{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T10:10:03Z","timestamp":1755943803662,"version":"3.44.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Socioeconomic deprivation (SED) is increasingly recognized as a key determinant of morbidity and mortality among patients receiving hemodialysis. However, most prior studies have relied on area-level socioeconomic indicators and have been conducted outside of Europe.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess whether individual-level socioeconomic status, measured using the EPICES score, influences healthcare quality and patient behaviors in adults undergoing maintenance hemodialysis in northeastern France.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This multicenter observational study was conducted across five dialysis units. Adult patients with end-stage renal disease receiving hemodialysis for\u00a0\u22653 months were enrolled. The EPICES score was used to assess individual SED, and patients were stratified into deprived (P+) and non-deprived (P\u2212) groups based on the median score. Clinical, biochemical, and behavioral variables were compared between groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 401 patients were included (mean age 68.5 years; 60% male). The median EPICES score was 33.1 (mean 35.8\u00a0\u00b1\u00a018.9). Compared with P\u00a0\u2212\u00a0patients, P\u00a0+\u00a0patients had a significantly longer dialysis vintage (76.3\u00a0vs. 73.9 months, p\u00a0=\u00a0.002), higher normalized protein catabolic rate (nPCR; 1.28\u00a0vs. 1.06\u00a0g\/kg\/day, p\u00a0=\u00a0.007), higher CRP concentrations (14.3\u00a0\u00b1\u00a04.1\u00a0vs. 9.56\u00a0\u00b1\u00a00.8\u00a0mg\/L, p\u00a0&amp;lt;\u00a0.02 ), and greater smoking prevalence (34%\u00a0vs. 15%, p\u00a0=\u00a0.004). No significant differences were observed in albumin and hemoglobin levels, erythropoietin (EPO) dosing, or the frequency of missed dialysis sessions. The CRP\u00a0\u00d7\u00a0P\u00a0+\u00a0interaction on nPCR was significant, suggesting that systemic inflammation could modify the association between deprivation and protein catabolism.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Individual-level SED was associated with differences in health behaviors but not in the quality of physician-driven dialysis care. These findings challenge the notion that deprived patients inherently receive lower-quality clinical care and emphasize the need for targeted strategies that address patient-dependent behavioral factors.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ckj\/sfaf201","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T11:46:16Z","timestamp":1750938376000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of individual socioeconomic deprivation on hemodialysis care and patient behavior: a multicenter French study (Precadia)"],"prefix":"10.1093","volume":"18","author":[{"given":"Yves","family":"Dimitrov","sequence":"first","affiliation":[{"name":"CHH Department of Nephrology, , Haguenau ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Chantrel","sequence":"additional","affiliation":[{"name":"GHMSA Department of Nephrology, , Mulhouse ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Krummel","sequence":"additional","affiliation":[{"name":"HUS Department of Nephrology, , Strasbourg ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clotilde","family":"Muller","sequence":"additional","affiliation":[{"name":"GHSV Department of Nephrology, , Strasbourg ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuelle","family":"Charlin","sequence":"additional","affiliation":[{"name":"Dialysis Center, AURAL , Strasbourg ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Klein","sequence":"additional","affiliation":[{"name":"HCC Department of Nephrology, , Colmar ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8493-8260","authenticated-orcid":false,"given":"Thierry","family":"Hannedouche","sequence":"additional","affiliation":[{"name":"Dialysis Center, AURAL , Strasbourg ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"2025082305315846600_bib1","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1159\/000514550","article-title":"Global epidemiology of end-stage kidney disease and disparities in kidney replacement therapy","volume":"52","author":"Thurlow","year":"2021","journal-title":"Am J Nephrol"},{"key":"2025082305315846600_bib2","doi-asserted-by":"publisher","first-page":"2649","DOI":"10.1681\/ASN.2013111207","article-title":"Neighborhood socioeconomic status, race, and mortality in young adult dialysis patients","volume":"25","author":"Johns","year":"2014","journal-title":"J Am Soc Nephrol"},{"key":"2025082305315846600_bib3","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1111\/hdi.12295","article-title":"The influence of socioeconomic status on patient survival on chronic dialysis","volume":"19","author":"Ward","year":"2015","journal-title":"Hemodial Int"},{"key":"2025082305315846600_bib4","doi-asserted-by":"publisher","first-page":"e0153431","DOI":"10.1371\/journal.pone.0153431","article-title":"Influence of socio-economic inequalities on access to renal transplantation and survival of patients with end-stage renal disease","volume":"11","author":"Kihal-Talantikite","year":"2016","journal-title":"PLoS One"},{"key":"2025082305315846600_bib5","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1111\/nep.13629","article-title":"Socioeconomic status and dialysis quality of care","volume":"25","author":"Krishnasamy","year":"2020","journal-title":"Nephrology"},{"key":"2025082305315846600_bib6","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1016\/j.jcjd.2019.04.006","article-title":"Impact of socioeconomic status on incidence of end-stage renal disease and mortality after dialysis in adults with diabetes","volume":"43","author":"Ke","year":"2019","journal-title":"Can J Diabetes"},{"key":"2025082305315846600_bib7","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1007\/s11255-019-02078-5","article-title":"Socioeconomic status and mortality among dialysis patients: a systematic review and meta-analysis","volume":"51","author":"Tao","year":"2019","journal-title":"Int Urol Nephrol"},{"key":"2025082305315846600_bib8","doi-asserted-by":"publisher","first-page":"e36","DOI":"10.1097\/jnr.0000000000000309","article-title":"Nonadherence in hemodialysis patients and related factors: a multicenter study","volume":"27","author":"Ozen","year":"2019","journal-title":"J Nurs Res"},{"key":"2025082305315846600_bib9","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.1053\/j.ajkd.2005.09.002","article-title":"Choices for healthy outcomes in caring for End-stage renal disease (CHOICE) study. 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