Attitudes of Canadian Nephrologists toward Dialysis Modality Selection
| العنوان: | Attitudes of Canadian Nephrologists toward Dialysis Modality Selection |
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| المؤلفون: | Ravindra L. Mehta, David C. Mendelssohn, Peter G. Blake, Beverly Jung |
| المصدر: | Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis. 19:263-268 |
| بيانات النشر: | SAGE Publications, 1999. |
| سنة النشر: | 1999 |
| مصطلحات موضوعية: | medicine.medical_specialty, Modality (human–computer interaction), business.industry, medicine.medical_treatment, 030232 urology & nephrology, General Medicine, End stage renal disease, Peritoneal dialysis, 03 medical and health sciences, 0302 clinical medicine, Nephrology, medicine, 030212 general & internal medicine, Hemodialysis, Intensive care medicine, business, Dialysis (biochemistry), Selection (genetic algorithm), Application methods |
| الوصف: | Objective To determine the opinions and attitudes of Canadian nephrologists about dialysis modality decisions and optimal dialysis system design. Participants Members of the Canadian Society of Nephrology. Intervention A mailed survey questionnaire. Results A 66% response rate was obtained. Decisions about modality are reported to be based most strongly on patient preference (4.4 on a scale from 1 to 5), followed by quality of life (4.06), morbidity (3.97), mortality (3.85), and rehabilitation (3.69), while neither facility (1.78) nor physician (1.62) reimbursement are important. When asked about the current relative utilization of each modality, nephrologists felt that hospital-based hemodialysis (HD) is slightly overutilized (2.53), continuous ambulatory peritoneal dialysis (CAPD) is about right (3.00), while cycler peritoneal dialysis (PD) (3.53), community-based full (3.83) and self-care HD (3.91), and home HD (4.02) are underutilized. A hypothetical question about optimal distribution to maximize survival revealed that a type of HD should constitute 62.8% of the mix, with more emphasis on cycler PD (14.9%), community-based full care HD (13.8%), self-care HD (14.5%), and home HD (9.0%) than is current practice. However, when the goal was to maximize cost effectiveness, HD fell slightly to 57.8%. Conclusions These survey results suggest that the current national average 66%/34% HD/PD ratio is reasonable. However, there appears to be a consensus that Canada could evolve to a more cost-effective, community-based dialysis system without compromising patient outcomes. |
| تدمد: | 1718-4304 0896-8608 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::3f6f6763cd142609e8ba8696455c0c71Test https://doi.org/10.1177/089686089901900313Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi...........3f6f6763cd142609e8ba8696455c0c71 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17184304 08968608 |
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