title: Rehabilitation in the renal population: barriers to access.
abstract: Administrative data suggest familiar socioeconomic, race, sex, and age disparities in renal patients' receipt of services such as cardiac rehabilitation. Dialysis facility characteristics and disparities in access to transplantation, home-based dialysis, and more frequent dialysis also may influence patients' access to rehabilitation opportunities. Tested models exist for interdisciplinary inpatient rehabilitation, exercise/physical conditioning programs, and psychosocial interventions, and several of these programs consider the special needs of particular age groups. Recognition of the importance of physical activity/exercise and depressed mood as predictors of patient outcomes, and research addressing the concept of frailty, effectively may increase the salience of rehabilitation objectives throughout the renal community.
authors.affiliation: Department of Rehabilitation Medicine and the US Renal Data System Rehabilitation/Quality of Life Special Studies Center, Emory University, Atlanta, GA 30322, USA. nkutner@emory.edu
authors.forename: Nancy G
authors.initials: NG
authors.lastname: Kutner
mesh_terms: D002908:Chronic Disease; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006801:Humans; D007674:Kidney Diseases / Q000534:rehabilitation*