RT journal article
T1 Optimal start in dialysis shows increased survival in patients with chronic kidney disease
A1 Caro Martínez, Araceli
A1 Olry de Labry Lima, Antonio
A1 Muñoz Terol, José Manuel
A1 Mendoza García, Óscar Javier
A1 Remón Rodríguez, César
A1 García Mochón, Leticia
A1 Castro de la Nuez, Pablo
A1 Aresté Fosalba, Nuria
A2 Medicina
A2 Medicina
AB ObjectiveTo compare the survival among patients with chronic kidney disease who had optimal startsof renal replacement therapy, dialysis or hemodialysis, with patients who had suboptimalstarts.MethodsA retrospective cohort consisting of >18 year-old patients who started renal replacementtherapy, using peritoneal dialysis or hemodialysis, in any public hospital or associated centerof the Andalusian Public Health System, between the 1st of January of 2006 and the 15th ofMarch of 2017. The optimal start was defined when all the following criteria were met: aplanned dialysis start, a minimum of six-month follow-up by a nephrologist, and a first dialysismethod coinciding with the one registered at 90 days. The information was obtained fromthe registry of the Information System of the Transplant Autonomic Coordination ofAndalusia.ResultsA total of 10,692 patients were studied. 4,377 (40.9%) of these patients died. A total of4,937 patients (46.17%) achieved optimal starts of renal replacement therapy and showedhigher survival rates (HR 0.669; 95% CI 0.628–0.712) in the multivariate analysis of Coxregression model.
PB PUBLIC LIBRARY SCIENCE
SN 1932-6203
YR 2019
FD 2019-07
LK http://hdl.handle.net/10498/21752
UL http://hdl.handle.net/10498/21752
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 10-may-2026