ArticleMedical care2014
Estimation of physical functional disabilities and long-term care needs for patients under maintenance hemodialysis.
Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Real-world costs per life-year of targeted therapy, incidence, lifetime health impact, and medical costs of renal cell carcinoma in Taiwan.Frontiers in public health · 2026Article
- Association of Admission Functional Status and Body Mass Index with Mortality in Patients Receiving Chronic Dialysis: A Nationwide Observational Cohort Study.JMA journal · 2023Article
- Estimation of disability free life expectancy in non small cell lung cancer based on real world data.Scientific reports · 2023Article
- The predictive role of hope and social relational quality in disability acceptance among Iranian patients under hemodialysis.BMC nephrology · 2023Article
- Angioplasty Induced Changes in Dialysis Vascular Access Compliance.Annals of biomedical engineering · 2021Article
- Disability of Dialysis Patients and the Condition of Blood Vessels.Journal of clinical medicine · 2020Article
- Development and validation of a prediction model for loss of physical function in elderly hemodialysis patients.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2018Observational
- Lifetime risks, loss of life expectancy, and health care expenditures for 19 types of cancer in Taiwan.Clinical epidemiology · 2018Article
- Physical function at the time of dialysis initiation is associated with subsequent mortality.Clinical and experimental nephrology · 2017Observational
- Health expenditures spent for prevention, economic performance, and social welfare.Health economics review · 2016Article
- Cost-effectiveness of hemodialysis and peritoneal dialysis: A national cohort study with 14 years follow-up and matched for comorbidities and propensity score.Scientific reports · 2016Article
- Factors Associated with the Choice of Peritoneal Dialysis in Patients with End-Stage Renal Disease.BioMed research international · 2016Article
- Prevalence and correlates of functional dependence among maintenance dialysis patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2015Article
- Physical and psychological long-term outcome after traumatic brain injury in children and adult patients.Health and quality of life outcomes · 2014Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesPhysical functional disabilities in hemodialysis (HD) patients may increase their mortality and long-term care needs. The aim of this study was to estimate the changes of proportion for different physical functional disabilities along time after beginning HD and the lifelong care needs.
methodsWe used a population-based cohort consisting of 84,657 incident HD patients in Taiwan between 1998 and 2009 to estimate the survival function and extrapolate to lifetime through a semiparametric method. The Barthel Index (BI) was used to measure the functional disability levels cross-sectionally in 1334 HD patients recruited from 9 HD centers. A BI score <50 was considered as severe disability. Lifetime care needs were obtained by extrapolating the age-stratified survival functions to lifetime and then multiplying them with proportions of different kinds of functional disabilities over time.
resultsOn average, HD patients had at least 6.4, 2.0, and 1.3 years without disability, with moderate disability, and severe disability, respectively. The most common care needs were stair-climbing and bathing, which were 3.0 and 1.7 years, respectively. HD patients were expected to have about 3 years living with disabilities for those beginning HD at an age above 35 years; however, the older the patient, the higher the proportion of functional disabilities and care needs.
conclusionsHD patients are in need of long-term care and require early intervention and resource planning. The method developed in this study can also be applied to other chronic illnesses with various functional disabilities.
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