Fiche du document
- doi: 10.1093/ndt/gfh972
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1093/ndt/gfh972
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/15998646
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pissn/0931-0509
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_DDF86C0163C06
info:eu-repo/semantics/openAccess , Copying allowed only for non-profit organizations , https://serval.unil.ch/disclaimer
Sujets proches
Care and treatmentCiter ce document
P. Saudan et al., « Variability in quality of care among dialysis units in western Switzerland », Serveur académique Lausannois, ID : 10.1093/ndt/gfh972
Métriques
Partage / Export
Résumé
BACKGROUND: Quality indicators for dialysis care vary across countries and regions, but regional variability across centres has received little attention. We analysed variations in quality indicators among dialysis facilities in western Switzerland to identify opportunities for improving care for patients with end-stage kidney disease. METHODS: A cross-sectional study of 617 dialysis patients treated at 19 facilities examined the distribution of indicators of quality of care addressing: adequacy of dialysis (Kt/V > or =1.2 for haemodialysis, Kt/V > or =2 for peritoneal dialysis), anaemia control (haemoglobin > or =110 g/l), calcium and phosphate control (product < or =4.4 mmol2/l2), adequate nutrition (serum albumin >35 g/l), hypertension control (pre-dialysis blood pressure 40 patients better fulfilled quality targets than university-based centres. Adjustment for patient characteristics did not modify these results. CONCLUSIONS: Substantial variations in quality indicators existed between dialysis centres in western Switzerland, which could not be attributed to different centre policies, or to differences in available measures of patient case mix. These findings indicate opportunities for improvement in dialysis practice which may translate into improved clinical outcomes.