| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2025-11-27 |
| タイトル |
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|
タイトル |
Pre-dialysis medical social worker support and survival in patients with kidney failure: impact on unplanned dialysis, hospitalization, and prognosis |
|
言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Medical social workers |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
social determinants of health |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
multidisciplinary care |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
unplanned dialysis initiation |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
hemodialysis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
end-stage kidney disease |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
Kitamura, Mineaki
Yamashita, Hiroshi
Fukuda, Haruka
Ishii, Takuma
Otsuka, Emiko
Torigoe, Kenta
Takazono, Takahiro
Sakamoto, Noriho
Mukae, Hiroshi
Nishino, Tomoya
|
| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
The role of medical social workers (MSWs) in managing patients with end-stage kidney disease (ESKD) undergoing hemodialysis remains unknown. This study evaluated the prognostic impact of pre-dialysis MSW support in patients undergoing renal replacement therapy. This retrospective analysis included 257 patients who started hemodialysis at the Nagasaki Harbor Medical Center between 2016 and 2023. Patients were divided into MSW (+) and MSW (−) groups based on whether they received pre-dialysis MSW support. Outcomes were assessed, including unplanned dialysis initiation, length of hospital stay, and post-hemodialysis survival. The MSW (+) group showed a lower rate of unplanned dialysis initiation, shorter hospital stays and improved post-hemodialysis prognosis compared with the MSW (−) group. In the multivariable Cox regression analysis, pre-dialysis MSW support (hazard ratio 0.58, 95% confidence interval 0.34–0.98, p = 0.04) was associated with lower patient mortality in addition to age, male sex, serum albumin levels 1 month before hemodialysis initiation, and serum creatinine levels 1 month before hemodialysis initiation. Stratified analyses showed a marked positive impact of MSW support in patients aged ≥70 years, male sex, living with family, and malnutrition. MSW support facilitated smoother transitions to maintenance hemodialysis centers through pre-settlement dialysis centers, alleviated patient anxiety, and ensured transportation arrangements. This study highlights the critical role of MSWs in improving clinical outcomes for patients with ESKD who are at higher social risks. Future multicenter studies are warranted to validate these findings and enhance their generalizability. |
|
言語 |
en |
| 書誌情報 |
en : Renal Failure
巻 47,
号 1,
p. art. no. 2578417,
発行日 2025-11-09
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| 出版者 |
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出版者 |
Taylor and Francis Ltd |
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言語 |
en |
| ISSN |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0886-022X |
| DOI |
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|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.1080/0886022X.2025.2578417 |
| 権利 |
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|
権利情報 |
© 2025 The author(s). Published by informa uK limited, trading as Taylor & Francis Group. This is an Open access article distributed under the terms of the Creative Commons attribution license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the accepted Manuscript in a repository by the author(s) or with their consent. |
|
言語 |
en |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 引用 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Renal Failure, 47(1), art. no. 2578417; 2025 |
|
言語 |
en |
RF47_2578417.pdf (2.3 MB)
