腹腔透析护理轨迹的多样性:基于REIN注册和SNDS数据库的研究
Bruno Legendre1,2,3, Thierry Lobbedez1,2, Cécile Couchoud4
1Normandie Univ, UNICAEN, CHU de Caen Normandie, Néphrologie, Caen, France.
PloS one
|August 5, 2025
概括
大多数腹膜透析患者转向其他脏替代疗法,突出其在多模式治疗方法中的作用. 了解这些复杂的患者旅程对于综合脏护理至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 综合护理模式强调置换疗法 (KRTs) 的序列,而不是孤立的模式.
- 传统的注册表提供不完整的关于患者治疗轨迹的数据.
- 需要对腹膜透析 (PD) 途径进行全面描述.
研究的目的:
- 在腹腔透析 (PD) 模式中提供患者护理途径的完整描述.
- 分析PD患者的KRT轨迹的复杂性和多样性.
主要方法:
- 使用了来自法国REIN注册和SNDS数据库 (2009-2019) 的数据.
- 重建了详细的患者轨迹,包括所有KRT (PD,血液透析,移植,死亡).
- 采用桑基图来可视化不同KRT之间的流程和过渡.
主要成果:
- 在5,053名PD患者中,只有33%的患者继续接受PD治疗.
- 36%的患者至少两次切换了KRT.
- 在PD和血液透析之间观察到高转移率 (40%的PD转为HD,27%的HD转为PD).
- 10%的人经历了混合透析,有些人回到PD.
结论:
- 腹腔透析经常是多模式KRT策略的一部分,三分之二的患者可能会使用其他疗法.
- 研究结果提供了比传统的注册表更精确的看法PD患者的轨迹.
- 综合护理需要更好的信息共享和促进透析模式之间的转移.
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