{
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"@type": "ScholarlyArticle",
"@id": "https://doi.org/10.6084/m9.figshare.14511010",
"url": "https://tandf.figshare.com/articles/journal_contribution/Clinical_outcomes_quality_of_life_and_costs_evaluation_of_peritoneal_dialysis_management_models_in_Shanghai_Songjiang_District_a_multi-center_and_prospective_cohort_study/14511010",
"additionalType": "Journal contribution",
"name": "Clinical outcomes, quality of life, and costs evaluation of peritoneal dialysis management models in Shanghai Songjiang District: a multi-center and prospective cohort study",
"author": [
{
"name": "Xiaoyan Ma",
"givenName": "Xiaoyan",
"familyName": "Ma"
},
{
"name": "Min Tao",
"givenName": "Min",
"familyName": "Tao"
},
{
"name": "Yan Hu",
"givenName": "Yan",
"familyName": "Hu"
},
{
"name": "Lunxian Tang",
"givenName": "Lunxian",
"familyName": "Tang"
},
{
"name": "Jiasun Lu",
"givenName": "Jiasun",
"familyName": "Lu"
},
{
"name": "Yingfeng Shi",
"givenName": "Yingfeng",
"familyName": "Shi"
},
{
"name": "Hui Chen",
"givenName": "Hui",
"familyName": "Chen"
},
{
"name": "Si Chen",
"givenName": "Si",
"familyName": "Chen"
},
{
"name": "Yi Wang",
"givenName": "Yi",
"familyName": "Wang"
},
{
"name": "Binbin Cui",
"givenName": "Binbin",
"familyName": "Cui"
},
{
"name": "Lin Du",
"givenName": "Lin",
"familyName": "Du"
},
{
"name": "Weiwei Liang",
"givenName": "Weiwei",
"familyName": "Liang"
},
{
"name": "Guansen Huang",
"givenName": "Guansen",
"familyName": "Huang"
},
{
"name": "Xun Zhou",
"givenName": "Xun",
"familyName": "Zhou"
},
{
"name": "Andong Qiu",
"givenName": "Andong",
"familyName": "Qiu"
},
{
"name": "Shougang Zhuang",
"givenName": "Shougang",
"familyName": "Zhuang"
},
{
"name": "Xiujuan Zang",
"givenName": "Xiujuan",
"familyName": "Zang"
},
{
"name": "Na Liu",
"givenName": "Na",
"familyName": "Liu"
}
],
"description": "Background: The new Family-Community-Hospital (FCH) three-level comprehensive management aimed to improve the efficiency and scale of peritoneal dialysis (PD) to meet the increased population of end-stage renal disease (ESRD). Our study focused on the clinical outcomes, quality of life, and costs evaluation of this model in a multi-center and prospective cohort study. Methods: A total of 190 ESRD patients who commenced PD at Shanghai Songjiang District were enrolled. According to different PD management models, patients were divided into the Family-Community-Hospital three-level management model (n = 90) and the conventional all-course central hospital management model (n = 100). The primary outcome was clinical outcomes of PD. The secondary outcomes were health-related quality of life (HRQOL) and medical costs evaluation. Results: Compared to conventional management, community-based FCH management achieved a similar dialysis therapeutic effect, including dropout rate (p = 0.366), peritonitis rate (p = 0.965), patient survival (p = 0.441), and technique survival (p = 0.589). Follow-up data showed that similar levels of the renal and peritoneal functions, serum albumin, cholesterol and triglyceride, PTH, serum calcium, and phosphorus between the two groups (all p > 0.05). HRQOL survey showed that the FCH management model helped to improve the psychological status of PD patients, including social functioning (p = 0.006), role-emotional (p = 0.032), and mental health (p = 0.036). FCH management also reduced the hospitalization (p = 0.009) and outpatient visits (p = 0.001) and saved annual hospitalization costs (p = 0.005), outpatient costs (p = 0.026), and transport costs (p = 0.006). Conclusions: Compared with conventional management, community-based FCH management achieved similar outcomes, improved psychological health, reduced medical budgets, and thus had a good social prospect.",
"license": "https://creativecommons.org/licenses/by/4.0/legalcode",
"keywords": "Medicine, Biological Sciences not elsewhere classified, Marine Biology, Science Policy",
"contentSize": "36704 Bytes",
"dateCreated": "2021-04-29",
"datePublished": "2021",
"dateModified": "2023-06-12",
"@reverse": {
"isBasedOn": {
"@id": "https://doi.org/10.1080/0886022x.2021.1918164",
"@type": "ScholarlyArticle"
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"publisher": {
"@type": "Organization",
"name": "Taylor & Francis"
},
"provider": {
"@type": "Organization",
"name": "datacite"
}
}