推进美国肾脏健康倡议对家庭透析选择搜索模式的影响。
The Impact of the Advancing American Kidney Health Initiative on Search Patterns of Home Dialysis Options.
作者信息
Shah Ankur D, Chou Roger, Hu Susie, Raker Christina A
机构信息
Department of Medicine, Rhode Island Hospital; Warren Alpert Medical School of Brown University; Division of Kidney Disease and Hypertension, Department of Medicine, Rhode Island Hospital, Providence, RI.
Brown University, Providence, RI.
出版信息
R I Med J (2013). 2025 Jan 2;108(1):39-43.
The 2019 Advancing American Kidney Health (AAKH) initiative aims to increase utilization of home dialysis for end-stage kidney disease (ESKD), but its impact on public awareness is unknown. We analyzed Google Trends data from 2013-2021 to compare relative search volumes for "home dialysis", "peritoneal dialysis", and "home hemodialysis" in the United States (US) versus globally before versus after the July 2019 AAKH announcement. An interrupted time-series analysis found steady pre-AAKH increases in search interest across terms and locations. An immediate increase after AAKH occurred for all searches, greatest for home dialysis (+5.93 US, +11.2 global), but post-AAKH trends were flat or declining. Differences between US and global trends were not statistically significant. Despite goals to increase home dialysis use, AAKH has not impacted public information-seeking behaviors. Targeted patient education initiatives may be needed to increase awareness of home dialysis options.
2019年推进美国肾脏健康（AAKH）倡议旨在提高终末期肾病（ESKD）家庭透析的利用率，但其对公众认知的影响尚不清楚。我们分析了2013年至2021年的谷歌趋势数据，以比较2019年7月AAKH宣布前后，美国与全球范围内“家庭透析”“腹膜透析”和“家庭血液透析”的相对搜索量。中断时间序列分析发现，在AAKH之前，各术语和地区的搜索兴趣稳步上升。AAKH宣布后，所有搜索量立即增加，家庭透析增加最多（美国增加5.93，全球增加11.2），但AAKH之后的趋势趋于平稳或下降。美国和全球趋势之间的差异无统计学意义。尽管有增加家庭透析使用的目标，但AAKH并未影响公众的信息寻求行为。可能需要有针对性的患者教育倡议来提高对家庭透析选择的认识。
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