Categorical state sequence analysis and regression tree to identify determinants of care trajectory in chronic disease: Example of end-stage renal disease

@article{LeMeur2019CategoricalSS,
  title={Categorical state sequence analysis and regression tree to identify determinants of care trajectory in chronic disease: Example of end-stage renal disease},
  author={Nolwenn Le Meur and C{\'e}cile Vigneau and Mathilde Lefort and Said Lebbah and Jean Philippe Jais and Eric Daugas and Sahar Bayat},
  journal={Statistical Methods in Medical Research},
  year={2019},
  volume={28},
  pages={1731 - 1740}
}
Background Patients with chronic diseases, like patients with end-stage renal disease (ESRD), have long history of care driven by multiple determinants (medical, social, economic, etc.). Although in most epidemiological studies, analyses of health care determinants are computed on single health care events using classical multivariate statistical regression methods. Only few studies have integrated the concept of treatment trajectories as a whole and studied their determinants. Methods All 18… Expand
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References

SHOWING 1-10 OF 32 REFERENCES
Modelling treatment trajectories to optimize the organization of renal replacement therapy and public health decision-making.
TLDR
A model based on patients' treatment trajectories can improve the description and understanding of RRT as a dynamic phenomenon and its use for simulation may help professionals and decision-makers to optimize renal organization and care. Expand
Ten-years trends in renal replacement therapy for end-stage renal disease in mainland France: Lessons from the French Renal Epidemiology and Information Network (REIN) registry.
TLDR
Kidney transplantation and survival significantly improved despite the heavier patient burden, however, the rise in type 2 diabetes-related ESRD and the stable high rate of emergency dialysis start remain major issues. Expand
Mining care trajectories using health administrative information systems: the use of state sequence analysis to assess disparities in prenatal care consumption
TLDR
The approach demonstrates that data from health administrative information systems could be used to describe prenatal care, and the integration of heterogeneous sources of data, including contextual information, might help identifying areas that require health promotion actions toward vulnerable populations, such as pregnant women. Expand
Predictors of early mortality among incident US hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
TLDR
Inadequate predialysis nephrology care was strongly associated with mortality during this period, highlighting the potential benefits of contact with a nephrologist at least 1 mo before HD initiation. Expand
The renal epidemiology and information network (REIN): a new registry for end-stage renal disease in France.
  • C. Couchoud, B. Stengel, +9 authors C. Jacquelinet
  • Medicine
  • Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2006
TLDR
The experience in these seven regions over these two years clearly shows the feasibility of the REIN registry, which is progressively expanding to cover the entire country. Expand
Individual and Regional Factors of Access to the Renal Transplant Waiting List in France in a Cohort of Dialyzed Patients
  • S. Bayat, M. Macher, +9 authors C. Jacquelinet
  • Medicine
  • American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
  • 2015
TLDR
It is demonstrated that patients' age has a major impact on waitlisting practices, even for patients with no comorbidity or disability, whose survival would likely be improved by transplantation compared with dialysis. Expand
Factors affecting outcomes in patients reaching end-stage kidney disease worldwide: differences in access to renal replacement therapy, modality use, and haemodialysis practices
TLDR
For most patients with ESKD worldwide who are treated with in-centre haemodialysis, overall survival is poor, but longer in some Asian countries than elsewhere in the world, and longer in Europe than in the USA, although this gap has reduced. Expand
Variation between centres in access to renal transplantation in UK: longitudinal cohort study
TLDR
It is found that recipients’ age, ethnicity, and primary renal diagnosis were associated with the likelihood of accessing the waiting list or receiving a transplant and significant variation in access to renal transplantation exists between centres within the UK that cannot be explained by differences in case mix. Expand
Prevalence of co-morbidity in different European RRT populations and its effect on access to renal transplantation.
  • V. Stel, P. V. van Dijk, +8 authors K. Jager
  • Medicine
  • Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2005
TLDR
The access to a renal graft was most affected by the presence of malignancy and least affected bythe presence of DM, and international differences in access to transplantation were only partly due to co-morbid variability. Expand
Simulation model of renal replacement therapy: predicting future demand in England.
TLDR
A discrete event simulation model predicts a substantial growth in the RRT population to 2010 to a rate approaching 1000 p.m.p., particularly in the elderly and those on HD, with a steady state not being reached for at least 25 years. Expand
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