Survival on Dialysis Therapy: One Center’s Experience

Rubin, Jack; Hsu, Henry; Bower, John D.

doi:10.1097/00000441-198902000-00004

Cited by 22 publications

(12 citation statements)

References 18 publications

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“…However, in the study by Saner et al the patient population was similar to the population in our study with a mean age of 50 years and 80% of the patients having low risk according to the Khan comorbidity index. 33 Survival on HHD has previously been compared with peritoneal dialysis 5,7,9,13,17,18 and in-center hemodialysis. The patients in these studies were not incident for renal replacement therapy, making comparison with our study difficult.…”

Section: Discussionmentioning

confidence: 99%

“…In another study, educational programs for patients with CKD could be directly related to better patient survival. 33 Survival on HHD has previously been compared with peritoneal dialysis 5,7,9,13,17,18 and in-center hemodialysis. 5,8,[11][12][13][14]17,18 Most studies show a benefit for HHD, the only exception being a registry study from the USA.…”

Section: Discussionmentioning

confidence: 99%

“…[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%

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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: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

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

View full text Add to dashboard Cite

show abstract

“…Among the various modalities of treatment, home hemodialysis has rapidly shown many advantages; it offers excellent survival [5, 6, 7, 8, 9], rehabilitation [10], quality of life [11, 12, 13, 14]and in addition is also less expensive than center hemodialysis [15, 16]. For all these reasons, this mode of therapy should have progressively increased, but paradoxically, since 1980, home hemodialysis has continuously declined [16, 17].…”

Section: Introductionmentioning

confidence: 99%