Association between facility-level adherence to phosphorus management guidelines and mortality in haemodialysis patients: a prospective cohort study.
Takahiro ItayaSayaka ShimizuTakashi HaraYoshinori MatsuokaShunichi FukuharaYosuke YamamotoPublished in: BMJ open (2021)
A higher facility-level target range for phosphorus was associated with increased patient mortality. Among facilities that set the target according to the guidelines, dieticians tended to be involved in dialysis care. These findings suggest the importance of reviewing facilities' treatment policies in relation to updated guidelines and the need to work with relevant professionals.
Keyphrases
- end stage renal disease
- chronic kidney disease
- peritoneal dialysis
- clinical practice
- cardiovascular events
- healthcare
- ejection fraction
- newly diagnosed
- palliative care
- case report
- cardiovascular disease
- adipose tissue
- type diabetes
- coronary artery disease
- risk assessment
- patient reported outcomes
- weight loss
- quality improvement