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Clin J Am Soc Nephrol. 2012 Oct;7(10):1639-45. doi: 10.2215/CJN.11731111. Epub 2012 Jul 12.
2
Barriers to evaluation and wait listing for kidney transplantation.评估和等待肾移植的障碍。
Clin J Am Soc Nephrol. 2011 Jul;6(7):1760-7. doi: 10.2215/CJN.08620910. Epub 2011 May 19.
3
Framing disparities along the continuum of care from chronic kidney disease to transplantation: barriers and interventions.从慢性肾病到移植的连续医疗过程中的框架差异：障碍与干预措施
Am J Transplant. 2009 Apr;9(4):669-74. doi: 10.1111/j.1600-6143.2009.02561.x.
4
A systematic review of barriers in access to renal transplantation among African Americans in the United States.对美国非裔美国人肾移植获取障碍的系统评价。
Clin Transplant. 2006 Nov-Dec;20(6):769-75. doi: 10.1111/j.1399-0012.2006.00568.x.
5
An evaluation of vignettes for predicting variation in the quality of preventive care.用于预测预防保健质量差异的案例评估
J Gen Intern Med. 2004 Oct;19(10):1013-8. doi: 10.1007/s11606-004-0003-2.
6
Drug record discrepancies in an outpatient electronic medical record: frequency, type, and potential impact on patient care at a hemodialysis center.门诊电子病历中的药物记录差异：血液透析中心的频率、类型及对患者护理的潜在影响
Pharmacotherapy. 2003 Feb;23(2):231-9. doi: 10.1592/phco.23.2.231.32079.
7
Waiting time on dialysis as the strongest modifiable risk factor for renal transplant outcomes: a paired donor kidney analysis.透析等待时间作为肾移植结局最强的可改变风险因素：配对供肾分析
Transplantation. 2002 Nov 27;74(10):1377-81. doi: 10.1097/00007890-200211270-00005.
8
Racial disparities in access to renal transplantation--clinically appropriate or due to underuse or overuse?肾移植可及性方面的种族差异——是临床合理的，还是因使用不足或过度使用所致？
N Engl J Med. 2000 Nov 23;343(21):1537-44, 2 p preceding 1537. doi: 10.1056/NEJM200011233432106.
9
Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant.透析患者、等待移植的透析患者以及首次尸体器官移植受者的死亡率比较。
N Engl J Med. 1999 Dec 2;341(23):1725-30. doi: 10.1056/NEJM199912023412303.
10
The effect of patients' preferences on racial differences in access to renal transplantation.患者偏好对肾移植可及性种族差异的影响。
N Engl J Med. 1999 Nov 25;341(22):1661-9. doi: 10.1056/NEJM199911253412206.

透析医疗记录在确定患者对移植的兴趣和适宜性方面的准确性。

Accuracy of dialysis medical records in determining patients' interest in and suitability for transplantation.

机构信息

Division of Nephrology and Hypertension, Department of Medicine, University Hospitals Case Medical Center, Cleveland, OH, USA.

出版信息

Clin Transplant. 2013 Jul-Aug;27(4):541-5. doi: 10.1111/ctr.12147. Epub 2013 Jun 27.

DOI:10.1111/ctr.12147
PMID:23803012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3740010/
Abstract

BACKGROUND

We sought to determine the accuracy of dialysis medical records in identifying patients' interest in and suitability for transplantation.

STUDY DESIGN

Cluster randomized controlled trial.

SETTING AND PARTICIPANTS

A total of 167 patients recruited from 23 hemodialysis facilities.

INTERVENTION

Navigators met with intervention patients to provide transplant information and assistance. Control patients continued to receive usual care.

OUTCOMES

Agreement at study initiation between medical records and (i) patient self-reported interest in transplantation and (ii) study assessments of medical suitability for transplant referral.

MEASUREMENTS

Medical record assessments, self-reports, and study assessments of patient's interest in and suitability for transplantation.

RESULTS

There was disagreement between medical records and patient self-reported interest in transplantation for 66 (40%) of the 167 study patients. In most of these cases, patients reported being more interested in transplantation than their medical records indicated. The study team determined that all 92 intervention patients were medically suitable for transplant referral. However, for 38 (41%) intervention patients, medical records indicated that they were not suitable. About two-thirds of these patients successfully moved forward in the transplant process.

CONCLUSION

Dialysis medical records are frequently inaccurate in determining patient's interest in and suitability for transplantation.

摘要

背景

我们旨在确定透析病历在识别患者对移植的兴趣和适宜性方面的准确性。

研究设计

集群随机对照试验。

地点和参与者

从 23 家血液透析中心招募的共 167 名患者。

干预措施

导航员与干预组患者会面，提供移植信息和协助。对照组患者继续接受常规护理。

结果

在研究开始时，病历与（i）患者自我报告的对移植的兴趣和（ii）研究评估的适合移植推荐的医学标准之间存在分歧。

测量

病历评估、自我报告以及对患者对移植的兴趣和适宜性的研究评估。

结果

在 167 名研究患者中，有 66 名（40%）患者的病历与自我报告的对移植的兴趣存在差异。在大多数情况下，患者报告的对移植的兴趣比病历所显示的更为强烈。研究小组确定，所有 92 名干预组患者在医学上都适合进行移植推荐。然而，对于 38 名（41%）干预组患者，病历表明他们不适合。这些患者中有大约三分之二成功地推进了移植过程。

结论

透析病历在确定患者对移植的兴趣和适宜性方面经常不准确。