FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2741053114> ?p ?o ?g. }

• W2741053114 endingPage "674" @default.
• W2741053114 startingPage "666" @default.
• W2741053114 abstract "BackgroundThe burden of diabetes-related chronic kidney disease (CKD) on individuals and society is increasing, shifting attention toward improving the quality of care for patients with CKD and diabetes. We assessed the quality of CKD care and its association with long-term dialysis, acute kidney injury (AKI), and death.Study DesignRetrospective cohort study (2004-2011).Setting & ParticipantsAdults in Taiwan with incident CKD enrolled in the Longitudinal Cohort of Diabetes Patients.Predictors3 CKD-care quality indicators based on medical and pharmacy claims data were studied: prescription of renin-angiotensin system inhibitors, testing for proteinuria, and nutritional guidance. Each was examined individually, and all were summed into an overall quality score.OutcomesThe primary outcome was initiation of long-term dialysis therapy. Secondary outcomes were hospitalization due to AKI and death from any cause.MeasurementsUsing instrumental variables related to the quality indicators to minimize both unmeasured and measured confounding, we fit a 2-stage residual inclusion model to estimate HRs and 95% CIs for each outcome.ResultsAmong the 63,260 patients enrolled, 43.9% were prescribed renin-angiotensin system inhibitors, 60.6% were tested for proteinuria, and 13.4% received nutritional guidance. During a median follow-up of 37.9 months, 1,471 patients started long-term dialysis therapy, 2,739 patients were hospitalized due to AKI, and 4,407 patients died. Higher overall quality scores were associated with lower hazards for long-term dialysis in instrumental variable analyses (HR of 0.62 [95% CI, 0.40-0.98] per 1-point greater score) and hospitalization due to AKI (HR of 0.69 [95% CI, 0.50-0.96] per 1-point greater score). The hazard for all-cause death was nonsignificantly lower (HR of 0.80 [95% CI, 0.62-1.03] per 1-point greater score).LimitationsPotential misclassification and uncontrolled confounding by indication.ConclusionsOur findings suggest potential opportunities to improve long-term outcomes among patients with diabetes and CKD by improving the quality of their CKD care. The burden of diabetes-related chronic kidney disease (CKD) on individuals and society is increasing, shifting attention toward improving the quality of care for patients with CKD and diabetes. We assessed the quality of CKD care and its association with long-term dialysis, acute kidney injury (AKI), and death. Retrospective cohort study (2004-2011). Adults in Taiwan with incident CKD enrolled in the Longitudinal Cohort of Diabetes Patients. 3 CKD-care quality indicators based on medical and pharmacy claims data were studied: prescription of renin-angiotensin system inhibitors, testing for proteinuria, and nutritional guidance. Each was examined individually, and all were summed into an overall quality score. The primary outcome was initiation of long-term dialysis therapy. Secondary outcomes were hospitalization due to AKI and death from any cause. Using instrumental variables related to the quality indicators to minimize both unmeasured and measured confounding, we fit a 2-stage residual inclusion model to estimate HRs and 95% CIs for each outcome. Among the 63,260 patients enrolled, 43.9% were prescribed renin-angiotensin system inhibitors, 60.6% were tested for proteinuria, and 13.4% received nutritional guidance. During a median follow-up of 37.9 months, 1,471 patients started long-term dialysis therapy, 2,739 patients were hospitalized due to AKI, and 4,407 patients died. Higher overall quality scores were associated with lower hazards for long-term dialysis in instrumental variable analyses (HR of 0.62 [95% CI, 0.40-0.98] per 1-point greater score) and hospitalization due to AKI (HR of 0.69 [95% CI, 0.50-0.96] per 1-point greater score). The hazard for all-cause death was nonsignificantly lower (HR of 0.80 [95% CI, 0.62-1.03] per 1-point greater score). Potential misclassification and uncontrolled confounding by indication. Our findings suggest potential opportunities to improve long-term outcomes among patients with diabetes and CKD by improving the quality of their CKD care." @default.
• W2741053114 created "2017-08-08" @default.
• W2741053114 creator A5009542155 @default.
• W2741053114 creator A5012972864 @default.
• W2741053114 creator A5016218670 @default.
• W2741053114 creator A5018869061 @default.
• W2741053114 creator A5019172957 @default.
• W2741053114 creator A5021070959 @default.
• W2741053114 creator A5042622898 @default.
• W2741053114 creator A5057534039 @default.
• W2741053114 creator A5066049666 @default.
• W2741053114 date "2017-11-01" @default.
• W2741053114 modified "2023-10-18" @default.
• W2741053114 title "Effects of Higher Quality of Care on Initiation of Long-term Dialysis in Patients With CKD and Diabetes" @default.
• W2741053114 cites W1519320417 @default.
• W2741053114 cites W1984951706 @default.
• W2741053114 cites W1987420039 @default.
• W2741053114 cites W1995410581 @default.
• W2741053114 cites W2023373412 @default.
• W2741053114 cites W2025536703 @default.
• W2741053114 cites W2053932423 @default.
• W2741053114 cites W2060566444 @default.
• W2741053114 cites W2088078668 @default.
• W2741053114 cites W2093240762 @default.
• W2741053114 cites W2101896626 @default.
• W2741053114 cites W2103938451 @default.
• W2741053114 cites W2129168200 @default.
• W2741053114 cites W2130020900 @default.
• W2741053114 cites W2139836322 @default.
• W2741053114 cites W2142195373 @default.
• W2741053114 cites W2143323076 @default.
• W2741053114 cites W2153753741 @default.
• W2741053114 cites W2157771507 @default.
• W2741053114 cites W2163180962 @default.
• W2741053114 cites W2266417752 @default.
• W2741053114 cites W2336828507 @default.
• W2741053114 cites W2345974828 @default.
• W2741053114 cites W2415673813 @default.
• W2741053114 cites W2592154319 @default.
• W2741053114 cites W2594958589 @default.
• W2741053114 cites W4243621527 @default.
• W2741053114 cites W4245495994 @default.
• W2741053114 cites W4256578005 @default.
• W2741053114 doi "https://doi.org/10.1053/j.ajkd.2017.05.020" @default.
• W2741053114 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28764919" @default.
• W2741053114 hasPublicationYear "2017" @default.
• W2741053114 type Work @default.
• W2741053114 sameAs 2741053114 @default.
• W2741053114 citedByCount "12" @default.
• W2741053114 countsByYear W27410531142018 @default.
• W2741053114 countsByYear W27410531142019 @default.
• W2741053114 countsByYear W27410531142020 @default.
• W2741053114 countsByYear W27410531142021 @default.
• W2741053114 countsByYear W27410531142022 @default.
• W2741053114 countsByYear W27410531142023 @default.
• W2741053114 crossrefType "journal-article" @default.
• W2741053114 hasAuthorship W2741053114A5009542155 @default.
• W2741053114 hasAuthorship W2741053114A5012972864 @default.
• W2741053114 hasAuthorship W2741053114A5016218670 @default.
• W2741053114 hasAuthorship W2741053114A5018869061 @default.
• W2741053114 hasAuthorship W2741053114A5019172957 @default.
• W2741053114 hasAuthorship W2741053114A5021070959 @default.
• W2741053114 hasAuthorship W2741053114A5042622898 @default.
• W2741053114 hasAuthorship W2741053114A5057534039 @default.
• W2741053114 hasAuthorship W2741053114A5066049666 @default.
• W2741053114 hasBestOaLocation W27410531141 @default.
• W2741053114 hasConcept C126322002 @default.
• W2741053114 hasConcept C134018914 @default.
• W2741053114 hasConcept C167135981 @default.
• W2741053114 hasConcept C177713679 @default.
• W2741053114 hasConcept C201903717 @default.
• W2741053114 hasConcept C2778653478 @default.
• W2741053114 hasConcept C2779561371 @default.
• W2741053114 hasConcept C2779978075 @default.
• W2741053114 hasConcept C2780091579 @default.
• W2741053114 hasConcept C50382708 @default.
• W2741053114 hasConcept C555293320 @default.
• W2741053114 hasConcept C71924100 @default.
• W2741053114 hasConcept C72563966 @default.
• W2741053114 hasConceptScore W2741053114C126322002 @default.
• W2741053114 hasConceptScore W2741053114C134018914 @default.
• W2741053114 hasConceptScore W2741053114C167135981 @default.
• W2741053114 hasConceptScore W2741053114C177713679 @default.
• W2741053114 hasConceptScore W2741053114C201903717 @default.
• W2741053114 hasConceptScore W2741053114C2778653478 @default.
• W2741053114 hasConceptScore W2741053114C2779561371 @default.
• W2741053114 hasConceptScore W2741053114C2779978075 @default.
• W2741053114 hasConceptScore W2741053114C2780091579 @default.
• W2741053114 hasConceptScore W2741053114C50382708 @default.
• W2741053114 hasConceptScore W2741053114C555293320 @default.
• W2741053114 hasConceptScore W2741053114C71924100 @default.
• W2741053114 hasConceptScore W2741053114C72563966 @default.
• W2741053114 hasFunder F4320322845 @default.
• W2741053114 hasFunder F4320323468 @default.
• W2741053114 hasIssue "5" @default.
• W2741053114 hasLocation W27410531141 @default.
• W2741053114 hasLocation W27410531142 @default.
• W2741053114 hasOpenAccess W2741053114 @default.

• next