The management of End Stage Renal Failure (ESRD) and Hemodialysis is a complicated and ongoing process requiring close adherence to a medical program. To maintain a relatively healthy lifestyle, ESRD patients must take multiple medications, adhere to a careful diet and attend not only frequent hemodialysis sessions, but see a variety of health care professionals on regular basis.
Patients with ESRD often have other medical issues, particularly heart disease, hypertension and diabetes, further complicating the medical regime. The inability to adhere to the prescribed medical routine and lifestyle can predispose to multiple complications.
The articles below discuss the medical and fiscal costs of non-compliance in hemodialysis, and some strategies for improving adherence to hemodialysis care and prescriptions.
Presenting author: T. Christopher Bond, PhD
ERYTHROPOIESIS STIMULATING AGENT (ESA) USE IS INCREASED FOLLOWING MISSED DIALYSIS SESSIONS
T. Christopher Bond1, Jaime Rubin1, Steven Wang1, Alex Yang2
1DaVita Clinical Research, Minneapolis, MN, USA; 2Affymax, Palo Alto, CA, USA |
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Steven Wang1, T. Christopher Bond1, Jaime Rubin1, Alex Yang2
1DaVita Clinical Research, Minneapolis, MN, USA; 2Affymax, Palo Alto, CA, USA
National Kidney Foundation Spring Clinical Meetings 2012
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Jaime Rubin1, T. Christopher Bond1, Steven Wang1, Alex Yang2
1DaVita Clinical Research, Minneapolis, MN, USA;2Affymax, Palo Alto, CA, USA
National Kidney Foundation Spring Clinical Meetings 2012
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Rosenthal Asher, D., Ver Halen, N. and Cukor, D. (2012), Depression and nonadherence predict mortality in hemodialysis treated end-stage renal disease patients. Hemodialysis International. doi: 10.1111/j.1542-4758.2012.00688.x
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Shah R, Bhatt UY, Cleef SV, Farley M, Davis A, Swope M, Agarwal AK.
Clin Nephrol. 2011 Dec;76(6):435-9.
Division of Nephrology, The Ohio State University, Fresenius Medical Care, Columbus, OH 43210, USA.
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Navdeep Tangri, Hocine Tighiouart, Klemens B. Meyer, and Dana C. Miskulin
JASN Oct 24, 2011 ASN.2010111137; published ahead of print October 24, 2011, doi:10.1681/ASN.2010111137
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This article, from data collected from DOPPS (Dialysis Outcomes and Practice Patterns Study (1996 to 2008) found an increase in mortality in patients
in poor social support.
The Associations of Social Support and Other Psychosocial Factors with Mortality and Quality of Life in the Dialysis Outcomes and Practice Patterns Study
CJASN January 2011 vol. 6 no. 1 142-152
Untas A, Thumma J, Rascle N, Rayner H, Mapes D, Lopes AA, Fukuhara S, Akizawa T, Morgenstern H, Robinson BM, Pisoni RL, Combe C. |
Outcomes of Patients with Delayed Dialysis Initiation: Results from the AVENIR Study
Nathalie Thilly, Stephanie Boini Marc Soudant, Michele Kesslerb, Serge Briançon, Luc Frimat
Clinical Epidemiology and Evaluation, CIC-EC CIE6 Inserm,
Nephrology Unit, University Hospital of Nancy,
EA 4360 Apemac, Nancy University, P. Verlaine Metz University, and Paris Descartes University, France
Am J Nephrol 2011;33:76-83 (DOI: 10.1159/000322835
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Author Interview: Dr. Tara Chang:
Kidney Function and Long-Term Medication Adherence
after Myocardial Infarction in the Elderly”
(doi 10.2215/CJN.07290810)
http://cjasn.asnjournals.org/ January 13, 2011.
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