Document Detail


Comparison and survival of patients receiving hemodialysis and peritoneal dialysis in a single center.
MedLine Citation:
PMID:  17886622     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The influence of the type of dialysis on survival of patients with end-stage renal disease (ESRD) is controversial. To compare survival among patients with ESRD receiving peritoneal dialysis (PD) or hemodialysis (HD), we conducted a prospective cohort study in a single center from April 1995 to March 2005. During that period, 454 patients (161 women, 293 men; mean age: 61.7 +/- 14.4 years; 46.6% with diabetic nephropathy) were started on HD therapy, and 120 patients (40 women, 80 men; mean age: 54.5 +/- 11.3 years; 16.7% with diabetic nephropathy) were started on PD therapy; all patients were followed for at least 3 years. The 3-year survival rates were 65% for the HD patients and 81% for the PD patients (p < 0.05). The causes of death in patients undergoing HD were 52% cardiovascular 25% infectious diseases, and 12% cancer; in patients undergoing PD, the causes were 36% infectious diseases, 24% cardiovascular, and 6% cancer Median time from initiation of dialysis to study enrollment was 90 days for HD patients and 180 days for PD patients. Although patients in this study were not randomly assigned to their initial type of dialysis therapy, survival rate was found to be dependent on dialysis type. Moreover, this study suggests the importance of early referral and evaluation of risk factors in individual patients before they are started on dialysis therapy.
Authors:
Kousuke Uchida; Junko Shoda; Soichi Sugahara; Naofumi Ikeda; Kazuhiro Kobayashi; Yoshihiko Kanno; Hirokazu Okada; Hidetomo Nakamoto; Yuka Uchida; Hiromichi Suzuki
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Advances in peritoneal dialysis. Conference on Peritoneal Dialysis     Volume:  23     ISSN:  1197-8554     ISO Abbreviation:  Adv Perit Dial     Publication Date:  2007  
Date Detail:
Created Date:  2007-09-24     Completed Date:  2007-11-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104803     Medline TA:  Adv Perit Dial     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  144-9     Citation Subset:  IM    
Affiliation:
Kidney Disease Center, Saitama Medical University, Saitama, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cause of Death
Female
Humans
Kidney Failure, Chronic / mortality*,  therapy
Male
Middle Aged
Peritoneal Dialysis*
Renal Dialysis*
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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