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Titolo:
Compliance in hemodialysis patients: Multidimensional measures in search of a gold standard
Autore:
Kaveh, K; Kimmel, PL;
Indirizzi:
George Washington Univ, Med Ctr, Dept Med, Div Renal Dis & Hypertens, Washington, DC 20037 USA George Washington Univ Washington DC USA 20037 , Washington, DC 20037 USA NIDDKD, Div Kidney Urol & Hematol Dis, NIH, Bethesda, MD 20892 USA NIDDKDBethesda MD USA 20892 l & Hematol Dis, NIH, Bethesda, MD 20892 USA
Titolo Testata:
AMERICAN JOURNAL OF KIDNEY DISEASES
fascicolo: 2, volume: 37, anno: 2001,
pagine: 244 - 266
SICI:
0272-6386(200102)37:2<244:CIHPMM>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
STAGE RENAL-DISEASE; INTERDIALYTIC WEIGHT-GAIN; QUALITY-OF-LIFE; BEHAVIORAL COMPLIANCE; DIALYSIS PATIENTS; SOCIAL SUPPORT; INTERMITTENT HEMODIALYSIS; PERSONALITY-FACTORS; DIETARY COMPLIANCE; CALCIUM-CARBONATE;
Keywords:
compliance; medication; diet; fluid; behavioral; interdialytic weight gain (IDWG);
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
119
Recensione:
Indirizzi per estratti:
Indirizzo: Kimmel, PL George Washington Univ, Med Ctr, Dept Med, Div Renal Dis & Hypertens, 2150Penn Ave NW, Washington, DC 20037 USA George Washington Univ 2150 Penn Ave NW Washington DC USA 20037
Citazione:
K. Kaveh e P.L. Kimmel, "Compliance in hemodialysis patients: Multidimensional measures in search of a gold standard", AM J KIDNEY, 37(2), 2001, pp. 244-266

Abstract

The gold standard to assess the compliance of hemodialysis (HD) patients has not been established. Compliance parameters should be easily measured and verified, reproducible, clearly interpretable, and accurate. They should have meaning for the patient, clear pathophysiological significance unrelated to other factors, and be related to important outcomes. There is poor correlation of subjective and objective measures and poor correlation of laboratory compliance measures. Different factors have been associated with differential compliance in different patient populations, depending on the measures assessed. Recently, behavioral measures of compliance with dialysis prescription, such as shortening or skipping HD treatments, have been developed. New data confirm that many compliance measures, including both laboratory and behavioral compliance indices, are associated with patient outcomes. It is the duty of the nephrologist and staff to make the importance of compliance understandable to patients, It is important for the health care team to understand patients' expectations end attitudes about their illness and their beliefs about the efficacy and importance of the treatment, as well as patients' demographic, medical, psychological, familial, and socioeconomic status, before realistically evaluating compliance. Such knowledge andapproaches may be critical in achieving mutually agreed on compliance goals. We suggest that although assessment of indirect indices is useful, behavioral compliance measures that quantity shortening and skipping behaviors generally should be used in HD patients. Hopefully, analyses of results thatcontrol for multiple potentially confounding factors and effective interventions to improve compliance will be developed in the near future. (C) 2001by the National Kidney Foundation, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 08:27:23