XXXX and support provided by home care services: a systematic review.

@entity1 @entity740 @entity298 @entity102
BACKGROUND: @entity102 , such as @entity740 ( @entity740 ), are growing in incidence and prevalence, in part due to an aging population. Support provided through home care services may be useful in attaining a more efficient and higher quality care for @entity740 @entity1 . METHODS: A systematic review was performed to identify studies examining home care interventions among adult @entity740 @entity1 incorporating all outcomes. Studies examining home care services as an alternative to acute, post-acute or hospice care and those for long-term maintenance in @entity1 ' homes were included. Studies with only a home training intervention and those without an applied research component were excluded. RESULTS: Seventeen studies (10 cohort, 4 non-comparative, 2 cross-sectional, 1 randomized) examined the support provided by home care services in 15,058 @entity740 @entity1 . Fourteen studies included @entity298 ( @entity298 ), two incorporated hemodialysis (HD) and one included both @entity298 and HD @entity1 in their treatment groups. Sixteen studies focused on the dialysis phase of care in their study samples and one study included information from both the dialysis and pre-dialysis phases of care. Study settings included nine single hospital/dialysis centers and three regional/metropolitan areas and five were at the national level. Studies primarily focused on nurse assisted home care @entity1 and mostly examined @entity298 related clinical outcomes. In @entity298 studies with comparators, @entity298 risks and technique survival rates were similar across home care assisted @entity1 and comparators. The risk of mortality, however, was higher for home care assisted @entity298 @entity1 . While most studies adjusted for age and comorbidities, information about multidimensional prognostic indices that take into account physical, psychological, cognitive, functional and social factors among @entity740 @entity1 was not easily available. CONCLUSIONS: Most studies focused on nurse assisted home care @entity1 on dialysis. The majority were single site studies incorporating small @entity1 populations. There are gaps in the literature regarding the utility of providing home care to @entity740 @entity1 and the impact this has on healthcare resources.
