Measuring and predicting outcomes in ESRD patients.

C Meers, J Lang, M McMurray, A R Morton, M A Singer, W Hopman, T A Mackenzie
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Abstract

To test the feasibility of using general health status as a practical dialysis outcome measure, in a longitudinal pilot study, two well-validated instruments were administered to patients from our dialysis unit or clinic. The instruments were administered three times, at eight-week intervals for seven months to 41 hemodialysis (HD) patients. Forty-five transplant (Tx) patients were surveyed once as a validating control. Sociodemographic, imaging and biochemical data were tested as outcome predictors. Unexpected hospitalizations and adverse intercurrent events were used as additional outcome measures. Preliminary analysis shows HD patients scoring low, while Tx patients scored higher (healthier). These preliminary results suggest that assessment of general health status is a valid and practical outcome measure.

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ESRD患者预后的测量和预测。
为了测试使用一般健康状况作为实际透析结果测量的可行性,在一项纵向试点研究中,我们对透析单位或诊所的患者使用了两种经过验证的仪器。41名血液透析(HD)患者使用该仪器三次,每次间隔8周,持续7个月。45例移植(Tx)患者被调查一次作为验证对照。社会人口学、影像学和生化数据作为预后预测指标。意外住院和不良并发事件被用作附加的结果测量。初步分析显示,HD患者得分较低,而Tx患者得分较高(更健康)。这些初步结果表明,一般健康状况的评估是一种有效和实用的结果测量。
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[Assessment clinic and pre-dialysis information]. An integrated dialysis delivery network in Ontario. Incidence of sleep pattern disturbance (SPD) in a hemodialysis sample. Pregnancy and the dialysis patient. Kidney Foundation focus.
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