Comparison of Mortality between Japanese Peritoneal Dialysis and Hemodialysis Patients: A 5-Year Multicenter Follow-Up Study
To examine the relationship between dialysis modality and prognosis in Japanese patients, we conducted a prospective multicenter observational study. We recruited 83 background-matched peritoneal dialysis (PD) and 83 hemodialysis (HD) patients (average age, 64.9 years; men, 53.6%; diabetic patients,...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2012/231018 |
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| author | Kazuko Suzuki Tsuneo Konta Kazunobu Ichikawa Ami Ikeda Hiroki Niino Masato Hoshikawa Toshiyuki Takahashi Hiroshi Abiko Minoru Ito Ikuto Masakane Tomohito Matsunaga Kosuke Kudo Hiroko Sato Noriyuki Degawa Isao Kubota |
| author_facet | Kazuko Suzuki Tsuneo Konta Kazunobu Ichikawa Ami Ikeda Hiroki Niino Masato Hoshikawa Toshiyuki Takahashi Hiroshi Abiko Minoru Ito Ikuto Masakane Tomohito Matsunaga Kosuke Kudo Hiroko Sato Noriyuki Degawa Isao Kubota |
| author_sort | Kazuko Suzuki |
| collection | DOAJ |
| description | To examine the relationship between dialysis modality and prognosis in Japanese patients, we conducted a prospective multicenter observational study. We recruited 83 background-matched peritoneal dialysis (PD) and 83 hemodialysis (HD) patients (average age, 64.9 years; men, 53.6%; diabetic patients, 22.9%; median duration of dialysis, 48 months in all patients) and followed them for 5 years. During the follow-up period, 27 PD patients (16 cardiovascular and 11 non-cardiovascular deaths) and 27 HD patients died (14 cardiovascular and 13 non-cardiovascular deaths). There were 8 PD patients switched to HD, and 6 PD patients received renal transplantation. Kaplan-Meier analysis revealed that the crude survival rate was not significantly different at the end of 5 years (PD 67.5% versus 67.5%, log-rank P=0.719). The difference in cardiovascular and non-cardiovascular mortalities between PD and HD was not statistically significant. Multivariate Cox analysis showed that the independent predictors for death were age and serum albumin levels, but not the dialysis modality. This study showed that the overall mortality was not significantly different between PD and HD patients, which suggests that dialysis modality might not be an independent factor for survival in Japanese patients. |
| format | Article |
| id | doaj-art-81285b78e1f7409b8bfe011b71eea409 |
| institution | Kabale University |
| issn | 2090-214X 2090-2158 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Nephrology |
| spelling | doaj-art-81285b78e1f7409b8bfe011b71eea4092025-02-03T06:05:09ZengWileyInternational Journal of Nephrology2090-214X2090-21582012-01-01201210.1155/2012/231018231018Comparison of Mortality between Japanese Peritoneal Dialysis and Hemodialysis Patients: A 5-Year Multicenter Follow-Up StudyKazuko Suzuki0Tsuneo Konta1Kazunobu Ichikawa2Ami Ikeda3Hiroki Niino4Masato Hoshikawa5Toshiyuki Takahashi6Hiroshi Abiko7Minoru Ito8Ikuto Masakane9Tomohito Matsunaga10Kosuke Kudo11Hiroko Sato12Noriyuki Degawa13Isao Kubota14Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, 2-2-2, Iida-Nishi, Yamagata, Yamagata 990-9585, JapanDepartment of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, 2-2-2, Iida-Nishi, Yamagata, Yamagata 990-9585, JapanDepartment of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, 2-2-2, Iida-Nishi, Yamagata, Yamagata 990-9585, JapanDepartment of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, 2-2-2, Iida-Nishi, Yamagata, Yamagata 990-9585, JapanDepartment of Internal Medicine, Okitama Public General Hospital, Kawanishi 992-0601, JapanDepartment of Internal Medicine, Okitama Public General Hospital, Kawanishi 992-0601, JapanDepartment of Internal Medicine, Okitama Public General Hospital, Kawanishi 992-0601, JapanDepartment of Internal Medicine, Nihonkai General Hospital, Sakata 998-8501, JapanDialysis Center, Yabuki Hospital, Yamagata 990-0043, JapanDialysis Center, Yabuki Hospital, Yamagata 990-0043, JapanDialysis Center, Keijinkai Hospital, Osaki 989-6117, JapanDepartment of Internal Medicine, Yamagata City Hospital Saiseikan, Yamagata 990-0042, JapanDepartment of Internal Medicine, Yamagata City Hospital Saiseikan, Yamagata 990-0042, JapanDepartment of Internal Medicine, Yamagata City Hospital Saiseikan, Yamagata 990-0042, JapanDepartment of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, 2-2-2, Iida-Nishi, Yamagata, Yamagata 990-9585, JapanTo examine the relationship between dialysis modality and prognosis in Japanese patients, we conducted a prospective multicenter observational study. We recruited 83 background-matched peritoneal dialysis (PD) and 83 hemodialysis (HD) patients (average age, 64.9 years; men, 53.6%; diabetic patients, 22.9%; median duration of dialysis, 48 months in all patients) and followed them for 5 years. During the follow-up period, 27 PD patients (16 cardiovascular and 11 non-cardiovascular deaths) and 27 HD patients died (14 cardiovascular and 13 non-cardiovascular deaths). There were 8 PD patients switched to HD, and 6 PD patients received renal transplantation. Kaplan-Meier analysis revealed that the crude survival rate was not significantly different at the end of 5 years (PD 67.5% versus 67.5%, log-rank P=0.719). The difference in cardiovascular and non-cardiovascular mortalities between PD and HD was not statistically significant. Multivariate Cox analysis showed that the independent predictors for death were age and serum albumin levels, but not the dialysis modality. This study showed that the overall mortality was not significantly different between PD and HD patients, which suggests that dialysis modality might not be an independent factor for survival in Japanese patients.http://dx.doi.org/10.1155/2012/231018 |
| spellingShingle | Kazuko Suzuki Tsuneo Konta Kazunobu Ichikawa Ami Ikeda Hiroki Niino Masato Hoshikawa Toshiyuki Takahashi Hiroshi Abiko Minoru Ito Ikuto Masakane Tomohito Matsunaga Kosuke Kudo Hiroko Sato Noriyuki Degawa Isao Kubota Comparison of Mortality between Japanese Peritoneal Dialysis and Hemodialysis Patients: A 5-Year Multicenter Follow-Up Study International Journal of Nephrology |
| title | Comparison of Mortality between Japanese Peritoneal Dialysis and Hemodialysis Patients: A 5-Year Multicenter Follow-Up Study |
| title_full | Comparison of Mortality between Japanese Peritoneal Dialysis and Hemodialysis Patients: A 5-Year Multicenter Follow-Up Study |
| title_fullStr | Comparison of Mortality between Japanese Peritoneal Dialysis and Hemodialysis Patients: A 5-Year Multicenter Follow-Up Study |
| title_full_unstemmed | Comparison of Mortality between Japanese Peritoneal Dialysis and Hemodialysis Patients: A 5-Year Multicenter Follow-Up Study |
| title_short | Comparison of Mortality between Japanese Peritoneal Dialysis and Hemodialysis Patients: A 5-Year Multicenter Follow-Up Study |
| title_sort | comparison of mortality between japanese peritoneal dialysis and hemodialysis patients a 5 year multicenter follow up study |
| url | http://dx.doi.org/10.1155/2012/231018 |
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