Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis

Detalhes bibliográficos
Autor(a) principal: Martins, Maria Tereza Silveira
Data de Publicação: 2013
Outros Autores: Silva, Luciana Ferreira, Kraychete, Angiolina Campos, Reis, Dandara, Dias, Lidiane, Schnitman, Gabriel, Oliveira, Lívia, Lopes, Gildete Barreto, Lopes, Antonio Alberto da Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/15905
Resumo: p. 1-10
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spelling Martins, Maria Tereza SilveiraSilva, Luciana FerreiraKraychete, Angiolina CamposReis, DandaraDias, LidianeSchnitman, GabrielOliveira, LíviaLopes, Gildete BarretoLopes, Antonio Alberto da SilvaMartins, Maria Tereza SilveiraSilva, Luciana FerreiraKraychete, Angiolina CamposReis, DandaraDias, LidianeSchnitman, GabrielOliveira, LíviaLopes, Gildete BarretoLopes, Antonio Alberto da Silva2014-09-09T15:00:28Z2014-09-09T15:00:28Z20131471-2369http://repositorio.ufba.br/ri/handle/ri/15905v. 14, n. 1p. 1-10Background: Despite the evidence that phosphate binder (PB) is associated with improved outcomes many hemodialysis patients do not adhere to prescribed PB regimen. Therefore, barriers to PB adherence should be identified and eliminated. The purpose of this study was to evaluate PB adherence among hemodialysis patients and to explore potentially modifiable factors associated with low PB adherence. Methods: A cross-sectional study (502 patients) was performed in four dialysis units in Salvador, Brazil, using data from the second phase of the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO). Patients were categorized as adherent or non-adherent to PB based on their responses to a semi-structured questionnaire. Results: Non-adherence to PB was observed for 65.7% of the patients. After adjustments for numerous covariates, cerebrovascular disease (odds ratio (OR), 3.30; 95% confidence interval (CI), 1.03-10.61), higher PTH (OR per each 300 pg/mL, 1.14; 95% CI, 1.01-1.28), lack of comprehension of the appropriate time to use PB (OR, 7.09; 95% CI, 2.10-23.95) and stopping PB use after feeling better (OR, 4.54; 95% CI, 1.45-14.25) or feeling worse (OR, 11.04; 95% CI, 1.79- 68.03) were significantly associated with PB non-adherence. By contrast, the adjusted odds of PB non-adherence were lower for patients with more years on dialysis (OR by each 2 years, 0.87; 95% CI, 0.80-0.95), with serum phosphorus above 5.5 mg/dL (OR, 0.53; 95% CI 0.34-0.82), who referred that were encouraged by the dialysis staff to be independent (OR, 0.52; 95% CI 0.30-0.90), and reported that the nephrologist explained how PB should be used (OR, 0.20; 95% CI 0.05-0.73). Conclusion: The results of the present study are encouraging by showing evidence that improvement in the care provided by the dialysis staff and the attending nephrologist may play an important role in reducing the high prevalence of non-adherence to PB in maintenance hemodialysis patients. A new questionnaire is presented and may help to evaluate systematically the patients regarding PB adherence in hemodialysis setting.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2014-04-24T11:18:52Z No. of bitstreams: 1 1471-2369-14-208.pdf: 211809 bytes, checksum: c68c022ec7cf8371b1b8d35847457608 (MD5)Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2014-09-09T15:00:28Z (GMT) No. of bitstreams: 1 1471-2369-14-208.pdf: 211809 bytes, checksum: c68c022ec7cf8371b1b8d35847457608 (MD5)Made available in DSpace on 2014-09-09T15:00:28Z (GMT). No. of bitstreams: 1 1471-2369-14-208.pdf: 211809 bytes, checksum: c68c022ec7cf8371b1b8d35847457608 (MD5) Previous issue date: 2013http://dx.doi.org/10.1186/1471-2369-14-208reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAHemodialysisPhosphate binderAdherencePotentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysisBMC Nephrologyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBrasilinfo:eu-repo/semantics/openAccessengORIGINAL1471-2369-14-208.pdf1471-2369-14-208.pdfapplication/pdf211809https://repositorio.ufba.br/bitstream/ri/15905/1/1471-2369-14-208.pdfc68c022ec7cf8371b1b8d35847457608MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/15905/2/license.txt0d4b811ef71182510d2015daa7c8a900MD52TEXT1471-2369-14-208.pdf.txt1471-2369-14-208.pdf.txtExtracted texttext/plain48475https://repositorio.ufba.br/bitstream/ri/15905/3/1471-2369-14-208.pdf.txt1a79a6db873f4bc8428c9a46ddac4a5bMD53ri/159052022-07-05 14:05:18.512oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:05:18Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis
dc.title.alternative.pt_BR.fl_str_mv BMC Nephrology
title Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis
spellingShingle Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis
Martins, Maria Tereza Silveira
Hemodialysis
Phosphate binder
Adherence
title_short Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis
title_full Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis
title_fullStr Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis
title_full_unstemmed Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis
title_sort Potentially modifiable factors associated with non-adherence to phosphate binder use in patients on hemodialysis
author Martins, Maria Tereza Silveira
author_facet Martins, Maria Tereza Silveira
Silva, Luciana Ferreira
Kraychete, Angiolina Campos
Reis, Dandara
Dias, Lidiane
Schnitman, Gabriel
Oliveira, Lívia
Lopes, Gildete Barreto
Lopes, Antonio Alberto da Silva
author_role author
author2 Silva, Luciana Ferreira
Kraychete, Angiolina Campos
Reis, Dandara
Dias, Lidiane
Schnitman, Gabriel
Oliveira, Lívia
Lopes, Gildete Barreto
Lopes, Antonio Alberto da Silva
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Martins, Maria Tereza Silveira
Silva, Luciana Ferreira
Kraychete, Angiolina Campos
Reis, Dandara
Dias, Lidiane
Schnitman, Gabriel
Oliveira, Lívia
Lopes, Gildete Barreto
Lopes, Antonio Alberto da Silva
Martins, Maria Tereza Silveira
Silva, Luciana Ferreira
Kraychete, Angiolina Campos
Reis, Dandara
Dias, Lidiane
Schnitman, Gabriel
Oliveira, Lívia
Lopes, Gildete Barreto
Lopes, Antonio Alberto da Silva
dc.subject.por.fl_str_mv Hemodialysis
Phosphate binder
Adherence
topic Hemodialysis
Phosphate binder
Adherence
description p. 1-10
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2014-09-09T15:00:28Z
dc.date.available.fl_str_mv 2014-09-09T15:00:28Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/15905
dc.identifier.issn.none.fl_str_mv 1471-2369
dc.identifier.number.pt_BR.fl_str_mv v. 14, n. 1
identifier_str_mv 1471-2369
v. 14, n. 1
url http://repositorio.ufba.br/ri/handle/ri/15905
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.country.fl_str_mv Brasil
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1186/1471-2369-14-208
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
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reponame_str Repositório Institucional da UFBA
collection Repositório Institucional da UFBA
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