Ethnicity, Patient Satisfaction, and Clinical Outcomes among Israeli Dialysis Recipients
Notice bibliographique
Résumé
Key Points Growing interest in health-related quality of life underscores the need to explore patient satisfaction among diverse dialysis populations. In this study, patient ethnicity in Israel showed no significant effect on satisfaction, mortality, or transplantation outcomes. Dialysis vintage and patient age were key predictors of satisfaction and survival, highlighting areas for targeted interventions. Background Patient-reported outcomes, such as satisfaction with care, are essential for assessing and improving health care quality, especially in populations with chronic conditions such as patients with hemodialysis. In diverse societies, understanding how ethnic background influences patient satisfaction and clinical outcomes is crucial for addressing health disparities. However, the relationship between ethnic background, patient satisfaction, and clinical outcomes has not been thoroughly investigated in Israeli patients on hemodialysis. The aim of this study was to evaluate patient satisfaction among the Israeli population of patients on maintenance hemodialysis and its correlation with clinical and demographic variables, including a potential association with ethnicity. In addition to assessing patient satisfaction, we also evaluated the association between ethnicity and clinical outcomes. Methods This is a prospective cross-sectional cohort study of patients on maintenance hemodialysis from three Israeli centers with similar practice patterns. Patients were recruited between April and December 2022 and followed through February 2024. Patient satisfaction was assessed using a validated self-administered questionnaire (on a Likert scale of 1–7). Clinical outcomes included all-cause mortality and kidney transplantation rates. Results The study included 127 patients on hemodialysis, 74 of whom were Israeli Jews and the remaining 53 included patients of Israeli Arab origin. Israeli Jews were older, were more often male, and had a lower prevalence of diabetes compared with Israeli Arabs (71.03±12.9 versus 60.86±13.7 years, P < 0.001; 71.6% versus 52.8% male, P = 0.030; 44.6% versus 79.2% with diabetes, P < 0.001, respectively). Overall patient satisfaction was 6.47±1.08 among Israeli Jewish versus 6.83±0.68 among Israeli Arab patients ( P = 0.017) from dialysis clinic, whereas the mean patients’ satisfaction survey was 5.58±1.08 versus 5.79±0.79, respectively, P = 0.226. Ethnicity was not associated with mortality and transplantation. Dialysis vintage and patient age were the strongest predictors of patient satisfaction and mortality. Conclusions In Israeli dialysis centers, patient ethnicity was not associated with patient-reported satisfaction or objective clinical outcomes including mortality and transplantation rates. Larger cohort studies to assess levels of satisfaction longitudinally are indicated.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».