Date of Award


Degree Type


Degree Name

Master of Science


Epidemiology and Biostatistics


Dr. Louise Moist


Dialyzing in community-based satellite hemodialysis units has been associated with higher patient satisfaction and diminished physical stress as compared to hospital- based in-centre units. A cross-sectional comparison of clinical performance target attainment and health-related quality of life between prevalent in-centre and satellite dialysis patients was conducted. All patients dialyzing at the London Health Sciences Centre and associated satellite units as of July 24, 2008 who met the eligibility criteria (n

= 522) were enrolled. Patient attainment of hemoglobin, albumin, calcium-phosphate product, Kt/V, and vascular access targets were compared. Participants were also administered the Kidney Disease Quality of Life Short-Form questionnaire. Satellite- based patients demonstrated significantly higher attainment of albumin, hemoglobin, and calcium-phosphate product targets, as well as multiple targets. In-centre patients reported significantly higher scores on the Role-Physical and Role-Emotional domains, while satellite patients reported significantly higher scores for Dialysis Staff Encouragement. This study further informs the advantages of satellite-based care



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