Date of Award
2010
Degree Type
Thesis
Degree Name
Master of Science
Program
Epidemiology and Biostatistics
Supervisor
Dr. Louise Moist
Abstract
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
Recommended Citation
Diamant, Michael Jason, "CLINICAL PERFORMANCE TARGET ATTAINMENT AND HEALTH-RELATED QUALITY OF LIFE IN SOUTHWESTERN ONTARIO IN-CENTRE AND SATELLITE-BASED HEMODIALYSIS PATIENTS" (2010). Digitized Theses. 3727.
https://ir.lib.uwo.ca/digitizedtheses/3727