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Impact of social vulnerability on the outcomes of predialysis chronic kidney disease patients in an interdisciplinary center.
Tirapani, Luciana dos Santos; Pinheiro, Hélady Sanders; Mansur, Henrique Novais; Oliveira, Dilmerson de; Huaira, Rosália Maria Nunes Henriques; Huaira, Carlos Contreras; Grincenkov, Fabiane Rossi dos Santos; Bastos, Marcus Gomes; Fernandes, Natália Maria da Silva.
Afiliação
  • Tirapani Ldos S; Universidade Federal de Juíz de Fora, Brasil.
  • Pinheiro HS; Universidade Federal de Juíz de Fora, Brasil.
  • Mansur HN; Fundação Instituto Mineiro de Ensino e Pesquisas em Nefrologia, Brasil.
  • Oliveira Dd; Fundação Instituto Mineiro de Ensino e Pesquisas em Nefrologia, Brasil.
  • Huaira RM; Fundação Instituto Mineiro de Ensino e Pesquisas em Nefrologia, Brasil.
  • Huaira CC; Fundação Instituto Mineiro de Ensino e Pesquisas em Nefrologia, Brasil.
  • Grincenkov FR; Fundação Instituto Mineiro de Ensino e Pesquisas em Nefrologia, Brasil.
  • Bastos MG; Universidade Federal de Juíz de Fora, Brasil.
  • Fernandes NM; Universidade Federal de Juíz de Fora, Brasil.
J Bras Nefrol ; 37(1): 19-26, 2015.
Article em En, Pt | MEDLINE | ID: mdl-25923746
INTRODUCTION: Numerous studies examined the associations between socio-demographic, economic and individual factors and chronic kidney disease (CKD) outcomes and observed that the associations were complex and multifactorial. Socioeconomic factors can be evaluated by a model of social vulnerability (SV). OBJECTIVE: To analyze the impact of SV on the outcomes of predialysis patients. METHODS: Demographic, clinical and laboratory data were collected from a cohort of patients with predialysis stage 3 to 5 who were treated by an interdisciplinary team (January 2002 and December 2009) in Minas Gerais, Brazil. Factor, cluster and discriminant analysis were performed in sequence to identify the most important variables and develop a model of SV that allowed for classification of the patients as vulnerable or non-vulnerable. Cox regression was performed to examine the impact of SV on the outcomes of mortality and need for renal replacement therapy (RRT). RESULTS: Of the 209 patients examined, 29.4% were classified as vulnerable. No significance difference was found between the vulnerable and non-vulnerable groups regarding either mortality (log rank: 0.23) or need for RRT (log rank: 0.17). In the Cox regression model, the hazard ratios (HRs) for the unadjusted and adjusted impact of SV on mortality were found to be 1.87 (confidence interval [CI]: 0.64-5.41) and 1.47 (CI: 0.35-6.0), respectively, and the unadjusted and adjusted impact of need for RRT to be 1.85 (CI: 0.71-4.8) and 2.19 (CI: 0.50-9.6), respectively. CONCLUSION: These findings indicate that SV did not influence the outcomes of patients with predialysis CKD treated in an interdisciplinary center.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Insuficiência Renal Crônica Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / 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: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Insuficiência Renal Crônica Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / 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: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil