Incidence and risk factors for hip or other bone fractures among hemodialysis patients in the dialysis outcomes and practice patterns study m jadoul1, jm albert2, t akiba3, t akizawa4, l arab5, jl bragggresham2, n mason6, kg prutz7, ew young8 and rl pisoni2 1department of nephrology, clin. Background the dialysis outcomes and practice patterns study dopps is an international prospective, longitudinal, observational study examining the relationship between dialysis unit practices and outcomes for hemodialysis hd patients in seven developed countries france, germany, italy, spain, united kingdom, japan and the united states. This international participation in the dopps greatly enhances the studys ability. The dialysis outcomes and practice patterns study dopps database was used to develop and validate a practicerelated risk score prs based on modifiable practices to help facilities assess potential areas for improving patient care. Facility practice variation to help understand the effects. Recent changes in therapeutic approaches and association with. Healthrelated quality of life among dialysis patients on. Making the case for using functioning and wellbeing surveys to.
Importance of simultaneous evaluation of multiple risk. Jun 17, 2010 prior dopps special nutrition study in the us and japan collected patient selfadministered food frequency questionnaires ffq dopps nutritionrelated papers 1 mortality risk in hemodialysis patients and changes in nutritional indicators. Attainment of guideline targets in eurodopps haemodialysis. Mar 26, 2020 the dialysis outcomes and practice patterns study dopps is an international multiphase prospective cohort study of patients 18 years and older treated with incenter hd in 21 countries. Based on medical directors surveyed at 59 dopps us study sites the dopps 4 medical director survey, conducted september to november 2011. Dopps dialysis outcomes and practice patterns study. The dialysis outcomes and practice patterns study phase 5 in the. Pdf on oct 25, 2012, bruce m robinson and others published dialysis outcomes and. A total of 26% of the patients in china were dialyzing two times weekly, compared with mar 26, 2020. International comparisons of native arteriovenous fistula patency. Pdf gulf cooperation councildialysis outcomes and practice. For this analysis, only us patients who began dialysis study to incident patients reduced the amount of missing information on predialysis care and permitted. The dialysis outcomes and practice patterns study phase 5 in. The dialysis outcomes and practice patterns study dopps has used the kidney disease quality of life.
From this sample frame, approximately 140 dialysis units are targeted for recruitment to meet the study s scientific goals. Healthrelated quality of life hrqol, a validated system of measuring patients physical, mental, and. We performed a crosssectional analysis of dopps data from the united states, five countries in europe france, germany, italy, spain, and the united kingdom, and japan. International comparisons of native arteriovenous fistula patency and time to becoming catheter free. In dopps i, 308 hemodialysis units from 7 countries participated, including 145 facilities from the united states 19962001, 62 facilities from japan 19992001, and. International comparisons of native arteriovenous fistula. Dopps also addresses the limitations of studies involv. The present study included eurodopps participants from seven european countries belgium, france, germany, italy, spain, sweden and the uk from dopps phase 4. Although clinical care of this highrisk group is complex and challenging, no guidelines exist to inform hemodialysis practices. The dialysis outcomes and practice patterns study dopps has used the kidney disease quality of life short form kdqolsf to measure esrd patients selfassessment of functioning and wellbeing, as measured by 3 component scores. The dialysis outcomes and practice patterns study kidney. A period of elevated mortality risk was identified among us incident hd patients, and which patient characteristics predict death during this period and throughout the first year was examined using data from the dialysis outcomes and practice patterns study dopps.
Previous studies have found that the patients characteristics and dialysis. The dialysis outcomes and practice patterns study dopps is a prospective, observational study designed to elucidate aspects of hemodialysis practice that are associated with the best outcomes for hemodialysis patients. As of the end of 2012, 88% of dopps 5 facilities also provided data during dopps 4. Details of the study design have been reported elsewhere 8. The dialysis outcomes and practice patterns study dopps provides a. Feb 01, 2012 the dialysis outcomes and practice patterns study dopps. Jan 01, 2000 the dialysis outcomes and practice patterns study dopps.
Dopps, dialysis outcomes and practice patterns study. The dialysis outcomes erable expense and morbidity. The dialysis outcomes and practice patterns study dopps provides a unique opportunity to assess dialysis practices and associated outcomes among elderly versus younger. Dialysis facilities and dopps sample study participants were selected. The studies within the dopps program are designed to identify best practices. Dopps provides a unique opportunity for contemporaneous evaluation of mbd control and related outcomes across a diverse set of international health care. Pdf lo studio dopps dialysis outcomes and practice.
A total of 1186 patients were enrolled randomly from 45 hd facilities which were also randomly selected from the metropolitan areas in the three largest cities in china. Baseline data report of the china dialysis outcomes and. The present study included eurodopps participants from seven european countries belgium, france, germany, italy, spain, sweden and the uk from dopps phase 4 200911. The dialysis outcomes and practice patterns study dopps is a prospective, longitu dinal, observational study of hemodialysis patients and facilities and practice patterns study dopps is a prospective, in seven countries with large populations of dialysis patients. Dopps helps shape practice and policy for better health across the world. Few studies have examined the relationship of is with clinical outcomes in a. Dialysis outcomes and practice patterns studydialysis. Using crosssectional data from the china dialysis outcomes and practice patterns dopps study, we describe the current state of hd in china in comparison with other dopps countries. Jan, 2021 dialysis outcomes and practice patterns study dopps is an international prospective cohort study of hemodialysis hd patients 3. Changes in quality of life in older hemodialysis patients. Dopps 14 followed 300350 facilities in each study phase, having. The dialysis outcomes and practice patterns study dopps. The dialysis outcomes and practice patterns study dopps is an international prospective, longitudi nal, observational study examining the relationship between dialysis unit practices and outcomes for hemodialysis hd patients in seven developed countries france, germany, italy, spain, united kingdom, japan and the united states. The international dialysis outcomes and practice patterns study dopps is well suited to evaluate levels of deviation from emerging and established guidelines to clinical practice of hemodialysis.
The dopps is a prospective cohort study of hemodialysis practices based on the collection of observational longitudinal data for a random sample of patients. Dec 21, 2001 the dialysis outcomes and practice patterns study dopps is a large, prospective, observational study of representative samples of hemodialysis patients in france, germany, italy, japan, spain, the united kingdom, and the united states. We are committed to collaboration with external investigators to maximize the scientific value of the wealth of data made possible by all the participating facilities. We chose model predictor variables a priori based upon prior published studies. Serum total indoxyl sulfate and clinical outcomes in hemodialysis. The dialysis outcomes and practice patterns study dopps 10 is an international, observational, prospective hemodialysis hd study with detailed data collection of hd care and outcomes across 21.
Healthrelated quality of life in the dialysis outcomes and practice patterns study dopps donna l. All study book and question paper pdf file bilkul free home. We also tested the hypothesis that the decision to pursue twotimes weekly hd would be related to both clinical and economic factors. Bragggresham, ms, jurgen bommer, md, shunichi fukuhara, md, msc, patricia mckevitt, msw, bjorn wikstrom, md, and antonio alberto lopes, md, phd background. Sep 21, 2020 possible outcomes were continued use of a central venous catheter cvc, use of an av graft, use of a new avf not the original studied avf, or death. Dialysis outcomes and practice patterns study dopps. A prospective cohort study including 16,560 hd patients, 8660 cv highrisk, and. Baseline data report of the china dialysis outcomes and practice. Pdf dialysis outcomes and practice patterns study dopps.
The dopps practice monitor is a free tool that shares timely findings from our studies. Pdf improving outcomes for dialysis patients in the. Dialysis outcomes and practice patterns study dopps is an. Dpm sampling, study design, and calculation methods. Sep 21, 2020 patency and time to becoming catheter free for patients receiving a new avf. The dialysis outcomes and practice patterns study dopps donna l. The dialysis outcomes and practice patterns study dopps is an international, prospective cohort study of hemodialysis practice and patient outcomes 18, with a main goal of identifying. Dopps abbreviation stands for dialysis outcomes and practice patterns study. The study design, data elements, and methodology of the dopps have been detailed elsewhere 9. Hello friends you can find book and question paper pdf file bilkul free. Clinical practices and outcomes in elderly hemodialysis patients.
The dopps is an international, prospective study of a cohort of adult aged 18 years and above incentre hd patients. The dialysis outcomes and practice patterns study dopps has a long history of successful collaborations with investigators outside of arbor research collaborative for health. Dialysis outcomes and practice patterns study our studies. Esas, from the dialysis outcomes and practice patterns study dopps phase 4. Predictors of early mortality among incident us hemodialysis. The dialysis outcomes and practice patterns study the dopps is a prospective cohort study of hemodialysis practices based on the collection of observational longitudinal data for a random sample of patients from dialysis facilities in a representative and random sample of units in twenty countries. The dialysis outcomes and practice patterns study dopps began as a hemodialysis study in 1996 in the united states and over the past 20 years has evolved into a series of prospective studies in over 20 countries known collectively as the dopps program. Recent changes in therapeutic approaches and association. Since its inception, the study s primary aim has been to identify practices that extend survival and improve. Nov 01, 2004 the dialysis outcomes and practice patterns study dopps is a prospective, observational study designed to elucidate aspects of hemodialysis hd practice that are associated with the best outcomes for hemodialysis patients. France, germany, italy, japan, spain, the united kingdom, and the united states. Details of the study design have been reported elsewhere.
Dialysis outcomes and practice patterns study dopps ii to investigate this substantial cause of morbidity and mortality in hd patients across 12 countries. The dopps is a prospective cohort study of hemodialysis practices based on the collection of observational longitudinal data for a random sample of patients from a representative and random sample of dialysis facility units in twenty countries. International variation in dialysis discontinuation in patients with. Pdf healthrelated quality of life as a predictor of. Incidence and risk factors for hip or other bone fractures.
Participants 11,555 patients from 12 countries in the dialysis outcomes and practice patterns study dopps, phases i 19962001 and iii. The dialysis outcomes and practice patterns study dopps is an international, observational, prospective study with detailed data collection of hd care and outcomes across 21 countries. We defined time until becoming cvcfree as number of days from. The dialysis outcomes and practice patterns study pifer tb et al ki 2002practice patterns study. Mortality risk among hemodialysis hd patients may be highest soon after initiation of hd. Background predialysis serum sodium concentrations recently have been linked to patient characteristics and outcomes in hemodialysis patients and may have implications for the dialysate sodium prescription. Dopps is an international prospective cohort study of hd practices and. The gulf cooperation councildialysis outcomes and practice patterns study gccdopps marks the joining of the six gulf region countries including bahrain, kuwait, oman, qatar, saudi arabia, and. Facility sample frame dopps 6 20152018 and dopps 7 20182021. Total is tis, combination of proteinbound and free fraction was measured. Inflammation and erythropoiesisstimulating agent response in.
We examined data from the dialysis outcomes and practice patterns study dopps, a prospective, observational, international study of hemodialysis patients. The dialysis outcomes and practice patterns study dopps is a prospective, longituand practice patterns study dopps is a prospective. Parathyroid hormone serum levels and mortality among. Information was collected at the time of enrollment on 15,500 and,000 dialysis patients in dopps i and ii, respectively. Clinical practices and outcomes in elderly hemodialysis. Dec 05, 2019 so china dialysis outcomes and practice patterns study dopps 2,3 is a representative of chinese hd patients with close following, as compared with data of other countries. Background and objectives demand for hemodialysis among elderly patients is increasing worldwide. We hypothesized that both severe hyperparathyroidism and various drugs, especially psychoactive medications known to cause falls and fractures in elderly nonuremics, would be. The dopps began in 1996, in the united states, and has since expanded to 21 countries, collecting detailed data from 75,000 hd patients, with. The dopps is a prospective cohort study of hemodialysis practices based on the collection of observational longitudinal data for a random sample of patients from a representative and random sample of dialysis facility units in twenty countries the samples of patients in each facility and of facilities in each country are designed to provide a reliable picture of practices and outcomes in.
Dialysis outcomes and practice patterns study about us. Pdf the dialysis outcomes and practice patterns study. Predialysis serum sodium level, dialysate sodium, and. Likewise, variation in the us dialysis outcomes and practice patterns study is over twofold for facility median serum parathyroid hormone 10th90th percentiles. Facility practice variation to help understand the effects of. Based on dialysis outcomes and practice patterns study dopps phase 4 and 5 data 20092015. The dopps is a prospective cohort study of hemodialysis practices based on the collection of observational longitudinal data for a random sample of patients from dialysis facilities in a representative and random sample of units in twenty countries the samples of patients in each facility, and sample of facilities in each country, are designed to provide a reliable picture of practices and. Dialysis outcomes and practice patterns study published. The dialysis outcomes and practice patterns study dopps is a prospective, longitudinal, observational study of hemodialysis patients and facilities in seven countries with large populations of. Maintenance hd patients were randomly selected from national samples of hd facilities in each country. It also gives the number of geo graphic regions in each country and the types of facilities eg, hospital versus free standing used for stratification. Dopps also addresses the limitations of studies involving single facilities or. Dopps was a worldwide cohort study of incenter hd practice patterns and outcomes in seven countries. The details of the method of dopps were reported previously 12.
What is the abbreviation for dialysis outcomes and practice patterns study. Pdf healthrelated quality of life in the dialysis outcomes. The dialysis outcomes and practice patterns study dopps is a leading source of uptodate, representative, and comprehensive data on hemodialysis practice and patient outcomes worldwide. Dopps is international in its scope, representing approximately 70% of the worlds hemodialysis patient population. All study book and question paper pdf file bilkul free, akbarpur, uttar pradesh, india. Previously, few studies reported comprehensive information about. Take actions to bridge the gaps between china and other. Feb 01, 2021 the dialysis outcomes and practice patterns study dopps. Cardiovascular event rates among hemodialysis patients across. Pdf on oct 25, 2012, bruce m robinson and others published dialysis outcomes and practice patterns study dopps. The dopps practice monitor is a free tool that shares timely findings from our.
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