Home dialysis: Eight years' experience

Popowniak, Kathryn L.; Nakamoto, Satoru; Magnusson, Magnus O.

doi:10.3949/ccjm.42.3.225

Cited by 6 publications

(8 citation statements)

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“…5,11,16 Other studies, following patients for less than 5 years, have shown 1-year mortality between 2% and 16%. 1,3,4,21 We also found in the present study, that patients starting in earlier decades had significantly lower survival, despite being younger as compared to patients starting in later decades. 1,3,4,21 We also found in the present study, that patients starting in earlier decades had significantly lower survival, despite being younger as compared to patients starting in later decades.…”

Section: Discussionsupporting

confidence: 77%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Albeit, many of these studies are dated with inclusion during the sixties and seventies. The annual mortality in Sweden between 1991 and 2010 for patients on renal replacement therapy was 13% and for those treated with dialysis 26% according to Swedish Renal Registry (SNR).…”

Section: Introductionmentioning

confidence: 99%

“…There are several reports indicating that home-hemodialysis (HHD) is associated with an improved prognosis compared to other modalities of dialysis. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Albeit, many of these studies are dated with inclusion during the sixties and seventies. [1][2][3][4]8,12,15,[20][21][22] Not many of the earlier studies have defined patient populations with respect to comorbidity and age.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, survival figures differ substantially between countries and over time. While reported 1 year mortality figures from North America range between 2% and 16% [1][2][3][4][5]8,10,20,21 figures from Europe tend to be lower, 2%-4%. 6,9,11,13,16 Some other studies do only analyze the combined patient and technique survival.…”

Section: Introductionmentioning

confidence: 99%

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Excellent long time survival for Swedish patients starting home‐hemodialysis with and without subsequent renal transplantations

Rydell

Simonsen

et al. 2013

Hemodialysis International

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Survival for patients on dialysis is poor. Earlier reports have indicated that home-hemodialysis is associated with improved survival but most of the studies are old and report only short-time survival. The characteristics of patient populations are often incompletely described. In this study, we report long-term survival for patients starting home-hemodialysis as first treatment and estimate the impact on survival of age, comorbidity, decade of start of home-hemodialysis, sex, primary renal disease and subsequent renal transplantation. One hundred twenty-eight patients starting home-hemodialysis as first renal replacement therapy 1971-1998 in Lund were included. Data were collected from patient files, the Swedish Renal Registry and Swedish census. Survival analysis was made as intention-to-treat analysis (including survival after transplantation) and on-dialysis-treatment analysis with patients censored at the day of transplantation. Ten-, twenty- and thirty-year survival were 68%, 36% and 18%. Survival was significantly affected by comorbidity, age and what decade the patients started home-hemodialysis. For patients younger than 60 years and with no comorbidities, the corresponding figures were 75%, 47% and 23% and a subsequent renal transplantation did not significantly influence survival. Long-term survival for patients starting home-hemodialysis is good, and improves decade by decade. Survival is significantly affected by patient age and comorbidity, but the contribution of subsequent renal transplantation was not significant for younger patients without comorbidities.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Excellent long time survival for Swedish patients starting home‐hemodialysis with and without subsequent renal transplantations

Rydell

Simonsen

et al. 2013

Hemodialysis International

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“…There is an increased volume and pressure load on the left ventricle, there may be pericardial disease, and there may be additional coronary artery disease (Lewin and Trautiman, 1971;Popowniak, Nakamoto, and Shaldon, 1975). In addition, myocardial performance may be altered by electrolyte disturbances or by a specific toxic substance with myocardial depressant action.…”

Section: Discussionmentioning

confidence: 99%

Left ventricular function in chronic renal failure.

Lewis¹,

Milne²,

Goldberg³

1976

Heart

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Left ventricular function was studied in 14 patients with end-stage chronic renal failure using non-invasive methods (echocardiography and systolic time intervals). Patients were divided into 3 groups. Group 1 consisted of 5 patients who were normotensive at the time of study and group 2 of 7 patients who were hypertensive when studied. Group 3 consisted of 2 patients: one was recetving propranolol and the other, studied 302 days after renal transplantation, was receiving digitalis for recurrent episodes of cardiac failure.All except the patient receiving propranolol had normal left ventricular function in systole with norwal measurements offractional fibre shortening (% AS, EF) and normal measurements relating to the velocity of ventricular contraction (mean Vcf, mean velocity of posterior wall motion). Stroke volume and cardiac output were normal in some patients but were increased in patients with fluid overload. Early diastolic compliance of the left ventricle seemed to be normal except in the patient with recurrent cardiacfailure. The study provided no evidence for the existence of a specific uraemic cardiomyopathy.

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Home dialysis dropouts

Lowry

Atcherson²

1980

Journal of Psychosomatic Research

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Home dialysis: Eight years' experience

Cited by 6 publications

References 0 publications

Excellent long time survival for Swedish patients starting home‐hemodialysis with and without subsequent renal transplantations

Excellent long time survival for Swedish patients starting home‐hemodialysis with and without subsequent renal transplantations

Left ventricular function in chronic renal failure.

Home dialysis dropouts

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