Prognosis of Elderly Japanese Patients Aged ≥80 Years Undergoing Hemodialysis

Although the number of elderly patients requiring dialysis has increased, data regarding the prognosis of elderly patients undergoing hemodialysis are limited. In the present study, prognosis in Japanese hemodialysis patients aged ≥80 years was evaluated. From January 1988 to July 2013, 1144 consecu...

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Main Authors: Shingo Hatakeyama, Hiromi Murasawa, Itsuto Hamano, Ayumu Kusaka, Takuma Narita, Masaaki Oikawa, Daisuke Noro, Kazuhisa Hagiwara, Hirofumi Ishimura, Takahiro Yoneyama, Yasuhiro Hashimoto, Takuya Koie, Hisao Saitoh, Tomihisa Funyu, Chikara Ohyama
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/693514
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author Shingo Hatakeyama
Hiromi Murasawa
Itsuto Hamano
Ayumu Kusaka
Takuma Narita
Masaaki Oikawa
Daisuke Noro
Kazuhisa Hagiwara
Hirofumi Ishimura
Takahiro Yoneyama
Yasuhiro Hashimoto
Takuya Koie
Hisao Saitoh
Tomihisa Funyu
Chikara Ohyama
author_facet Shingo Hatakeyama
Hiromi Murasawa
Itsuto Hamano
Ayumu Kusaka
Takuma Narita
Masaaki Oikawa
Daisuke Noro
Kazuhisa Hagiwara
Hirofumi Ishimura
Takahiro Yoneyama
Yasuhiro Hashimoto
Takuya Koie
Hisao Saitoh
Tomihisa Funyu
Chikara Ohyama
author_sort Shingo Hatakeyama
collection DOAJ
description Although the number of elderly patients requiring dialysis has increased, data regarding the prognosis of elderly patients undergoing hemodialysis are limited. In the present study, prognosis in Japanese hemodialysis patients aged ≥80 years was evaluated. From January 1988 to July 2013, 1144 consecutive patients with end-stage renal disease required renal replacement therapy at our institution; of these, 141 were aged ≥80 years. These patients’ charts were retrospectively reviewed for relevant clinical variables and survival time. The life expectancies table from the National Vital Statistics database was used, and prognostic factors were assessed by multivariate analysis. In total, 107 deaths (76%) were recorded during the study period. The median survival time and estimated life-shortening period in the patients were 2.6 years and −5.3 years, respectively. Eastern Cooperative Oncology Group Performance Status and hemoglobin level were revealed as prognostic factors in the multivariate analysis. Estimates of prognosis and prognostic factors may provide useful information for physicians as well as elderly patients with end-stage kidney disease.
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institution Kabale University
issn 1537-744X
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publishDate 2013-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-b66bf602b2e2442bafa6589ea94259bd2025-02-03T01:30:07ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/693514693514Prognosis of Elderly Japanese Patients Aged ≥80 Years Undergoing HemodialysisShingo Hatakeyama0Hiromi Murasawa1Itsuto Hamano2Ayumu Kusaka3Takuma Narita4Masaaki Oikawa5Daisuke Noro6Kazuhisa Hagiwara7Hirofumi Ishimura8Takahiro Yoneyama9Yasuhiro Hashimoto10Takuya Koie11Hisao Saitoh12Tomihisa Funyu13Chikara Ohyama14Department of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Oyokyo Kidney Research Institute, Hirosaki 036-8243, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki 036-8562, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanDepartment of Urology, Oyokyo Kidney Research Institute, Hirosaki 036-8243, JapanDepartment of Urology, Oyokyo Kidney Research Institute, Hirosaki 036-8243, JapanDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki 036-8562, JapanAlthough the number of elderly patients requiring dialysis has increased, data regarding the prognosis of elderly patients undergoing hemodialysis are limited. In the present study, prognosis in Japanese hemodialysis patients aged ≥80 years was evaluated. From January 1988 to July 2013, 1144 consecutive patients with end-stage renal disease required renal replacement therapy at our institution; of these, 141 were aged ≥80 years. These patients’ charts were retrospectively reviewed for relevant clinical variables and survival time. The life expectancies table from the National Vital Statistics database was used, and prognostic factors were assessed by multivariate analysis. In total, 107 deaths (76%) were recorded during the study period. The median survival time and estimated life-shortening period in the patients were 2.6 years and −5.3 years, respectively. Eastern Cooperative Oncology Group Performance Status and hemoglobin level were revealed as prognostic factors in the multivariate analysis. Estimates of prognosis and prognostic factors may provide useful information for physicians as well as elderly patients with end-stage kidney disease.http://dx.doi.org/10.1155/2013/693514
spellingShingle Shingo Hatakeyama
Hiromi Murasawa
Itsuto Hamano
Ayumu Kusaka
Takuma Narita
Masaaki Oikawa
Daisuke Noro
Kazuhisa Hagiwara
Hirofumi Ishimura
Takahiro Yoneyama
Yasuhiro Hashimoto
Takuya Koie
Hisao Saitoh
Tomihisa Funyu
Chikara Ohyama
Prognosis of Elderly Japanese Patients Aged ≥80 Years Undergoing Hemodialysis
The Scientific World Journal
title Prognosis of Elderly Japanese Patients Aged ≥80 Years Undergoing Hemodialysis
title_full Prognosis of Elderly Japanese Patients Aged ≥80 Years Undergoing Hemodialysis
title_fullStr Prognosis of Elderly Japanese Patients Aged ≥80 Years Undergoing Hemodialysis
title_full_unstemmed Prognosis of Elderly Japanese Patients Aged ≥80 Years Undergoing Hemodialysis
title_short Prognosis of Elderly Japanese Patients Aged ≥80 Years Undergoing Hemodialysis
title_sort prognosis of elderly japanese patients aged ≥80 years undergoing hemodialysis
url http://dx.doi.org/10.1155/2013/693514
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