与过渡到置换疗法相关的医疗保健工作量:一项回顾性队列研究
Catrin H Jones1, Benjamin Edgar2, Peter C Thomson3
1School of Health and Wellbeing, University of Glasgow, Glasgow, Scotland. catrin.jones@glasgow.ac.uk.
BMC nephrology
|December 24, 2025
概括
过渡到置换疗法 (KRT) 给患者带来了相当大的时间负担. 与其他KRT方法相比,移植大大减少了这种医疗保健工作量.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健管理的管理
- 患者报告的结果
背景情况:
- 对于晚期慢性病 (CKD),过渡到置换疗法 (KRT) 需要大量的医疗利用.
- 这一密集的阶段给患者带来了相当大的时间负担,原因是频繁的预约,手术和治疗.
研究的目的:
- 量化KRT过渡期间患者经历的基于时间的医疗保健工作负担.
- 为了确定患者在这个关键时期工作量增加的特征.
主要方法:
- 在2015-2019年期间对成人进行KRT (血液透析,腹腔透析或移植) 的回顾性队列研究.
- 电子健康记录用于估计医疗保健活动 (约会,手术,住院,透析,旅行) 的每月时间,从启动前6个月到启动后36个月.
- 工作负载分析为小时/月;统计分析包括克鲁斯卡尔-瓦利斯和负二项式回归.
主要成果:
- 医疗保健中位数的工作量在KRT启动时达到顶峰,在血液透析患者中最高.
- 移植与开始后的工作量明显降低有关 (IRR 0.04).
- 与女性性别,多药店,迟到转诊,年龄较大,模式变化或移植失败相关的工作量增加;社会经济因素并不重要.
结论:
- 在KRT过渡期间的医疗保健工作量是相当大的和高度可变的.
- 移植提供了显著较低的工作量,支持及时的移植计划.
- 在与患者讨论KRT选项时,必须考虑医疗保健的时间负担.
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