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学科主题临床医学
Mortality rates among prevalent hemodialysis patients in Beijing: a comparison with USRDS data
Cheng, Xuyang1; Nayyar, Saleem2; Wang, Mei3; Li, Xuemei4; Sun, Yi5; Huang, Wen6; Zhang, Ling7; Wu, Hua8; Jia, Qiang9; Liu, Wenhu10; Sun, Xuefeng11; Li, Jijun12; Lun, Lide13; Zhou, Chunhua14; Cui, Taigen15; Zhang, Aihua16; Wang, Kai17; Wang, Shixiang18; Sun, Weiming19; Zuo, Li1
关键词hemodialysis mortality race registration data USRDS
刊名NEPHROLOGY DIALYSIS TRANSPLANTATION
2013-03-01
DOI10.1093/ndt/gfs326
28期:3页:724-732
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Transplantation ; Urology & Nephrology
研究领域[WOS]Transplantation ; Urology & Nephrology
关键词[WOS]DIALYSIS OUTCOMES ; PRACTICE PATTERNS ; ASSOCIATION
英文摘要

The raw annual mortality rate reported in Chinese patients on maintenance hemodialysis (MHD) was around 10 between 2005 to 2010, and it was around 20 in the US as reported by the United States Renal Data System (USRDS). Our hypothesis was that the large survival difference was caused by differences in race and practice pattern between nations in addition to differences in patient characteristics.

Annual mortality in Beijing prevalent MHD patients per year in 2007, 2008, 2009 and 2010 was reported and relative risks of death were compared with the corresponding mortality of USRDS prevalent MHD patients (in whites, African-Americans and Asian-Americans) after age, gender and primary cause of end-stage renal disease (ESRD) were adjusted. A total of 11 675 MHD patients from 104 dialysis facilities under control of Beijing Blood Purification Quality Control and Improvement Center (BJBPQCIC) from 31 December 2006 to 31 December 2010 were included. A total of 1 937 819 MHD patients (only white, African-American and Asian-American were eligible for inclusion) were subtracted from the USRDS No-60-Day prevalent dataset from the year 2004 to 2009, using the RenDER system. Raw annual mortality for each race was reported as a number per 1000 MHD patients at risk for each year. Age, gender and primary cause of ESRD, adjusted annual mortality and relative risk race of death were reported comparing the Beijing patients and each race of the USRDS.

The raw annual mortality for the Beijing cohort increased gradually from 47.8 per 1000 patient-years in 2007 to 76.8 in 2010. The raw annual mortality for the white cohort in 2007 was 250.7 per 1000 patient-years, and gradually decreased to 236.3 in 2009. The raw annual mortality for African-Americans (167.8 and 156.7 per 1000 patient-years in 2007 and 2009, respectively) was much lower than that for whites. The annual mortality for Asian-Americans was slightly lower than that for African-Americans. After adjustment, Beijing MHD still had a survival benefit compared with each of the examined USRDS race. The annual mortality rates were 99.4, 80.6 and 94.3 per 1000 patient-years when adjusted to whites, African-Americans and Asian-Americans, respectively, in cohort 2009.

The annual mortality for the Beijing MHD patients was lower than that for their USRDS counterparts, and this difference existed after baseline demographics were adjusted. This survival difference between the Beijing and the USRDS MHD cohorts could be attributed to differences in race or practice pattern. More studies are needed to validate our hypothesis.

语种英语
WOS记录号WOS:000316120000030
引用统计
被引频次:21[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/64094
专题北京大学第一临床医学院_肾脏内科
作者单位1.ShaikhZayed Fed Postgrad Med Inst, Lahore, Pakistan
2.Beijing Tongren Hosp, Renal Dept, Beijing, Peoples R China
3.Beijing Hosp, Renal Dept, Beijing, Peoples R China
4.PLA AF Gen Hosp, Renal Dept, Beijing, Peoples R China
5.PLA Navy Gen Hosp, Renal Dept, Beijing, Peoples R China
6.Peking Univ, Hosp 3, Renal Dept, Beijing 100871, Peoples R China
7.Civil Aviat Gen Hosp, Renal Dept, Beijing, Peoples R China
8.Beijing Shijitan Hosp, Renal Dept, Beijing, Peoples R China
9.Peking Univ, Hosp 1, Inst Nephrol, Beijing 100871, Peoples R China
10.Peking Univ, Peoples Hosp, Renal Dept, Beijing 100871, Peoples R China
11.Chinese Med Sci Peking Union Hosp, Renal Dept, Beijing, Peoples R China
12.Capital Med Univ, Fuxing Hosp, Renal Dept, Beijing, Peoples R China
13.Chinese Japanese Friendship Hosp, Renal Dept, Beijing, Peoples R China
14.Capital Med Univ, Xuanwu Hosp, Renal Dept, Beijing, Peoples R China
15.Capital Med Univ, Friendship Hosp, Renal Dept, Beijing, Peoples R China
16.Chinese Peoples Liberat Army Gen Hosp, State Key Lab Kidney Dis, Dept Nephrol, Beijing, Peoples R China
17.Peoples Liberat Army Gen Hosp, Affiliated Hosp 1, Renal Dept, Beijing, Peoples R China
18.Capital Med Univ, Chaoyang Hosp, Renal Dept, Beijing, Peoples R China
19.Capital Med Univ, Beijing Chao Yang Hosp, Blood Purificat Ctr, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Cheng, Xuyang,Nayyar, Saleem,Wang, Mei,et al. Mortality rates among prevalent hemodialysis patients in Beijing: a comparison with USRDS data[J]. NEPHROLOGY DIALYSIS TRANSPLANTATION,2013,28(3):724-732.
APA Cheng, Xuyang.,Nayyar, Saleem.,Wang, Mei.,Li, Xuemei.,Sun, Yi.,...&Zuo, Li.(2013).Mortality rates among prevalent hemodialysis patients in Beijing: a comparison with USRDS data.NEPHROLOGY DIALYSIS TRANSPLANTATION,28(3),724-732.
MLA Cheng, Xuyang,et al."Mortality rates among prevalent hemodialysis patients in Beijing: a comparison with USRDS data".NEPHROLOGY DIALYSIS TRANSPLANTATION 28.3(2013):724-732.
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