FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2883089973> ?p ?o ?g. }

• W2883089973 endingPage "1179" @default.
• W2883089973 startingPage "1172" @default.
• W2883089973 abstract "Withdrawal from maintenance hemodialysis before death has become more common because of high disease and treatment burden. The study objective was to identify patient factors and examine the terminal course associated with hemodialysis withdrawal, and assess patterns of palliative care involvement before death among patients on maintenance hemodialysis.We designed an observational cohort study of adult patients on incident hemodialysis in a midwestern United States tertiary center, from January 2001 to November 2013, with death events through to November 2015. Logistic regression models evaluated associations between patient characteristics and withdrawal status and palliative care service utilization.Among 1226 patients, 536 died and 262 (49% of 536) withdrew. A random sample (10%; 52 out of 536) review of Death Notification Forms revealed 73% sensitivity for withdrawal. Risk factors for withdrawal before death included older age, white race, palliative care consultation within 6 months, hospitalization within 30 days, cerebrovascular disease, and no coronary artery disease. Most withdrawal decisions were made by patients (60%) or a family member (33%; surrogates). The majority withdrew either because of acute medical complications (51%) or failure to thrive/frailty (22%). After withdrawal, median time to death was 7 days (interquartile range, 4-11). In-hospital deaths were less common in the withdrawal group (34% versus 46% nonwithdrawal, P=0.003). A third (34%; 90 out of 262) of those that withdrew received palliative care services. Palliative care consultation in the withdrawal group was associated with longer hemodialysis duration (odds ratio, 1.19 per year; 95% confidence interval, 1.10 to 1.3; P<0.001), hospitalization within 30 days of death (odds ratio, 5.78; 95% confidence interval, 2.62 to 12.73; P<0.001), and death in hospital (odds ratio, 1.92; 95% confidence interval, 1.13 to 3.27; P=0.02).In this single-center study, the rate of hemodialysis withdrawals were twice the frequency previously described. Acute medical complications and frailty appeared to be driving factors. However, palliative care services were used in only a minority of patients." @default.
• W2883089973 created "2018-08-03" @default.
• W2883089973 creator A5004579061 @default.
• W2883089973 creator A5009592023 @default.
• W2883089973 creator A5010011029 @default.
• W2883089973 creator A5020069509 @default.
• W2883089973 creator A5021284558 @default.
• W2883089973 creator A5023618986 @default.
• W2883089973 creator A5049282067 @default.
• W2883089973 creator A5051868424 @default.
• W2883089973 creator A5059812558 @default.
• W2883089973 creator A5060197397 @default.
• W2883089973 creator A5075631806 @default.
• W2883089973 creator A5085800338 @default.
• W2883089973 date "2018-07-19" @default.
• W2883089973 modified "2023-10-16" @default.
• W2883089973 title "End of Life, Withdrawal, and Palliative Care Utilization among Patients Receiving Maintenance Hemodialysis Therapy" @default.
• W2883089973 cites W1560022178 @default.
• W2883089973 cites W1785893275 @default.
• W2883089973 cites W1835800228 @default.
• W2883089973 cites W1951560167 @default.
• W2883089973 cites W1963751284 @default.
• W2883089973 cites W1993065018 @default.
• W2883089973 cites W2015445680 @default.
• W2883089973 cites W2021876446 @default.
• W2883089973 cites W2031092381 @default.
• W2883089973 cites W2042983059 @default.
• W2883089973 cites W2054749331 @default.
• W2883089973 cites W2095140034 @default.
• W2883089973 cites W2096317780 @default.
• W2883089973 cites W2103627088 @default.
• W2883089973 cites W2111400224 @default.
• W2883089973 cites W2120709870 @default.
• W2883089973 cites W2124065212 @default.
• W2883089973 cites W2131167989 @default.
• W2883089973 cites W2136488876 @default.
• W2883089973 cites W2138428129 @default.
• W2883089973 cites W2149481791 @default.
• W2883089973 cites W2150059819 @default.
• W2883089973 cites W2152490880 @default.
• W2883089973 cites W2153792645 @default.
• W2883089973 cites W2157019465 @default.
• W2883089973 cites W2157451020 @default.
• W2883089973 cites W2163240180 @default.
• W2883089973 cites W2301232580 @default.
• W2883089973 cites W2301487888 @default.
• W2883089973 cites W2340120828 @default.
• W2883089973 cites W2461307610 @default.
• W2883089973 cites W2526314279 @default.
• W2883089973 cites W2554534348 @default.
• W2883089973 cites W2569395640 @default.
• W2883089973 cites W2681573794 @default.
• W2883089973 cites W4317926399 @default.
• W2883089973 cites W2112830163 @default.
• W2883089973 doi "https://doi.org/10.2215/cjn.00590118" @default.
• W2883089973 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6086702" @default.
• W2883089973 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30026285" @default.
• W2883089973 hasPublicationYear "2018" @default.
• W2883089973 type Work @default.
• W2883089973 sameAs 2883089973 @default.
• W2883089973 citedByCount "37" @default.
• W2883089973 countsByYear W28830899732019 @default.
• W2883089973 countsByYear W28830899732020 @default.
• W2883089973 countsByYear W28830899732021 @default.
• W2883089973 countsByYear W28830899732022 @default.
• W2883089973 countsByYear W28830899732023 @default.
• W2883089973 crossrefType "journal-article" @default.
• W2883089973 hasAuthorship W2883089973A5004579061 @default.
• W2883089973 hasAuthorship W2883089973A5009592023 @default.
• W2883089973 hasAuthorship W2883089973A5010011029 @default.
• W2883089973 hasAuthorship W2883089973A5020069509 @default.
• W2883089973 hasAuthorship W2883089973A5021284558 @default.
• W2883089973 hasAuthorship W2883089973A5023618986 @default.
• W2883089973 hasAuthorship W2883089973A5049282067 @default.
• W2883089973 hasAuthorship W2883089973A5051868424 @default.
• W2883089973 hasAuthorship W2883089973A5059812558 @default.
• W2883089973 hasAuthorship W2883089973A5060197397 @default.
• W2883089973 hasAuthorship W2883089973A5075631806 @default.
• W2883089973 hasAuthorship W2883089973A5085800338 @default.
• W2883089973 hasBestOaLocation W28830899731 @default.
• W2883089973 hasConcept C119060515 @default.
• W2883089973 hasConcept C126322002 @default.
• W2883089973 hasConcept C156957248 @default.
• W2883089973 hasConcept C159110408 @default.
• W2883089973 hasConcept C177713679 @default.
• W2883089973 hasConcept C187212893 @default.
• W2883089973 hasConcept C194828623 @default.
• W2883089973 hasConcept C2778063415 @default.
• W2883089973 hasConcept C2994186709 @default.
• W2883089973 hasConcept C71924100 @default.
• W2883089973 hasConceptScore W2883089973C119060515 @default.
• W2883089973 hasConceptScore W2883089973C126322002 @default.
• W2883089973 hasConceptScore W2883089973C156957248 @default.
• W2883089973 hasConceptScore W2883089973C159110408 @default.
• W2883089973 hasConceptScore W2883089973C177713679 @default.
• W2883089973 hasConceptScore W2883089973C187212893 @default.
• W2883089973 hasConceptScore W2883089973C194828623 @default.
• W2883089973 hasConceptScore W2883089973C2778063415 @default.

• next