Document Detail


Glycemic control and survival in peritoneal dialysis patients with diabetes mellitus.
MedLine Citation:
PMID:  22581421     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: The optimal target for glycated hemoglobin (HbA1c) has not been well defined in peritoneal dialysis (PD) patients with diabetes mellitus. METHODS: The objective of our study was to examine the predictive value of predialysis and time-averaged follow-up HbA1c values on technique and patient survival in diabetic PD patients treated in the Toronto General Hospital Home Peritoneal Dialysis Unit, between January 1, 2003 and December 31, 2008 with a median follow-up period of 30 ± 23 months. RESULTS: Ninety-one patients (mean age 64 ± 13 years-old) were included in this retrospective study. Patients were followed between 3 and 91 months (mean duration 30 ± 23 months). During this period, 40 patients died. We found no statistically significant correlation between baseline predialysis HbA1c values and technique and patient survival. Time-averaged follow-up HbA1c in increments <6.5 %, 6.5-8 %, and >8 % showed no significant survival difference among groups. CONCLUSIONS: There was no significant correlation of baseline and time-averaged follow-up HbA1c values with patient and PD technique survival.
Authors:
Nigar Sekercioglu; Chrysostomos Dimitriadis; Chrysoula Pipili; Rosilene Motta Elias; Joseph Kim; Dimitrios G Oreopoulos; Joanne M Bargman
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-12
Journal Detail:
Title:  International urology and nephrology     Volume:  -     ISSN:  1573-2584     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0262521     Medline TA:  Int Urol Nephrol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
The Home Peritoneal Dialysis Unit, Toronto General Hospital, University Health Network and University of Toronto, 200 Elizabeth Street, 8N-840, Toronto, ON, M5G 2C4, Canada.
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