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10.1053/j.ajkd.2011.03.032 http://scihub22266oqcxt.onion/10.1053/j.ajkd.2011.03.032 C4882105!4882105!21719177     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Kidney+Dis 2011 ; 58 (4): 583-90 Nephropedia Template TP {{tp|p=21719177|t=2011. Prehemodialysis Care by Dietitians and First-Year Mortality After Initiation of Hemodialysis |pdf=|usr=}}{{21719177}} gab.com Text Prehemodialysis Care by Dietitians and First-Year Mortality After Initiation of Hemodialysis JO: Am J Kidney Dis http://www.kidney.de/pget.php?&tw=1&pmid=21719177 #FOAvip Background: Since January 2002, Medicare has provided payment for medical nutrition therapy for patients with chronic kidney disease. Few patients receive dietary counseling before end-stage renal disease (ESRD) onset; whether such counseling is associated with improved outcomes is unknown. Study design: Retrospective cohort analysis. Setting and participants: Patients who initiated hemodialysis June 1, 2005-May 31, 2007, in the US, for whom predialysis dietitian care was reported on the Centers for Medicare & Medicaid Services Medical Evidence Report. Predictor: Dietitian care before ESRD onset. Outcome: Time to death. Measurements: Propensity score for dietitian care calculated using logistic regression; Cox regression analysis used to compare time to death by predialysis dietitian care overall and stratified by tertiles of propensity score, adjusting for baseline characteristics. Results: Most patients (88%) received no dietitian care; 9% received dietitian care for ? 12 months, and 3% received dietitian care for > 12 months before dialysis initiation (total n = 156,440). Predialysis dietitian care was independently associated with higher albumin and lower total cholesterol at dialysis initiation. There was evidence of an independent association between predialysis dietitian care for > 12 months and decreased mortality during the first year on dialysis for the second tertile of propensity score. Adjusted mortality hazards ratios (95% confidence interval) were 1.16 (0.44?3.09; P = 0.8), 0.81 (0.71?0.93; P = 0.002), and 0.93 (0.86?1.01; P = 0.1) in the first, second, and third tertiles of propensity score, respectively. Limitations: Information on dietitian care was missing from 18.6% of Medical Evidence Reports, and has low sensitivity; including only incident dialysis patients precluded evaluation of an association between dietitian care and CKD progression; observational design allowed possibility of residual confounding. Conclusions: Our study suggests an independent association between predialysis dietitian care for > 12 months and lower mortality during the first year on dialysis. Twit Text FOAVip Prehemodialysis Care by Dietitians and First-Year Mortality After Initiation of Hemodialysis ????Am J Kidney Dis http://www.kidney.de/pget.php?&tw=1&pmid=21719177 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=21719177 #FOAvip English Wikipedia <ref>{{Cite pmid|21719177}}</ref> Prehemodialysis Care by Dietitians and First-Year Mortality After Initiation of Hemodialysis #MMPMID21719177 Slinin Y; Guo H; Gilbertson DT; Mau LW; Ensrud K; Collins AJ; Ishani A Am J Kidney Dis 2011[Oct]; 58 (4): 583-90 PMID21719177show ga Background: Since January 2002, Medicare has provided payment for medical nutrition therapy for patients with chronic kidney disease. Few patients receive dietary counseling before end-stage renal disease (ESRD) onset; whether such counseling is associated with improved outcomes is unknown. Study design: Retrospective cohort analysis. Setting and participants: Patients who initiated hemodialysis June 1, 2005-May 31, 2007, in the US, for whom predialysis dietitian care was reported on the Centers for Medicare & Medicaid Services Medical Evidence Report. Predictor: Dietitian care before ESRD onset. Outcome: Time to death. Measurements: Propensity score for dietitian care calculated using logistic regression; Cox regression analysis used to compare time to death by predialysis dietitian care overall and stratified by tertiles of propensity score, adjusting for baseline characteristics. Results: Most patients (88%) received no dietitian care; 9% received dietitian care for ? 12 months, and 3% received dietitian care for > 12 months before dialysis initiation (total n = 156,440). Predialysis dietitian care was independently associated with higher albumin and lower total cholesterol at dialysis initiation. There was evidence of an independent association between predialysis dietitian care for > 12 months and decreased mortality during the first year on dialysis for the second tertile of propensity score. Adjusted mortality hazards ratios (95% confidence interval) were 1.16 (0.44?3.09; P = 0.8), 0.81 (0.71?0.93; P = 0.002), and 0.93 (0.86?1.01; P = 0.1) in the first, second, and third tertiles of propensity score, respectively. Limitations: Information on dietitian care was missing from 18.6% of Medical Evidence Reports, and has low sensitivity; including only incident dialysis patients precluded evaluation of an association between dietitian care and CKD progression; observational design allowed possibility of residual confounding. Conclusions: Our study suggests an independent association between predialysis dietitian care for > 12 months and lower mortality during the first year on dialysis. äPrehemodialysis Care by Dietitians and First-Year Mortality After Init(epmc).pdf DeepDyve Pubget Overpricing