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Ckd depression cost

Ramony Chan, Blake F Dear, Nick Titov, Josephine Chow, Michael Suranyi
OBJECTIVE: Treating depression among patients with chronic kidney disease (CKD) is imperative because of its high prevalence and health-related costs. However, many patients with CKD experience significant barriers to effective face-to-face psychological treatments. Internet-delivered cognitive behaviour therapy (iCBT) may help overcome the treatment barriers. The aim of the present study was to explore the acceptability and preliminary efficacy of iCBT for depression and anxiety among patients with CKD on haemodialysis...
October 2016: Journal of Psychosomatic Research
Simon R Knowles, Chantal F Ski, Robyn Langham, Emmet O'Flaherty, David R Thompson, Susan L Rossell, Gaye Moore, Ya-Seng Arthur Hsueh, David J Castle
BACKGROUND: Chronic kidney disease (CKD) and end-stage kidney disease (ESKD) are serious and growing health problems with enormous impact on psychological and social functioning. Despite high rates of comorbid depression and anxiety in these patient populations, and the adverse impact these have upon treatment adherence, quality of life, social connectedness and healthcare costs there has been little attention focused on the prevention or management of these problems. Thus, our aim was to evaluate the Dialysis Optimal Health Program (DOHP) that adopts a person-centred approach and engages collaborative therapy to educate and support those diagnosed with ESKD who are commencing dialysis...
2016: Trials
Nasrollah Ghahramani
Chronic kidney disease (CKD) and the resultant end stage renal disease (ESRD) are associated with significant mortality, morbidity, and cost for the individual patient and society. CKD is among the major contributors to years of life lost (YLL) due to premature mortality. Also, while the disability adjusted life years (DALY) for many conditions decreased between 1990 and 2010, the DALY for CKD has increased by 69%. In addition to the physical disability, CKD is associated with high prevalence (27.9%) of major depressive episodes, associated with limitations of employment, and a significant negative effect on quality of life (QOL)...
April 2015: Archives of Iranian Medicine
Charlotte McKercher, Kristy Sanderson, Matthew D Jose
Increasing evidence implicates psychosocial factors including depression, anxiety, perceived social support and health-related quality of life in the pathophysiology of various chronic diseases. Research examining the psychosocial aspects of kidney disease has focussed predominantly on depressive disorders in dialysis patients where they are independently associated with increased risk of mortality and poor health-related quality of life. In contrast, studies examining the influence of psychosocial factors in people with chronic kidney disease (CKD) prior to the initiation of renal replacement therapy are sparse...
September 2013: Nephrology
Dugan W Maddux, Cynthia West
People with chronic kidney disease and end-stage renal disease often suffer from multiple related disorders, progressive deconditioning, and loss of functional capacity. Yet increased physical activity has been shown to improve patients' quality of life and nutrition, reduce inflammation and depression, and decrease treatment costs and the need for hospitalization. Exercise training should thus be considered an important part of the overall care of people with CKD, while increased physical activity is beneficial at all stages of the disease and can help empower patients to take more control over their own health...
November 2012: Nephrology News & Issues
Yoshio N Hall, Andy I Choi, Jonathan Himmelfarb, Glenn M Chertow, Andrew B Bindman
BACKGROUND AND OBJECTIVES: This study examined the associations between homelessness and clinical outcomes of CKD among adults from the urban healthcare safety net. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This retrospective cohort study examined 15,343 adults with CKD stages 3-5 who received ambulatory care during 1996-2005 from the Community Health Network of San Francisco. Main outcome measures were time to ESRD or death and frequency of emergency department visits and hospitalizations...
July 2012: Clinical Journal of the American Society of Nephrology: CJASN
Sandy S Chang, Carlos O Weiss, Qian-Li Xue, Linda P Fried
Frailty is associated with a pro-inflammatory state, which has been characterized by elevated levels of systemic inflammatory biomarkers, but has not been related to the number of co-existing chronic diseases associated with inflammation. We sought to determine the extent to which a higher number of inflammatory-related diseases is associated with frailty and to identify the most common disease patterns associated with being frail in older adults. We performed binomial regression analyses to assess whether a higher count of inflammatory-related diseases increases the probability of frailty using data from the WHAS I and II, companion cohorts composed of 70-79-year-old community-dwelling older women in Baltimore, Maryland (n=620)...
January 2012: Archives of Gerontology and Geriatrics
William M McClellan, Jerome Abramson, Britt Newsome, Ella Temple, Virginia G Wadley, Paul Audhya, Leslie A McClure, Virginia J Howard, David G Warnock, Paul Kimmel
INTRODUCTION: The purpose of the study is to determine if functional status and quality of life (QoL) vary with glomerular filtration rate (GFR) among older adults. METHODS: We studied adults aged 45 years and older participating in the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort study. Data included demographic and health information, serum creatinine and hemoglobin, the 4-item Center for Epidemiologic Studies Depression Scale (CES-D-4), the 4-item Cohen's Perceived Stress Scale (PSS-4), reported health status and inactivity and the Medical Outcomes Study Short Form-12 (SF-12) QoL scores...
2010: American Journal of Nephrology
Ritu K Soni, Steven D Weisbord, Mark L Unruh
PURPOSE OF REVIEW: Patients with chronic kidney disease (CKD) endure compromised health-related quality of life (HRQOL). Although the link between HRQOL and increased mortality in patients with end-stage renal disease (ESRD) is well documented, less is known about the relationship between CKD and HRQOL. This article reviews the recent evidence on HRQOL, its correlates and proposed intervention strategies to improve HRQOL in CKD. RECENT FINDINGS: A growing body of literature indicates that various comorbid conditions related to CKD play a substantial role in impaired HRQOL in CKD...
March 2010: Current Opinion in Nephrology and Hypertension
Kathleen M Schneider, Brian E O'Donnell, Debbie Dean
In 2006, the Centers for Medicare & Medicaid Services, which administers the Medicare program in the United States, launched the Chronic Condition Data Warehouse (CCW). The CCW contains all Medicare fee-for-service (FFS) institutional and non-institutional claims, nursing home and home health assessment data, and enrollment/eligibility information from January 1, 1999 forward for a random 5% sample of Medicare beneficiaries (and 100% of the Medicare population from 2000 forward). Twenty-one predefined chronic condition indicator variables are coded within the CCW, to facilitate research on chronic conditions...
2009: Health and Quality of Life Outcomes
Khaled Abdel-Kader, Mark L Unruh, Steven D Weisbord
BACKGROUND AND OBJECTIVES: While many patients with end-stage renal disease (ESRD) have impaired physical and psychologic well-being, less is known about these health domains in patients with advanced chronic kidney disease (CKD). The authors sought to compare symptoms, depression, and quality of life in patients with ESRD and those with CKD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Patients with ESRD and subjects with advanced CKD were enrolled. Patients' symptoms, depression, and quality of life were assessed using the Dialysis Symptom Index (DSI), Patient Health Questionnaire-9 (PHQ-9), and Short Form 36 (SF-36), respectively, and these health domains were compared between patient groups...
June 2009: Clinical Journal of the American Society of Nephrology: CJASN
Khaled Abdel-Kader, Larissa Myaskovsky, Irina Karpov, Jay Shah, Rachel Hess, Mary Amanda Dew, Mark Unruh
BACKGROUND AND OBJECTIVES: Novel individualized quality-of-life (IQOL) measures permit patients with chronic kidney disease (CKD) to nominate unique areas of their lives that contribute to their well-being. This study assessed for differences in domains nominated by patients with CKD. We also examined the strength of association between (1) multidimensional health-related quality-of-life measures and IQOL and (2) psychosocial factors and IQOL. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We performed a cross-sectional study of 151 patients who were undergoing peritoneal dialysis or hemodialysis or had stages 4 through 5 CKD...
April 2009: Clinical Journal of the American Society of Nephrology: CJASN
Mary Beth Callahan
The last decade has brought multiple changes in the delivery of care to patients with chronic kidney disease (CKD), and the nephrology social worker, like other members of the dialysis care team, has changed in response to a new health care climate. This article reviews a disease course perspective of CKD and the outcome-driven nephrology social work model of practice. The outcome-driven model is strategic and works toward improving patient outcomes. In this model, the social worker identifies and isolates barriers to desired treatment outcomes such as survival, quality of life, and cost containment and develops focused psychosocial interventions to reduce barriers to positive treatment outcomes...
October 2007: Advances in Chronic Kidney Disease
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