English  |  正體中文  |  简体中文  |  Post-Print筆數 : 27 |  Items with full text/Total items : 110119/141062 (78%)
Visitors : 46499791      Online Users : 1599
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/63233


    Title: 血液透析與腹膜透析對末期腎臟病患之存活影響
    Comparing the risk of death between Peritoneal Dialysis and Hemodialysis of ESRD patients in Taiwan.
    Authors: 龎婷
    Pang, Ting
    Contributors: 連賢明
    Lien, Hsien Ming
    龎婷
    Pang, Ting
    Keywords: 末期腎臟病
    血液透析
    腹膜透析
    工具變數
    Date: 2013
    Issue Date: 2014-01-02 14:42:42 (UTC+8)
    Abstract:   台灣末期腎臟病發生率於2001至2008年間排名世界第一,疾病盛行率更於2001年起至今持續位居世界首位,居高不下的盛行率使得末期腎臟病透析治療花費亦隨之高漲。事實上,為了節省透析醫療費用,健保曾於2006年起推行一系列政策鼓勵腹膜透析。然即便如此,目前台灣末期腎臟病病患使用腹膜透析的比例仍只有一成左右,因此本文想瞭解是否血液透析與腹膜透析兩者治療效果有明顯差異?
      本研究以血液透析與腹膜透析病患的存活情形做為透析治療品質指標。在研究方法上,未控制內生性時以Cox等比例危險模型及線性機率模型OLS來估計,結果皆顯示血液透析相對腹膜透析病患的存活情形較差。為了解決病人自我選擇透析方式與存活率間產生的選擇性偏誤(selection bias),本文採用線性機率模型以工具變數(IV)及兩階段最小平方法(2SLS)來分析。經估計後發現無論是否使用工具變數,我們僅能猜測血液透析病人一年存活率相較腹膜透析病人低;而血液透析病人三年存活率相較腹膜透析病人則比較高,但礙於統計上不顯著,本文尚不能做進一步推論。
    Reference: 英文文獻:
    Collins, A., Hao, W., Xia, H., Ebben, J., Everson, S., Constantini, E., and Jennie Z. (1999), “Mortality risks of peritoneal dialysis and hemodialysis.” American Journal of Kidney Diseases, 34(6):1065-1074.
    Correa-Rotter, R. (2001), “The cost barrier to renal replacement therapy and peritoneal dialysis in the developing world.” Peritoneal Dialysis International, 21:314-317.
    Diaz-Buxo, J., Crawford-Bonadio, T., St. Pierre, D., and Ingram, K. (2006), “Establishing a successful home dialysis program.” Blood Purif, 24(1):22-27.
    D. R. Cox (1972), “Regression Models and Life-Tables.” Journal of the Royal Statistical Society. Series B (Methodological), 34( 2):187-220.
    Fenton, S., Schaubel, D., Desmeules, M., and Morrison, H. (1997), “Hemodialysis versus peritoneal dialysis: A comparison of adjusted mortality rates.” American Journal of Kidney Diseases, 30(3):334-342.
    Fox, M. (1993), “Facility reimbursement: a critical comparison between hemodialysis and peritoneal dialysis.” American journal of kidney diseases, 22(Supplement 1): 32-34.
    Heaf, J., Lokkegaard, H., and Madsen, M. (2002), “Initial survival advantage of peritoneal dialysis relative to haemodialysis.” Nephrology Dialysis Transplantation, 17(1):112-117.
    Huang, C., Cheng, K., and Wu, H. (2008), “Survival analysis: comparing peritoneal dialysis and hemodialysis in Taiwan.” Peritoneal Dialysis International, 28(Supplement 3):15-20.
    Jaar, B., Coresh, J., Plantinga, L., Fink, N., Klag, M., Levey, A., Levin N, Sadler J, Kliger A, Powe N. (2005), “Comparing the risk for death with peritoneal dialysis and hemodialysis in a national cohort of patients with chronic kidney disease.” Annals of internal medicine, 143(3):174-183.
    Jager, K., Korevaar, J., Dekker, F., Krediet, R., and Boeschoten, E. (2004), “The effect of contraindications and patient preference on dialysis modality selection in ESRD patients in The Netherlands.” American Journal of Kidney Diseases, 43(5):891-899.
    Jung, B., Blake, P., Mehta, R., and Mendelssohn, D. (1999), “Attitudes of Canadian nephrologists toward dialysis modality selection.” Peritoneal Dialysis International, 19(3):263-268.
    King, K. (2000), “Patients` perspective of factors affecting modality selection: A national kidney foundation patient survey.” Advanced Renal Replace Therapy, 7(31):261-268.
    Lameire, N., Peeters, P., Vanholder, R., and Van Biesen, W. (2006), “Peritoneal dialysis in Europe: an analysis of its rise and fall.” Blood Purif, 24(1):107-114.
    Levitt, S. D. (1997), “Using electoral cycles in police hiring to estimate the effect of police on crime.”, American Economic Review, 87(3): 270-290.
    Lien Hsien-Ming, Shin-Yi Chou, and Jin-Tan Liu. (2008), “Hospital Ownership and Performance: Evidence from Stroke and Cardiac Treatment in Taiwan.” Journal of Health Economics, 27(5):1208-1223.
    Little, J., Irwin, A., Marshall, T., Rayner, H., and Smith, S. (2001), “Predicting a patient’s choice of dialysis modality: experience in a United Kingdom renal department.” American Journal of Kidney Diseases, 37(5):981-986.
    McDonald S.P., Marshall M.R., Johnson D.W., Polkinghorne K.R. (2009), “Relationship between dialysis modality and mortality.” Journal of the American Society of Nephrology, 20:155-163.
    Mehrotra, R., Blake, P., Berman, N., and Nolph, K. (2002), “An analysis of dialysis training in the United States and Canada.” American Journal of Kidney Diseases, 40(1):152-160.
    Mendelssohn, D.C., Mullaney, S.R., Jung, B., Blake, P.G., and Mehta, R.L. (2001), “What do American nephrologists think about dialysis modality selection?” American Journal of Kidney Disease, 37:22-29.
    Nissenson, A., Prichard, S., Cheng, I., Gokal, R., Kubota, M., Maiorca, R., Riella M.C., Rottembourg J., and Stewart J.H. (1993), “Non-medical factors that impact on ESRD modality selection.” Kidney International, Supplement, 40: 120-127.
    Nissenson, A., Prichard, S., Cheng, I., Gokal, R., Kubota, M., Maiorca, R., Riella M.C., Rottembourg J, and Stewart J.H. (1997), “ESRD modality selection into the 21st century: The importance of non medical factors.” Asaio Journal, 43(3):143-150.
    Paul M. Just, Frank Th. de Charro, Elizabeth A. Tschosik, Les L. Noe, Samir K. Bhattacharyya, and Miguel C. Riella. (2008), “Reimbursement and economic factors influencing dialysis modality choice around the word.” Nephrology Dialysis Transplantation, 23: 2365-2373.
    Pfister-Minogue, K. (1993), “Enhancing patient compliance: A guide for nurse.” Geriatric Nursing, 14(3):124-132.
    Sarah S. Prichard. (1996), “Comorbidities and their impact on outcome in patients with end-stage renal disease” Kidney International, 57:100-104.
    Stack, A., Molony, D., Rahman, N., Dosekun, A., and Murthy, B. (2003), “Impact of dialysis modality on survival of new ESRD patients with congestive heart failure in the United States.” Kidney International, 64(3):1071-1079.
    Termorshuizen, F., Korevaar, J., Dekker, F., van Manen, J., Boeschoten, E., and Krediet, R. (2003), “Hemodialysis and peritoneal dialysis: comparison of adjusted mortality rates according to the duration of dialysis: analysis of The Netherlands Cooperative Study on the Adequacy of Dialysis.” Journal of the American Society of Nephrology, 14(11):2851-2860.
    Thamer, M., Hwang, W., Fink, N., Sadler, J., Wills, S., Levin N.W., Bass E.B., Levey A.S., Brookmeyer R., and Powe N.R. (2000), “US nephrologists’ recommendation of dialysis modality: results of a national survey.” American journal of kidney diseases, 36(6):1155-1165.
    United States Renal Data System, Annual data report, (2012).
    van de Luijtgaarden M.W., Noordzij M., Stel V.S., Ravani P., Jarraya F., Collart F., Schön S., Leivestad T., Puttinger H., Wanner C., Jager K.J. (2011), “Effects of comorbid and demographic factors on dialysis modality choice and related patient survival in Europe.” Nephrology Dialysis Transplantation, 26:2940-2947.
    Vanherweghem, J-L., C. Tielemans, D. Abramowicz, M. Depierreux, R. VanhaelenFastre, M. Vanhaelen, M. Dratwa, C. Richard,D. Vandervelde, D. Verbeelen, and M.Jadoul. (1993), “Rapidly progressive interstitial renal fibrosis in young women: association with slimming regimen including Chinese herbs.” TheLancet, 341, 387-414
    Vonesh, E., Snyder, J., Foley, R., and Collins, A. (2004), “The differential impact of risk factors on mortality in hemodialysis and peritoneal dialysis.” Kidney International, 66(6):2389-2401.
    Vonkataraman, V., and Nolph, K.D. (1999), “Socioeconomic aspects of PD in North America: Role of non-medical factors in the choice of dialysis.” Peritoneal Dialysis International, 19 (Supplement 2) : 419-422.
    Weinhandl E.D., Foley R.N., Gilbertson D.T., Arneson T.J., Snyder J.J., and Collins A.J. (2010), “Propensity-matched mortality comparison of incident hemodialysis and peritoneal dialysis patients.” Journal of the American Society of Nephrology, 21(3):499-506.
    Whittaker, A., and Albee, B. (1996), “Factors influencing patient selection of dialysis treatment modality.” ANNA journal (American Nephrology Nurses Association), 23(4):369.
    Wuerth, D. B., Finkelstein, S. H., Schwetz, O., Carey, H., Kliger, A. S., and Finkelstein, F. O. (2002), “Patients’ descriptions of specific factors leading to modality selection of chronic peritoneal dialysis or hemodialysis.” Peritoneal Dialysis International, 22(2):184-190.
    Yeates K., Zhu N., Vonesh E., Trpeski L., Blake P., and Fenton S. (2012), “Hemodialysis and peritoneal dialysis are associated with similar outcomes for end-stage renal disease treatment in Canada.” Nephrology Dialysis Transplantation 27(9):3568-3575.

    中文文獻:
    王榮德 (2008),「全國透析病人透析前腎毒性中西藥處方之分析研究」,《中醫藥年報》,4(26),477-500。
    王麗玲、楊麗芬 (2004),「末期腎病患者選擇透析模式的影響因素」,《腎臟與透析》,16(4),241-246。
    胡潔瑩、林秋菊 (1999),「末期腎臟疾病患者面對透析治療方式的抉擇衝突」,《腎臟與透析》,11(2),106-109。
    高芷華 (2012),「臺灣透析病人的存活研究」,國立台灣大學職業醫學與工業衛生研究所博士論文。
    常逸平、錢慶文、楊耿如 (2007),「全民健保腹膜透析比血液透析省錢嗎?」,《台灣衛誌》,26(5),400-408。
    許績天、連賢明 (2007),「賺得越少,洗得越多?-台灣末期腎臟病患之血液透析誘發性需求」,《經濟論文叢刊》,354(2),415-450。
    連賢明 (2011),「如何使用健保資料推估社經變數?」,《人文及社會科學集刊》,23(3),371-398。
    張蒙西 (2011),「末期糖尿病腎病變患者使用血液及腹膜透析對醫療費用,合併症及死亡率之比較」,國立陽明大學醫務管理研究所碩士論文。
    梁嘉慧、楊勤熒、盧國城、朱柏齡、陳瓊華、謝湘俐、周桂如 (2008),「慢性腎臟疾病患者選擇腹膜透析模式影響之因素」,《台灣腎臟護理學會雜誌》,7(2)。
    黃嬿倫 (2006),「醫療院所特性對洗腎品質影響之研究」,國立政治大學國際貿易研究所碩士論文。
    鄧安智 (2009),「台灣末期腎臟病患腹膜透析與血液透析之存活比較」,國立台灣大學醫療機構管理研究所碩士論文。
    鄭振廷、侯宏彬、錢慶文 (2005),「影響洗腎病患定期血液透析醫療資源耗用之因素」,《醫務管理期刊》,6(3),291-308。

    其他參考資料:
    台北市立萬芳醫院,腎臟內科衛教園區,陳彥成醫師,2011。http://www.wanfang.gov.tw/W402008web_new/subject/healthshow.asp?dept_code=0500&news_id=510&item=6
    台北榮總腎臟科,慢性腎臟病衛教專區。http://homepage.vghtpe.gov.tw/~neph/contents/7.htm#4
    台灣腎臟醫學會,「台灣腎臟病現況與未來」,林裕峯,2009。
    全民健康保險醫療費用協定委員會─「門診透析服務品質保證保留款實施方案」,94至99年。http://www.realsun.com.tw/new_web/pdf/97n_064.pdf
    行政院衛生署國民健康局,《慢性腎臟病防治手冊》,行政院衛生署,2010。
    陳永順、謝恩得、黃宣翰、唐秀麗 (2007),「莫讓偽劣藥戕害國人專題系列報導」,《聯合報》,3月20日~ 3月24日。
    健保局,《全民健康保險雙月刊》,2007年11月,70期,頁15-17。
    健保局,醫療服務給付項目及支付標準查詢。http://www.nhi.gov.tw/query/query2.aspx?menu=20&menu_id=712&WD_ID=830
    健保局,「98年全民健康保險統計」、「99年全民健康保險統計」、「100年全民健康保險統計」。
    健保局,「全民健康保險總額支付制度協商參考指標要覽」,98至100年。
    楊五常 (2009),「腹膜透析初期存活率提高」,《聯合晚報》,11月11日。
    楊五常,張曉卉 (2009),《愛腎好生活》,台灣:天下雜誌股份有限公司。
    Description: 碩士
    國立政治大學
    財政研究所
    100255015
    102
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0100255015
    Data Type: thesis
    Appears in Collections:[財政學系] 學位論文

    Files in This Item:

    File SizeFormat
    501501.pdf853KbAdobe PDF2833View/Open


    All items in 政大典藏 are protected by copyright, with all rights reserved.


    社群 sharing

    著作權政策宣告 Copyright Announcement
    1.本網站之數位內容為國立政治大學所收錄之機構典藏,無償提供學術研究與公眾教育等公益性使用,惟仍請適度,合理使用本網站之內容,以尊重著作權人之權益。商業上之利用,則請先取得著作權人之授權。
    The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.

    2.本網站之製作,已盡力防止侵害著作權人之權益,如仍發現本網站之數位內容有侵害著作權人權益情事者,請權利人通知本網站維護人員(nccur@nccu.edu.tw),維護人員將立即採取移除該數位著作等補救措施。
    NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback