Epidemiological factors associated with early referral to a nephrologist to start chronic hemodialysis in patients at a public hospital in Peru

Carlos Huauya-Leuyacc, Alaciel Melissa Palacios-Guillén, Vicente Aleixandre Benites-Zapata

Resultado de la investigación: Contribución a una revistaArtículoInvestigaciónrevisión exhaustiva

Resumen

© 2018, Asociacion Regional de Dialisi y Transplantes Renales. All rights reserved. Objective: The aim of this study was to establish the prevalence of early referral to a nephrologist to start hemodialysis and the associated epidemiological factors in patients suffering from chronic kidney disease treated at a public hospital in Peru. Material and methods: A retrospective, analytical, observational study with a cross-sectional design was conducted in patients starting HD at a public hospital in Peru. The main variable was early referral, defined as that which happens when patients are instructed to start HD 180 days after they were treated at the nephrology department for the first time. Epidemiological and lab variables were collected. Raw and adjusted generalized linear models (GLM) were employed; prevalence ratio (PR) was calculated with 95% CI as measure of association. Results: The study included 148 patients; early referral was observed in 17% of cases. According to adjusted GLM, patients older than 60 showed a higher prevalence of early referral to a nephrologist: PR=2.17; 95% CI (1.09- 4.32); p=0.03. A lower prevalence of early referral was observed among patients with severe anemia and hypercreatinemia: PR=0.15; 95% CI (0.02- 1.11); p=0.06 and PR=0.19; 95% CI (0.10 -0.36); p<0.01, respectively. Conclusions: The percentage of early referral is low and this should be considered as a public health issue. Improvements in referral systems and health care in all levels are recommended.
Idioma originalInglés estadounidense
Páginas (desde-hasta)126-133
Número de páginas8
PublicaciónRevista de Nefrologia, Dialisis y Trasplante
EstadoPublicada - 1 ene 2018

Huella dactilar

Peru
Public Hospitals
Renal Dialysis
Referral and Consultation
Linear Models
Nephrology
Nephrologists
Chronic Renal Insufficiency
Observational Studies
Anemia
Public Health
Delivery of Health Care

Citar esto

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title = "Epidemiological factors associated with early referral to a nephrologist to start chronic hemodialysis in patients at a public hospital in Peru",
abstract = "{\circledC} 2018, Asociacion Regional de Dialisi y Transplantes Renales. All rights reserved. Objective: The aim of this study was to establish the prevalence of early referral to a nephrologist to start hemodialysis and the associated epidemiological factors in patients suffering from chronic kidney disease treated at a public hospital in Peru. Material and methods: A retrospective, analytical, observational study with a cross-sectional design was conducted in patients starting HD at a public hospital in Peru. The main variable was early referral, defined as that which happens when patients are instructed to start HD 180 days after they were treated at the nephrology department for the first time. Epidemiological and lab variables were collected. Raw and adjusted generalized linear models (GLM) were employed; prevalence ratio (PR) was calculated with 95{\%} CI as measure of association. Results: The study included 148 patients; early referral was observed in 17{\%} of cases. According to adjusted GLM, patients older than 60 showed a higher prevalence of early referral to a nephrologist: PR=2.17; 95{\%} CI (1.09- 4.32); p=0.03. A lower prevalence of early referral was observed among patients with severe anemia and hypercreatinemia: PR=0.15; 95{\%} CI (0.02- 1.11); p=0.06 and PR=0.19; 95{\%} CI (0.10 -0.36); p<0.01, respectively. Conclusions: The percentage of early referral is low and this should be considered as a public health issue. Improvements in referral systems and health care in all levels are recommended.",
author = "Carlos Huauya-Leuyacc and Palacios-Guill{\'e}n, {Alaciel Melissa} and Benites-Zapata, {Vicente Aleixandre}",
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Epidemiological factors associated with early referral to a nephrologist to start chronic hemodialysis in patients at a public hospital in Peru. / Huauya-Leuyacc, Carlos; Palacios-Guillén, Alaciel Melissa; Benites-Zapata, Vicente Aleixandre.

En: Revista de Nefrologia, Dialisis y Trasplante, 01.01.2018, p. 126-133.

Resultado de la investigación: Contribución a una revistaArtículoInvestigaciónrevisión exhaustiva

TY - JOUR

T1 - Epidemiological factors associated with early referral to a nephrologist to start chronic hemodialysis in patients at a public hospital in Peru

AU - Huauya-Leuyacc, Carlos

AU - Palacios-Guillén, Alaciel Melissa

AU - Benites-Zapata, Vicente Aleixandre

PY - 2018/1/1

Y1 - 2018/1/1

N2 - © 2018, Asociacion Regional de Dialisi y Transplantes Renales. All rights reserved. Objective: The aim of this study was to establish the prevalence of early referral to a nephrologist to start hemodialysis and the associated epidemiological factors in patients suffering from chronic kidney disease treated at a public hospital in Peru. Material and methods: A retrospective, analytical, observational study with a cross-sectional design was conducted in patients starting HD at a public hospital in Peru. The main variable was early referral, defined as that which happens when patients are instructed to start HD 180 days after they were treated at the nephrology department for the first time. Epidemiological and lab variables were collected. Raw and adjusted generalized linear models (GLM) were employed; prevalence ratio (PR) was calculated with 95% CI as measure of association. Results: The study included 148 patients; early referral was observed in 17% of cases. According to adjusted GLM, patients older than 60 showed a higher prevalence of early referral to a nephrologist: PR=2.17; 95% CI (1.09- 4.32); p=0.03. A lower prevalence of early referral was observed among patients with severe anemia and hypercreatinemia: PR=0.15; 95% CI (0.02- 1.11); p=0.06 and PR=0.19; 95% CI (0.10 -0.36); p<0.01, respectively. Conclusions: The percentage of early referral is low and this should be considered as a public health issue. Improvements in referral systems and health care in all levels are recommended.

AB - © 2018, Asociacion Regional de Dialisi y Transplantes Renales. All rights reserved. Objective: The aim of this study was to establish the prevalence of early referral to a nephrologist to start hemodialysis and the associated epidemiological factors in patients suffering from chronic kidney disease treated at a public hospital in Peru. Material and methods: A retrospective, analytical, observational study with a cross-sectional design was conducted in patients starting HD at a public hospital in Peru. The main variable was early referral, defined as that which happens when patients are instructed to start HD 180 days after they were treated at the nephrology department for the first time. Epidemiological and lab variables were collected. Raw and adjusted generalized linear models (GLM) were employed; prevalence ratio (PR) was calculated with 95% CI as measure of association. Results: The study included 148 patients; early referral was observed in 17% of cases. According to adjusted GLM, patients older than 60 showed a higher prevalence of early referral to a nephrologist: PR=2.17; 95% CI (1.09- 4.32); p=0.03. A lower prevalence of early referral was observed among patients with severe anemia and hypercreatinemia: PR=0.15; 95% CI (0.02- 1.11); p=0.06 and PR=0.19; 95% CI (0.10 -0.36); p<0.01, respectively. Conclusions: The percentage of early referral is low and this should be considered as a public health issue. Improvements in referral systems and health care in all levels are recommended.

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