Longer duration of predialysis nephrological care is associated with improved long-term survival of dialysis patients
Longer duration of predialysis nephrological care is associated with improved long-term survival of dialysis patients
复制标题
DOI：
10.1093/ndt/16.12.2357
复制
发表时间：
2001-12-01
影响因子：
6.1
通讯作者：
Grünfeld, JP
中科院分区：
文献类型：
--
作者：
Jungers, P;Massy, ZA;Grünfeld, JP
Background. Late nephrological referral or chronic renal failure patients has been shown to be associated with high morbidity and short-term mortality on dialysis. However. the impact of predialysis nephrological care duration (PNCD) on the long-term survival of dialysis patients had not been evaluated.Methods. We studied data from all 1057 consecutive patients who started dialysis treatment at the Necker Hospital from 1989 to 1998 (mean age at start of dialysis 53.8 +/- 17.2 years (range 18-91 years), excluding from analysis patients who presented with acute renal failure (n = 60) or advanced malignancy (n = 35). We evaluated the effects of PNCD and clinical risk factors on all-cause mortality after long-term follow-up on dialysis.Results. Among the 1057 patients analysed (13.2%, diabetics), PNCD was < 6 months in 258 patients, 6-35 months in 267 patients, 36-71 months in 227 patients and 72 months in 307 patients. Cardiovascular (CV) morbidity, namely a history of myocardial or cerebral infarction, peripheral arteriopathy, and/or cardiac failure, before starting dialysis was 39.6% and 37.4%, respectively, in patients followed for
