Patient adherence to long-term medical treatment of kidney stones
Patient adherence to long-term medical treatment of kidney stones
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DOI：
10.1016/s0022-5347(05)65505-x
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发表时间：
2001-12-01
影响因子：
6.6
通讯作者：
Coe, FL
中科院分区：
文献类型：
--
作者：
Parks, JH;Asplin, JR;Coe, FL
目的：我们在一所大学的转诊诊所确定了30年内患者对内科肾结石治疗的依从性和结果质量。我们还分析了时间趋势的坚持和时间的后续测量，并在treatment.Materials和方法过饱和度的减少：所有患者谁进入芝加哥大学肾结石预防计划从1970年至2000年的数据进行了分析。分析了接受任何随访的新患者和以增加的间隔继续随访的患者的分数。测量随访时间。坚持在30年的变化也进行了分析，因为是减少在过饱和度方面的草酸钙，磷酸钙和尿酸。结果：共70%至80%的患者保留在每个连续的后续周期与2名医生，和临床协议，总是需要6周的随访，24小时尿液收集和每年一次，此后的结石危险因素。在1990年代的最后5年，保留率有所下降。第一次随访时出现过饱和度降低，并随时间保持不变或改善。随访测量的时间是在雅阁与我们的protocol.Conclusions：在最好的情况下，一个可以保留只有70%至80%的患者在一个后续计划在每个时间间隔，并实现过饱和度的减少是恒定的，在长期的显着。随访测量的时间可以接近所使用的方案。
Purpose: We determine patient adherence to and quality of outcome of medical kidney stone treatment during a 30-year duration at a single university based referral clinic. We also analyze time trends in adherence and timing of followup measurements, and supersaturation reduction during treatment.Materials and Methods: Data on all patients who entered the University of Chicago Kidney Stone Prevention Program from 1970 to 2000 were analyzed. Fractions of new patients who had any followup and those remaining in followup at increasing intervals were analyzed. Timing of followup was measured. Changes in adherence during the 3 decades were also analyzed, as was reduction in supersaturation in regard to calcium oxalate, calcium phosphate and uric acid.Results: A total of 70% to 80% of patients were retained at each successive followup cycle with 2 physicians, and a clinical protocol that always required 6-week followup with 24-hour urine collection and a yearly one thereafter for stone risk factors. Retention decreased during the last 5 years of the 1990s. Supersaturation reduction was present by the first followup and remained constant or improved with time. Timing of followup measurements was in accord with our protocol.Conclusions: At best, one can retain only 70% to 80% of patients in a followup program at each interval, and achieve supersaturation reductions that are constant and significant during the long term. Timing of followup measurements can be close to that of the protocol in use.