{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:43:11Z","timestamp":1792665791271,"version":"4.5.0"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In France, haemodialysis is delivered in different settings depending on patients' health status and autonomy. Community centres include self\u2010care and satellite units, which vary in organisation and patient involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the characteristics of patients treated in haemodialysis community centres and to identify factors associated with autonomy in self\u2010care units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All patients receiving haemodialysis in community centres in a French region on December 31, 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Patient characteristics and multiple dimensions of patient autonomy were recorded. Multivariate analyses assessed associations between patient factors and technical autonomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 507 patients, 304 were treated in self\u2010care units and 203 in satellite haemodialysis units. Patients in satellite haemodialysis units had a median age of 69 years (IQR 59\u201378; range 24\u201390), compared with 66 years (IQR 54\u201375; range 22\u201391) in self\u2010care haemodialysis units. They also had more comorbidities. Younger age was associated with greater autonomy in arteriovenous fistula puncture\u2010site dressing (PR 0.97, 95% CI 0.96\u20130.98), setting the haemodialysis machine (PR 0.97, 95% CI 0.96\u20130.98), and programming it (PR 0.97, 95% CI 0.95\u20130.98). Autonomy differed significantly between centres, with centre affiliation significantly associated (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) with autonomy for the arteriovenous fistula puncture\u2010site dressing and machine\u2010related tasks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patient characteristics in self\u2010care haemodialysis units did not fully explain autonomy for haemodialysis tasks. Considerable variability between centres was observed, suggesting that centre\u2010related factors may contribute to differences in patient autonomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jorc.70088","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:33:16Z","timestamp":1792665196000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With the Autonomy of Patients Treated by Haemodialysis in Community Centres. A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"52","author":[{"given":"Akram","family":"Achour","sequence":"first","affiliation":[{"name":"Santelys Association Loos France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8481-6589","authenticated-orcid":false,"given":"Cl\u00e9mence","family":"B\u00e9chade","sequence":"additional","affiliation":[{"name":"Department of Health Training and Research Caen University Caen France"},{"name":"Nephrology Department Caen University Hospital Caen France"},{"name":"Research Unit INSERM U1086, Anticipe Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0945-8056","authenticated-orcid":false,"given":"Thierry","family":"Lobbedez","sequence":"additional","affiliation":[{"name":"Department of Health Training and Research Caen University Caen France"},{"name":"Nephrology Department Caen University Hospital Caen France"},{"name":"Research Unit INSERM U1086, Anticipe Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3645-8344","authenticated-orcid":false,"given":"St\u00e9phane","family":"Edet","sequence":"additional","affiliation":[{"name":"ANIDER Association Rouen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxence","family":"Ficheux","sequence":"additional","affiliation":[{"name":"Department of Health Training and Research Caen University Caen France"},{"name":"ANIDER Association Rouen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3642-0317","authenticated-orcid":false,"given":"Sonia","family":"Guillou\u00ebt","sequence":"additional","affiliation":[{"name":"Department of Health Training and Research Caen University Caen France"},{"name":"Research Unit INSERM U1086, Anticipe Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2005.01164.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2006.00106.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12966"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0738-3991(02)00032-0"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2013.12028.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-21"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00570-3"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.70104"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0003722021"},{"key":"e_1_2_11_11_1","unstructured":"Decree No. 2002\u20101198. of 23 September.2002. 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