Journal of health care for the poor and underserved · 2025
Impact of Transition from Compassionate to Scheduled Dialysis on Quality of Life for Patients at a Federally Qualified Health Center.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Lin Kathryn P, Chu Lawrence, Dong Kevin, Jordan Jessi, Kolandjian Michael, Nguyen Tammy, Lawson Kenneth A, Cardenas Carmen, Young Veronica
Аннотация
BACKGROUND: In the United States, uninsured patients with kidney failure often rely on emergency (compassionate) hemodialysis in acute care settings to manage life-threatening complications, as scheduled hemodialysis is often unattainable due to cost. This reactive approach has higher mortality rates, health care utilization, and cost than scheduled hemodialysis. Quality of life (QoL) outcomes are underexplored. This study evaluates changes in QoL after transitioning uninsured patients from emergency to scheduled hemodialysis.
METHODS: Kidney Dialysis Quality of Life (KDQOL) surveys were administered pre- and three-months post- transition at a federally qualified health center in Texas. A Wilcoxon signed-rank test analyzed score differences.
RESULTS: Among 39 patients significant improvements were observed across all KDQOL domains, with the greatest improvements in the "burden of kidney disease" (54.7%), "physical composite (33.13%), and "symptoms" (22.32%).
CONCLUSION: Expanding access to scheduled hemodialysis may improve QoL, reduce symptom burden, and lower cost in underserved populations.
METHODS: Kidney Dialysis Quality of Life (KDQOL) surveys were administered pre- and three-months post- transition at a federally qualified health center in Texas. A Wilcoxon signed-rank test analyzed score differences.
RESULTS: Among 39 patients significant improvements were observed across all KDQOL domains, with the greatest improvements in the "burden of kidney disease" (54.7%), "physical composite (33.13%), and "symptoms" (22.32%).
CONCLUSION: Expanding access to scheduled hemodialysis may improve QoL, reduce symptom burden, and lower cost in underserved populations.