Treatment Compliance in End-Stage Renal Disease Patients on Dialysis

Wolcott, Deane L.; Maida, Carl A.; Diamond, Robert; Nissenson, Allen R.

doi:10.1159/000167186

Cited by 112 publications

(82 citation statements)

References 24 publications

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“…Compliance to a specific therapeutic regimen is critical for obtaining optimal effects, but its importance has always been underestimated [3, 28-29]. The significance of dialysis therapy needs to be highlighted since the patients undergoing this intervention have to not only adhere to the treatment regimen requirements, but also change their lifestyle, optimize their diet, and so on.…”

Section: Discussionmentioning

confidence: 99%

Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

et al. 2017

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Background: Dialysis is imperative for patients with end-stage renal disease (ESRD); however, compliance ensures its efficacy. Nursing intervention has been considered to improve compliance. This meta-analysis is aimed at exploring the effects of nursing intervention on dialysis compliance. Methods: A search was performed in the PubMed, Cochrane, and Embase databases for relevant original research articles. Studies were included or excluded based on the simultaneous consideration of quality as ranked by Jadad score and the compliance with predefined selection criteria. Results: A total of 817 participants were included. The results showed that nursing intervention led to significantly higher compliance with dialysis than in standard care. A pilot analysis evidenced that different intervention strategies, including educational, cognitive, and behavioral approaches, had limited effects on dialysis compliance. Conclusion: Nursing intervention is beneficial for raising dialysis compliance, providing evidence of the need to strengthen nursing care for ESRD patients administered with dialysis in daily clinical practice.

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Section: Discussionmentioning

confidence: 99%

Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

et al. 2017

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“…In the current study, a substantial diminution in programme compliance (adherence to the recommendations of the multidisciplinary rehabilitation team) was observed. This issue of adherence is relevant to many aspects of healthcare [33], with wide ranges of adherence (15-94%) having been reported for a variety of programmes and diagnostic categories [34,35]. Among those with respiratory conditions, BOSLEY et al [36] noted that w50% of asthmatics did not take their medications regularly and that low adherence correlated with reduced health-related quality of life.…”

Section: Discussionmentioning

confidence: 99%

The effect of postrehabilitation programmes among individuals with chronic obstructive pulmonary disease

Brooks¹,

Krip²,

Mangovski-Alzamora³

et al. 2002

European Respiratory Journal

183

156

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The purpose of this study was to examine the effects of two postrehabilitation programmes on functional exercise tolerance and health-related quality of life in patients with chronic obstructive pulmonary disease (COPD).Subjects with COPD (n=109) were randomised to receive either enhanced follow-up (EF) or conventional follow-up (CF). Subjects in the EF group attended a monthly support group and received a telephone call from a staff member at the midpoint (2 weeks) between their visits. Both groups had scheduled appointments with a physical therapist and physician at 3-monthly intervals after discharge.Longitudinal data were recorded in 85 subjects (37 EF and 48 CF). Over the course of the study, there was no difference in distance walked in 6 min between the two groups but a significant difference for time and a group-time interaction. There was no difference in total chronic respiratory disease questionnaire score between groups at baseline or at any time interval despite a significant difference with time.There was a clear deterioration in functional exercise capacity and health-related quality of life after completion of respiratory rehabilitation but no difference between the groups.

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“…With respect to the compliance with the scheduled dialysis treatment, most of the patients showed a very regular and punctual attendance. We do not know whether this represents the general case [23,24], Uremic patients may develop aggregation of atherosclerosis both before and after starting dialysis with multiple established risk factors such as hypertension, hyperlipidemia, glucose intolerance, and cigarette smoking [25], Whether chronic dialysis per se is an additional risk factor for acceleration of atherosclerosis is not yet known [26][27][28][29][30][31].…”

Section: Discussionmentioning

confidence: 99%

Effect of Renal Diseases and Comorbid Conditions on Survival in Chronic Dialysis Patients

Iseki

Nishime

Uehara

et al. 1994

Nephron

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International and geographical differences in the survival rates of chronic dialysis patients can be explained by differences in primary renal disease, in the acceptance rate of elderly patients, and in predialysis comorbid conditions. Several studies have shown the effects of these factors on survival. However, in most studies, a large number of patients may leave for renal transplantation or transfer to other centers, so that precise analysis becomes impossible. Although the number of patients in our registry is not so large (n = 1,982), we have few such problems and were able to examine the effects of the above-mentioned factors on patient survival using the Cox proportional hazard model. Hazard ratios (HR) and 95% confidence intervals were 0.739 and 0.366-1.491 in patients with polycystic kidney disease (n = 38), 2.669 and 1.513-4.708 in patients with systemic lupus erythematosus (n = 39), 1.245 and 0.935-1.660 in patients with nephrosclerosis (n = 122), 1.815 and 1.447-2.229 in patients with diabetes mellitus (n = 374), and 1.595 and 1.201-2.117, respectively, in patients with other renal diseases (n = 146) when the HR in patients with chronic glomerulonephritis (n = 1,263) was taken as 1.00. HR and 95% confidence intervals were 1.222 and 1.016-1.470 in patients with one comorbid condition (n = 217) and 1.494 and 1.033-2.160, respectively, in patients with two comorbid conditions (n = 24) when the HR of patients with no predialysis comorbid conditions (n = 1,741) was taken as 1.00. Our data demonstrate the effects of renal diseases and number of predialysis comorbid conditions on the survival in chronic dialysis patients. Differences in proportion of diabetic patients and age at entry may cause large differences in survival rates. In diabetic patients, causes of malnutrition and the effects of dialysis dose on the survival rate remain to determined.

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Treatment Compliance in End-Stage Renal Disease Patients on Dialysis

Cited by 112 publications

References 24 publications

Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

The effect of postrehabilitation programmes among individuals with chronic obstructive pulmonary disease

Effect of Renal Diseases and Comorbid Conditions on Survival in Chronic Dialysis Patients

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