title: [Planned dialysis and regular use of primary care by diabetic patients in the city of Belo Horizonte, Minas Gerais State, Brazil].
abstract: The objective was to analyze factors associated with planned initiation of dialysis in diabetic patients in the city of Belo Horizonte, Minas Gerais State, Brazil. This was a cross-sectional study of 250 diabetic patients who began dialysis between January 2006 and December 2007. Initiating dialysis with an arteriovenous fistula or in peritoneal dialysis was classified as planned initiation. The study targeted socio-demographic, clinical, and health services use variables using a semi-structured interview. Multivariate analysis used Poisson regression. Seventy per cent of the patients began dialysis on an unplanned basis, and 67% of those consulted had been referred to a nephrologist more than four months previously. Attending a health center, not having the first nephrology appointment paid for by the Brazilian Unified National Health System, and having a choice of treatment for the kidney disease were associated with planned initiation of dialysis. Unplanned initiation of dialysis is common in the city of Belo Horizonte and occurs regardless of the time since referral to the nephrologist.
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. lidemorais@yahoo.com.br
authors.forename: Eline Rezende de Morais
authors.initials: ER
authors.lastname: Peixoto
authors.forename: Ilka Afonso
authors.initials: IA
authors.lastname: Reis
authors.forename: Elaine Leandro
authors.initials: EL
authors.lastname: Machado
authors.forename: Eli Iola Gurgel
authors.initials: EI
authors.lastname: Andrade
authors.forename: Francisco de Assis
authors.initials: Fde A
authors.lastname: Acurcio
authors.forename: Mariângela Leal
authors.initials: ML
authors.lastname: Cherchiglia
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D003928:Diabetic Nephropathies / Q000628:therapy*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D006435:Renal Dialysis / Q000379:methods* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D055815:Young Adult