对于患有功能衰竭的人来说,家庭与中心血液透析相比
Melissa S Cheetham1,2, Isabelle Ethier3,4, Rathika Krishnasamy1,2,5
1Renal Unit, Sunshine Coast University Hospital, Birtinya, Australia.
The Cochrane database of systematic reviews
|April 8, 2024
概括
家庭血液透析 (HHD) 可能会减少与中心HD (ICHD) 相比的死亡和住院,但证据不确定. 需要更多的研究来证实HHD对功能衰竭患者的益处和成本效益.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 脏替代疗法治疗 脏替代疗法
- 证据综合 证据综合
背景情况:
- 家庭血液透析 (HHD) 提供了潜在的临床,社会和经济效益超过中心的HD (ICHD).
- 由于有限的随机对照试验 (RCT),对HHD与ICHD的比较益处和危害存在不确定性.
- 本综述已更新,包括对干预措施的非随机研究 (NRSIs),以提供更全面的评估.
结论:
- 目前的证据,主要来自观察性研究,表明HHD与ICHD在死亡率,住院和康复方面存在不确定的关联.
- 与ICHD相比,HHD的成本效益仍然不确定,特别是在治疗的最初几年.
- 未来的研究需要标准化的结果措施,以提高对HHD的有效性评估的可比性和确定性.
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