THE IMPACT OF COMORBID AND SOCIODEMOGRAPHIC FACTORS ON ACCESS TO RENAL-TRANSPLANTATION
THE IMPACT OF COMORBID AND SOCIODEMOGRAPHIC FACTORS ON ACCESS TO RENAL-TRANSPLANTATION
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DOI：
10.1001/jama.269.5.603
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发表时间：
1993-02-03
影响因子：
120.7
通讯作者：
AGODOA, LYC
中科院分区：
文献类型：
--
作者：
GAYLIN, DS;HELD, PJ;AGODOA, LYC
Objective.-To assess the impact of sociodemographic factors and comorbid conditions on access to renal transplantation for adult US dialysis patients with end-stage renal disease (ESRD).Design.-Cohort analytic study. Data on comorbid conditions at onset of ESRD were abstracted from patients' medical records and matched to sociodemographic and ESRD data from the United States Renal Data System database.Setting.-United States Medicare dialysis population.Patients.-Random, national sample of ESRD patients starting dialysis in 1986 and 1987 (n=4118).Main Outcome Measure.-Time to first renal transplant (living or cadaver donor) since onset of ESRD regressed with two nested Cox proportional hazards models, first against sociodemographic factors alone, and then against sociodemographic factors and comorbid conditions.Results.-Cardiovascular diseases are most predictive of who receives a transplant; patients with coronary heart disease, congestive heart failure, or left ventricular hypertrophy showed lower transplantation rates relative to patients without the disease (relative rate [RR]=0.65 to 0.80, P
