Kerri L. Cavanaugh|Rebecca L. Wingard|Raymond M. Hakim|Tom A. Elasy|T. Alp ?kizler
Patient Dialysis Knowledge Is Associated with Permanent Arteriovenous Access Use in Chronic Hemodialysis
Vanderbilt University Medical Center|Vanderbilt University Medical Center|Fresenius Medical Care (United States)|Vanderbilt University Medical Center|Fresenius Medical Care (United States)|Vanderbilt University Medical Center|Fresenius Medical Care (United States)|Vanderbilt University Medical Center|Fresenius Medical Care (United States)
background objectives patient knowledge chronic hemodialysis chd important effective selfmanagement behaviors little known association vascular access use design setting participants measurements prospective cohort adult incident chd patients may 2002 november 2005 followed 6 mo initiation hemodialysis hd patient knowledge measured using chronic hemodialysis knowledge survey cheks primary outcome dialysis access type baseline 3 mo 6 mo hd initiation secondary outcomes included anemia nutritional mineral laboratory measures results 490 patients median interquartile range cheks score 0 100 6552 78 lower scores associated older age fewer years education nonwhite race patients cheks scores 20 percentage points higher likely use arteriovenous fistula graft compared catheter hd initiation 6 mo adjustment age sex race education diabetes mellitus statistically significant associations found knowledge laboratory outcome measures except moderate association serum albumin potential limitations include residual confounding underpowered study determine associations clinical measures conclusions patients less dialysis knowledge may less likely use arteriovenous access dialysis initiation starting hemodialysis additional studies needed explore impact patient dialysis knowledge improvement educational interventions vascular access hemodialysis