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学科主题: 临床医学
题名:
Comparison of patient survival between hemodialysis and peritoneal dialysis in a single Chinese center
作者: Wu, Bei; Wang, Mei; Gan, Liangying; Zhao, Huiping
关键词: Peritoneal dialysis ; Hemodialysis ; Survival rate ; Risk factors
刊名: INTERNATIONAL UROLOGY AND NEPHROLOGY
发表日期: 2014-12-01
DOI: 10.1007/s11255-014-0819-6
卷: 46, 期:12, 页:2403-2407
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: ADJUSTED MORTALITY-RATES ; OUTCOMES ; OBESITY ; DISEASE ; COHORT ; RISK
英文摘要:

No study in China has so far investigated the difference in patient survival rates between hemodialysis (HD) and peritoneal dialysis (PD). Therefore, the aim of the present single-center follow-up study was to determine and compare the survival rates associated with HD and PD at a Chinese hospital.

Clinical data were analyzed for all adult patients (age > 18 years) with chronic renal failure who dialysis between 2006 and 2010.

The study included 216 patients, 140 of whom underwent PD and 76 of whom underwent HD. Compared to patients in the HD group, patients in the PD group were older (61 +/- A 14 vs. 55 +/- A 14 years, P = 0.004) and had higher baseline blood uric acid levels (452 +/- A 136 vs. 388 +/- A 150 mu mol/L, P = 0.002) and lower baseline iPTH (224 +/- A 260 vs. 305 +/- A 267 pg/ml, P = 0.036). Moreover, a higher number of PD patients had diabetes (40 vs. 27.6 %, P = 0.056). The average follow-up time was 25 months in the PD group and 36 months in the HD group. The 1-, 2- and 3-year survival rates were 98.7, 93.2, and 85.5 %, respectively, in the HD group and 90.9, 81.5, and 73.8 %, respectively, in the PD group. In the first 3 years, HD was associated with better survival compared to the PD group. However, when adjusted for age, diabetes and BMI, there was no significant difference between the PD and HD group.

The mode of dialysis itself has no effect on the survival rate of ESRD patients on dialysis.

语种: 英语
WOS记录号: WOS:000345626000023
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56815
Appears in Collections:北京大学第二临床医学院_肾内科_期刊论文

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作者单位: Peking Univ, Dept Nephrol, Peoples Hosp, Beijing 100044, Peoples R China

Recommended Citation:
Wu, Bei,Wang, Mei,Gan, Liangying,et al. Comparison of patient survival between hemodialysis and peritoneal dialysis in a single Chinese center[J]. INTERNATIONAL UROLOGY AND NEPHROLOGY,2014,46(12):2403-2407.
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