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Master Thesis

Is hand function associated with assisted peritoneal dialysis? : a cross sectional study

Abstract : Background: There is a heterogeneity between centres regarding the utilization of assisted peritoneal dialysis (PD). Functional impairment is one of the leading causes of assisted PD. Tools to assess the patient ability to manipulate PD devices are required. The objective of this study was to evaluate the feasibility of hand function evaluation in PD patient and to test the association between hand function estimation and assisted PD. Methods: This was a cross sectional study of adults treated by PD in our centre in January 2019. Hand function was evaluated by Purdue Pegboard, Jebsen, Jamar and pinch tests. Relative risks were calculated with a Cox model to evaluate the association between each test and assisted PD. Results: Among the 43 PD patients included, 16 were autonomous and 27 were assisted. Jebsen test and Purdue Pegboard were completed by 41 patients (95.3%). All patients succeeded in performing Jamar and pinch test. Median time to complete all tests was 22 minutes. After adjustment on the Charlson comorbidity index, assembly test of the Purdue Pegboard (RR 0.92 [CI 95% 0.86-0.98]), total Jebsen score (RR 1.01 [CI 95% 1.00-1.01]) and Jamar test (RR 0.94 [CI 95% 0.90-0.99] with dominant hand, OR 0.94 [CI 95% 0.88-0.98] with non-dominant hand) were associated with assisted PD. Conclusion: Evaluation of hand function of PD patients is feasible in daily practice using Jebsen test, Purdue Pegboard, pinch and Jamar test and associated with the utilization of assisted PD. Further studies are needed to assess whether dexterity tests are associated with the outcome on PD.
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Master Thesis
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Mathilde Beaumier. Is hand function associated with assisted peritoneal dialysis? : a cross sectional study. Human health and pathology. 2019. ⟨dumas-02502694⟩

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