Comparison of survival analysis and palliative care involvement in patients aged over 70 years choosing conservative management or renal replacement therapy in advanced chronic kidney disease

Comparison of survival analysis and palliative care involvement in patients aged over 70 years choosing conservative management or renal replacement therapy in advanced chronic kidney disease
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DOI:
10.1177/0269216313484380
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发表时间:
2013-10-01
影响因子:
4.4
通讯作者:
Russon, Lynne
Russon, Lynne
中科院分区:
医学2区
文献类型:
--
作者:
Hussain, Jamilla A.;Mooney, Andrew;Russon, Lynne

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Background: There are limited data on the outcomes of elderly patients with chronic kidney disease undergoing renal replacement therapy or conservative management.Aims: We aimed to compare survival, hospital admissions and palliative care access of patients aged over 70 years with chronic kidney disease stage 5 according to whether they chose renal replacement therapy or conservative management.Design: Retrospective observational study.Setting/participants: Patients aged over 70 years attending pre-dialysis clinic.Results: In total, 172 patients chose conservative management and 269 chose renal replacement therapy. The renal replacement therapy group survived for longer when survival was taken from the time estimated glomerular filtration rate