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Peer-reviewedCC BYJournal of renal care

Factors Associated With the Autonomy of Patients Treated by Haemodialysis in Community Centres. A Cross-Sectional Study.

  • Akram Achour1
  • Clémence Béchade2,3,4
  • Thierry Lobbedez2,3,4
  • Stéphane Edet5
  • Maxence Ficheux2,5
  • Sonia Guillouët2,4
5 affiliations
  1. 1Santelys Association, Loos, France.
  2. 2Department of Health Training and Research, Caen University, Caen, France.
  3. 3Nephrology Department, Caen University Hospital, Caen, France.
  4. 4Research Unit INSERM U1086, Anticipe, Caen, France.
  5. 5ANIDER Association, Rouen, France.
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Abstract

Background

In France, haemodialysis is delivered in different settings depending on patients' health status and autonomy. Community centres include self-care and satellite units, which vary in organisation and patient involvement.Objectives

To describe the characteristics of patients treated in haemodialysis community centres and to identify factors associated with autonomy in self-care units.Design

Cross-sectional study.Participants

All patients receiving haemodialysis in community centres in a French region on December 31, 2021.Measurements

Patient characteristics and multiple dimensions of patient autonomy were recorded. Multivariate analyses assessed associations between patient factors and technical autonomy.Results

Among 507 patients, 304 were treated in self-care units and 203 in satellite haemodialysis units. Patients in satellite haemodialysis units had a median age of 69 years (IQR 59-78; range 24-90), compared with 66 years (IQR 54-75; range 22-91) in self-care haemodialysis units. They also had more comorbidities. Younger age was associated with greater autonomy in arteriovenous fistula puncture-site dressing (PR 0.97, 95% CI 0.96-0.98), setting the haemodialysis machine (PR 0.97, 95% CI 0.96-0.98), and programming it (PR 0.97, 95% CI 0.95-0.98). Autonomy differed significantly between centres, with centre affiliation significantly associated (p < .001) with autonomy for the arteriovenous fistula puncture-site dressing and machine-related tasks.Conclusions

Patient characteristics in self-care haemodialysis units did not fully explain autonomy for haemodialysis tasks. Considerable variability between centres was observed, suggesting that centre-related factors may contribute to differences in patient autonomy.

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Cite

BibTeXRIS
BibTeX
@article{achour2026factors,
  title = {{Factors Associated With the Autonomy of Patients Treated by Haemodialysis in Community Centres. A Cross-Sectional Study.}},
  author = {Akram Achour and Clémence Béchade and Thierry Lobbedez and Stéphane Edet and Maxence Ficheux and Sonia Guillouët},
  journal = {Journal of renal care},
  year = {2026},
  month = oct,
  doi = {10.1111/jorc.70088},
  url = {https://europepmc.org/article/MED/42910577},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Factors Associated With the Autonomy of Patients Treated by Haemodialysis in Community Centres. A Cross-Sectional Study.
AU  - Akram Achour
AU  - Clémence Béchade
AU  - Thierry Lobbedez
AU  - Stéphane Edet
AU  - Maxence Ficheux
AU  - Sonia Guillouët
PY  - 2026
DA  - 2026/10/30
JO  - Journal of renal care
DO  - 10.1111/jorc.70088
UR  - https://europepmc.org/article/MED/42910577
AB  - Background  In France, haemodialysis is delivered in different settings depending on patients' health status and autonomy. Community centres include self-care and satellite units, which vary in organisation and patient involvement.Objectives  To describe the characteristics of patients treated in haemodialysis community centres and to identify factors associated with autonomy in self-care units.Design  Cross-sectional study.Participants  All patients receiving haemodialysis in community centres in a French region on December 31, 2021.Measurements  Patient characteristics and multiple dimensions of patient autonomy were recorded. Multivariate analyses assessed associations between patient factors and technical autonomy.Results  Among 507 patients, 304 were treated in self-care units and 203 in satellite haemodialysis units. Patients in satellite haemodialysis units had a median age of 69 years (IQR 59-78; range 24-90), compared with 66 years (IQR 54-75; range 22-91) in self-care haemodialysis units. They also had more comorbidities. Younger age was associated with greater autonomy in arteriovenous fistula puncture-site dressing (PR 0.97, 95% CI 0.96-0.98), setting the haemodialysis machine (PR 0.97, 95% CI 0.96-0.98), and programming it (PR 0.97, 95% CI 0.95-0.98). Autonomy differed significantly between centres, with centre affiliation significantly associated (p < .001) with autonomy for the arteriovenous fistula puncture-site dressing and machine-related tasks.Conclusions  Patient characteristics in self-care haemodialysis units did not fully explain autonomy for haemodialysis tasks. Considerable variability between centres was observed, suggesting that centre-related factors may contribute to differences in patient autonomy.
SN  - 1755-6678
SN  - 1755-6686
ER  -