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Guideline attainment and morbidity/mortality rates in a large cohort of European haemodialysis patients (EURODOPPS)

Nephrology Dialysis Transplantation Dec 11, 2019

Liabeuf S, Sajjad A, Kramer A, et al. - Given that a broad variety of intermediate complications, such as anaemia, hypertension and mineral bone disease (MBD), are faced by haemodialysis patients, researchers evaluated the risk of mortality and hospital admissions as a function of the simultaneous achievement of various guideline targets (for hypertension, anaemia and MBD) in an extensive European cohort of dialysis patients. EURODOPPS represents a part of the Dialysis Outcomes and Practice Patterns Study (DOPPS) international, prospective cohort investigation including adult, in-centre haemodialysis patients for whom clinical data were obtained from medical records. Between 2009 and 2011, a total of 6,317 patients from seven European countries were involved in the present study. A low, moderate, and high degree of target attainment was reported in 1,751 (28%), 3,803 (60%) and in 763 (12%) patients, respectively, at baseline. Lower mortality was observed in relation to more stringent application of guidelines in this large international cohort of dialysis patients.
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