Continuous Quality Improvement in Chronic Disease: A Computerized Medical Record Enables Description of a Severity Index to Evaluate Outcomes in End-Stage Renal Disease

1992 ◽  
Vol 19 (6) ◽  
pp. 514-522 ◽  
Author(s):  
Victor E. Pollak ◽  
Anna Pesce ◽  
K. Shashi Kant
Keyword(s):  
Quality Improvement ◽  
Chronic Disease ◽  
Renal Disease ◽  
Continuous Quality Improvement ◽  
End Stage Renal Disease ◽  
Severity Index ◽  
Continuous Quality ◽  
Stage Renal Disease ◽  
End Stage ◽  
Computerized Medical Record

Measuring disease severity in patients with end-stage renal disease: validity of the Craven et al. ESRD Severity Index

1995 ◽  
Vol 25 (1) ◽  
pp. 189-193 ◽  
Author(s):  
K. W. Griffin ◽  
R. Friend ◽  
N. K. Wadhwa
Keyword(s):  
Renal Disease ◽  
Disease Severity ◽  
End Stage Renal Disease ◽  
Burden Of Illness ◽  
Severity Index ◽  
Entire Group ◽  
Psychological Burden ◽  
Severity Scores ◽  
Stage Renal Disease ◽  
End Stage

SynopsisThe validity of a recently developed measure of disease severity, the End-stage Renal Disease Severity Index (Craven et al. 1991) was examined in haemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients (total N = 82). Scores on the ESRD Severity Index were compared with three commonly identified components of disease severity: physiological indices of severity, functional status, and psychological burden of illness. For the entire group of subjects, scores on the ESRD Severity Index were negatively associated with functional ability and positively related to physiological severity. ESRD Severity Index scores showed a weaker relationship with psychological burden of illness which depended in part on treatment mode. Disease severity scores were positively related to depression in CAPD patients but not in HD patients. These findings suggest that the ESRD Severity Index is a valuable research tool with construct validity.

scholarly journals Non-adherence to hemodialysis, perception of the illness, and severity of advanced nephropathy

2020 ◽  
Author(s):  
Lianna Gonçalves Dantas ◽  
Mario Seixas Rocha ◽  
Constança Margarida Sampaio Cruz
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Illness Perception ◽  
Severity Index ◽  
Clinical Aspects ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Interdialytic Weight Gain ◽  
Stage Renal Disease ◽  
End Stage

Abstract Introduction: Hemodialysis (HD) is a complex therapy that imposes several changes in the patient's life. Failure to follow therapy recommendations is called non-adherence (NA). The patient's illness perception, severity of chronic kidney disease, and individual strategies for coping with HD can have an impact on NA to the demands of therapy. Methods: This was a cross-sectional study with end-stage renal disease patients on conventional HD in Salvador, Bahia. We evaluated attendance to treatment and interdialytic weight gain (IDWG) as parameters of NA to HD, and investigated its association with clinical aspects and measures of disease perception (illness effects questionnaire - IEQ) and severity of nephropathy (end stage renal disease severity index - ESRD-SI), by analyzing Pearson or Spearman correlation. Results: 79 patients were evaluated, 57% male, aged 53.1 ± 12.3 years, with length of HD of 108 (89 - 131.5) months. Age correlated with ESRD-SI (r = 0.43) and NA parameters: negative correlation with relative IDWG (r = -0.41) and reduction in sessions (r = -0.31) and positive correlation with %HD performed (r = 0.25). The scores on the IEQ and ESRD-SI showed a positive correlation (r = 0.44; p <0.001), but did not show any correlation with the analyzed NA parameters. Conclusions: We did not find a correlation between illness perception and severity index of advanced nephropathy with the behaviors of NA to chronic HD. In this study, age correlated both with the perception of severity of advanced nephropathy and the parameters of NA to chronic HD.

scholarly journals Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care

JAMA Surgery ◽  
2015 ◽  
Vol 150 (8) ◽  
pp. 764 ◽  
Author(s):  
Devin S. Zarkowsky ◽  
Caitlin W. Hicks ◽  
Isibor Arhuidese ◽  
Joseph K. Canner ◽  
Tammam Obeid ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Regional Variation ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals NEPRHOGENIC ASCITES: A CASE OF POORLY UNSTATED SYNDROME

2021 ◽  
Vol 10 (4) ◽  
pp. 3401-3403
Author(s):  
Monali Rajendra kumar Sahu
Keyword(s):  
Chronic Disease ◽  
Renal Transplant ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Rare Entity ◽  
Peritoneal Membrane ◽  
Ultra Filtration ◽  
Stage Renal Disease ◽  
End Stage ◽  
First Time

Nephrogenic ascites is a controversial and very rare entity; it was described for the first time in 1970.It is often described as an antites of ascites in patients undergoing renal transplant therapy with end-stage renal disease (ESRD). This condition is thought to be multifactorial in origin resulting from including amalgamation of malnutrition, inadequate dialysis and ultra-filtration with resultant uraemia and increased peritoneal membrane permeability. Prognosis is often grave particularly if timely diagnosis is not done with ensuing treatment. We are talking about the story of a 40-year-old man with no medical history who once reported to us the discomfort, nausea and vomiting that lasted for two days. He was found to have multiple ascites. A diagnostic paracentesis was performed and it was revealed that the patient had Hepatic, cardiovascular, infectious and dangerous causes of ascites were not excluded after a thorough examination. The cause of ascites was determined to be phrogenic. Patient showed excellent renal recovery and disappearance of ascites which makes this case quite unusual given the setting of absence of chronic disease of kidney as well as liver.

A Quality Improvement Model for Optimizing Care of the Diabetic End-Stage Renal Disease Patient

2010 ◽  
Vol 23 (2) ◽  
pp. 206-213 ◽  
Author(s):  
Rex L. Mahnensmith ◽  
Mary Zorzanello ◽  
Yueh-Han Hsu ◽  
Mark E. Williams
Keyword(s):  
Quality Improvement ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Disease Patient ◽  
Stage Renal Disease ◽  
End Stage

Insomnia severity in chronic kidney disease patients with various therapies

Open Medicine ◽  
2012 ◽  
Vol 7 (1) ◽  
pp. 112-117 ◽  
Author(s):  
Marinela Knezevic ◽  
Vladimir Djordjevic ◽  
Ivana Bivolarevic ◽  
Jelena Jovic ◽  
Vidojko Djordjević
Keyword(s):  
Peritoneal Dialysis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Severity Index ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Insomnia Severity Index ◽  
Stage Renal Disease ◽  
End Stage ◽  
Insomnia Severity

AbstractThe prevalence of insomnia is greater in end-stage renal disease. The aim of our study was to determine the frequency of insomnia and subclinical insomnia in patients with various dialysis therapy and kidney transplant recipients, in order to assess the severity of insomnia and examine whether there is a difference in severity among groups. In cross-sectional study, we evaluated 120 patients with terminal renal failure. Based on therapy, patients were divided into four groups: hemodiafiltration, standard bicarbonate dialysis, peritoneal dialysis and kidney transplant recipients. The severity of insomnia was evaluated through the use of the Insomnia Severity Index (ISI). Most patients who reported any kind of insomnia problems with ISI were on conventional dialysis (80%), followed by hemodiafiltration (76.7%) and peritoneal dialysis (63.3%). Transplant recipients had least difficulties with insomnia (46.7%). Insomnia Severity Index showed that insomnia in end-stage renal patients is not very severe. Most of the patients had “no clinically significant insomnia”. Our findings indicate that patients on hemodiafiltration and transplant recipients have a significantly lower score on Insomnia Severity Index. Patients with end-stage renal disease have high frequency insomnia problems. However, our study shows that insomnia in these patients is not severe. Insomnia is the most frequent and severest in patients on standard bicarbonate dialysis.

Pre-eclampsia is associated with later kidney chronic disease and end-stage renal disease: Systematic review and meta-analysis of observational studies

2020 ◽  
Vol 22 ◽  
pp. 71-85
Author(s):  
Raphaela Costa Ferreira ◽  
Marilene Brandão Tenório Fragoso ◽  
Micaely Cristina dos Santos Tenório ◽  
João Victor Farias Silva ◽  
Nassib Bezerra Bueno ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Observational Studies ◽  
Meta Analysis ◽  
Stage Renal Disease ◽  
End Stage
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