The Elderly on Dialysis: Some Considerations in Compliance

McKevitt, Patricia M.; Jones, Janis F.; Lane, Debra A.; Marion, Ruth R.

doi:10.1016/s0272-6386(12)80017-5

Cited by 27 publications

(6 citation statements)

References 13 publications

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“…This could be attributed to the occurrence of memory deficits in the elderly population. In a previous study, the compliance status of the elderly population was less impressive with regard to predialysis serum PO 4 levels compared to K values [15].…”

Section: Discussionmentioning

confidence: 72%

Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Arıcı

Altun²,

Usalan³

et al. 1998

Blood Purif

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Compliance with the prescribed medical regimen is a critical factor for the continued well-being of hemodialysis patients. As compliance is a multifactorial problem, numerous approaches have been utilized to quantify the compliance of hemodialysis patients. In the present study, we have attempted to examine whether unanticipated control of biochemical indices might predict the compliance status of hemodialysis patients. We compared unanticipated mid-month values of blood urea nitrogen (BUN), serum potassium (K) and phosphate (PO₄) values of 54 maintenance hemodialysis patients with the scheduled, regular first-week measurements during a 6-month study period. The interdialytic weight gain (IWG) levels of the corresponding weeks were also compared. Mid-month analysis revealed a significant deviation in the compliance status of the study population as BUN, serum K and IWGs were concerned (p < 0.05). The mid-month serum PO₄ levels were also higher but the difference was not significant (p < 0.05). In conclusion, the differences observed in biochemical indices upon change of test request timing were distinctive. It suggests that unanticipated control of biochemical indices might contribute to the actual assessment of compliance in hemodialysis patients.

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Section: Discussionmentioning

confidence: 72%

Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Arıcı

Altun²,

Usalan³

et al. 1998

Blood Purif

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“…Worthy of note was that we found that lower age and a higher Ca 9 P were associated with ESA resistance. These findings could be explained, at least in part, by the fact that younger people are less compliant and have more severe hyperparathyroidism [40,41]. As it was explained previously, we divided our patients under darbepoietin therapy in two groups, above and below the 50th percentile according to the ESA/Hb index.…”

Section: Discussionmentioning

confidence: 95%

Risk factors for high erythropoiesis stimulating agent resistance index in pre-dialysis chronic kidney disease patients, stages 4 and 5

et al. 2010

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“…Other investigators have found that coping responses to treatment may be important predictors of level of adherence. [14] Lack of any significant relationship between cognitive functioning and adherence to treatment regimen may be due to the brief measurement of cognition in this study. We also only evaluated this at one time point.…”

Section: Discussionmentioning

confidence: 84%

Cognitive Status in Hemodialysis as a Function of Fluid Adherence

2004

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Previous work has shown that dialysis improves cognitive functioning in hemodialysis patients, perhaps due to improvements in anemia among these patients. Such improvements in cognitive performance may lead to better levels of self-care and adherence with treatment. This study examined the relationship between fluid adherence and cognitive functioning in patients receiving hemodialysis. One hundred forty-seven patients were assessed with a brief screening instrument, the Cognistat, to determine their current level of functioning during the first hour of hemodialysis. Fluid nonadherence was operationalized as interdialytic weight gain above 1 kg/day. Rates of impairment on the Cognistat subscale ranged from 2.7% (orientation) to 54% (memory) in this sample. Roughly 68% of the sample was nonadherent during the course of treatment. Results found no differences in mean levels of cognitive performance between those who were adherent and those who were not and only modest relationships of measures of anemia to certain aspects of cognitive performance. For the hemodialysis patient to benefit from self-care education, the patient must be able to understand, remember, reason, and use cognitive processes to modify behavior. These results suggest that more in-depth assessment of cognitive performance may be needed. In addition, this assessment may need to be conducted on a day when treatment is not received.

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The Elderly on Dialysis: Some Considerations in Compliance

Cited by 27 publications

References 13 publications

Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Compliance in Hemodialysis Patients: Unanticipated Monitoring of Biochemical Indices

Risk factors for high erythropoiesis stimulating agent resistance index in pre-dialysis chronic kidney disease patients, stages 4 and 5

Cognitive Status in Hemodialysis as a Function of Fluid Adherence

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