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Comparison of baseline data between chronic kidney disease patients starting hemodialysis who live near and far from the dialysis center.
Santos, Paulo Roberto; Arcanjo, Cecília Costa; Aragão, Sânkia Maria Lopes; Ponte Neto, Fernando Lopes; Ximenes, Antônio Robson Gomes; Tapeti, Janaína Teixeira Pereira Carneiro; Mendes, Hyngridd Soares; Vieira, Luise Vasconcelos; Prado, Rita de Cássia Parente; Lima, Marcela Lopes; Adeodato, Wirvig Dionnas Cassemiro; de Menezes, Ivo Antônio Mendes; Moreira, Mairla Maracaba; de Oliveira, Estevam Nelson Moura; Ehrich, Thais Costa.
Afiliação
  • Santos PR; Universidade Federal do Ceará.
  • Arcanjo CC; Universidade Federal do Ceará.
  • Aragão SM; Universidade Federal do Ceará.
  • Ponte Neto FL; Universidade Federal do Ceará.
  • Ximenes AR; Universidade Federal do Ceará.
  • Tapeti JT; Universidade Federal do Ceará.
  • Mendes HS; Universidade Federal do Ceará.
  • Vieira LV; Universidade Federal do Ceará.
  • Prado Rde C; Universidade Federal do Ceará.
  • Lima ML; Universidade Federal do Ceará.
  • Adeodato WD; Universidade Federal do Ceará.
  • de Menezes IA; Universidade Federal do Ceará.
  • Moreira MM; Universidade Federal do Ceará.
  • de Oliveira EN; Universidade Federal do Ceará.
  • Ehrich TC; Universidade Federal do Ceará.
J Bras Nefrol ; 36(3): 375-8, 2014.
Article em En, Pt | MEDLINE | ID: mdl-25317621
INTRODUCTION: The treatment offered to chronic kidney disease (CKD) patients before starting hemodialysis (HD) impacts prognosis. OBJECTIVE: We seek differences among incident HD patients according to the distance between home and the dialysis center. METHODS: We included 179 CKD patients undergoing HD. Patients were stratified in two groups: "living near the dialysis center" (patients whose hometown was in cities up to 100 km from the dialysis center) or as "living far from the dialysis center" (patients whose hometown was more than 100 km from the dialysis center). Socioeconomic status, laboratory results, awareness of CKD before starting HD, consultation with nephrologist before the first HD session, and type of vascular access when starting HD were compared between the two groups. Comparisons of continuous and categorical variables were performed using Student's t-test and the Chi-square test, respectively. RESULTS: Ninety (50.3%) patients were classified as "living near the dialysis center" and 89 (49.7%) as "living far from the dialysis center". Patients living near the dialysis center were more likely to know about their condition of CKD than those living far from the dialysis center, respectively 46.6% versus 28.0% (p = 0.015). Although without statistical significance, patients living near the dialysis center had more frequent previous consultation with nephrologists (55.5% versus 42.6%; p = 0.116) and first HD by fistula (30.0% versus 19.1%; p = 0.128) than those living far from the dialysis center. CONCLUSION: There are potential advantages of CKD awareness, referral to nephrologists and starting HD through fistula among patients living near the dialysis center.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diálise Renal / Instituições de Assistência Ambulatorial / Acessibilidade aos Serviços de Saúde / Falência Renal Crônica Tipo de estudo: Observational_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: J Bras Nefrol Assunto da revista: NEFROLOGIA Ano de publicação: 2014 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diálise Renal / Instituições de Assistência Ambulatorial / Acessibilidade aos Serviços de Saúde / Falência Renal Crônica Tipo de estudo: Observational_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: J Bras Nefrol Assunto da revista: NEFROLOGIA Ano de publicação: 2014 Tipo de documento: Article País de publicação: Brasil