care per se or an optimal dialysis start impacts patient outcome after dialysis initiation. We determined the effect of ER and suboptimal dialysis start on the 3-year mortality and hospitalizations after dialysis initiation. Between January 2015 and July 2018, 349 patients with ≥1 month of follow-up started dialysis at nine Romanian dialysis clinics. After excluding patients with COVID-19 during follow-up, 254 patients (97 ER and 157 late referral) were included in this retrospective study. The observational period was truncated at 3 years, death, or loss to follow-up. Clinical and laboratory data were retrieved from the quality database of the nephrological care providers. Patients were followed for a median (25–75%) of 36 (16–36) months. At dialysis start, ER patients had higher hemoglobin, phosphate, and albumin levels and started dialysis less often via a central dialysis catheter ( p < 0.001 for each). Logistic regression analysis demonstrated an independent lower risk for frequent hospitalizations for ER patients (odds ratio 0.22 (95% confidence interval 0.1–0.485), p < 0.001), and Cox regression analysis revealed an improved survival (hazard ratio 0.540 (95% confidence interval 0.325–0.899), p = 0.02), both independent of optimal dialysis start. In conclusion, early referral to nephrological care was associated with improved survival and lower hospitalization rates during the three years after dialysis initiation, independent of optimal dialysis start. These results strongly support the reimbursement of nephrological care before dialysis initiation.

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The benefit of planned dialysis to early survival on hemodialysis versus peritoneal dialysis: a nationwide prospective multicenter study in Korea

Cited by 4 publications

References 45 publications

The utilization of renal dialysis: a comprehensive study in Saudi Arabia

The utilization of renal dialysis: a comprehensive study in Saudi Arabia

The Utilization of Renal Dialysis in Saudi Arabia: A Comprehensive Study in Saudi Arabia

Early referral to nephrological care improves long-term survival and hospitalization after dialysis initiation, independent of optimal dialysis start – a call for harmonization of reimbursement policies

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