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The Dialysis Outcomes and Practice Patterns Study (DOPPS) in Turkey.

Tevfik Ecder1, Cengiz Utas2, Kenan Ates3

  • 1Istanbul Bilim University Faculty of Medicine, Istanbul, Turkey.

Hemodialysis International. International Symposium on Home Hemodialysis
|October 27, 2016
PubMed
Summary

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Turkey

Area of Science:

  • Nephrology
  • Public Health
  • Clinical Research

Background:

  • Turkey has a large end-stage renal disease (ESRD) population, necessitating detailed study of hemodialysis (HD) practices.
  • The Dialysis Outcomes and Practice Patterns Study (DOPPS) is a key international initiative examining HD outcomes.
  • Understanding Turkish HD patient profiles is crucial for improving care within the region.

Purpose of the Study:

  • To compare hemodialysis (HD) patient characteristics and outcomes in Turkey with international regions.
  • To validate the DOPPS-Turkey sample against national registry data.
  • To identify unique aspects of Turkish HD care and patient-reported outcomes.

Main Methods:

  • Random selection of 40 hemodialysis (HD) units across Turkey.
Keywords:
Chronic hemodialysischronic renal failuredialysisend-stage renal diseasehemodialysis

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  • In-center chronic HD patients were randomly selected for data collection.
  • Patient- and facility-level data were collected prospectively.

    • Main Results:

    • The DOPPS-Turkey cohort mirrors national registry data for demographics and comorbidities.
    • Turkish patients exhibit high arteriovenous fistula use (83%) and high mean hemoglobin (11.5 g/dL).
    • Contrasts include lower systolic blood pressure and erythropoiesis-stimulating agent use compared to international regions, alongside higher depression scores.

    Conclusions:

    • The DOPPS-Turkey study provides a robust comparison of Turkish hemodialysis (HD) patients to international cohorts.
    • Identified differences in treatment and outcomes warrant further investigation.
    • Long-term follow-up will elucidate the clinical impact of these observed variations in Turkey.