View : 51 Download: 0

Improving Survival Rate of Korean Patients Initiating Dialysis

Title
Improving Survival Rate of Korean Patients Initiating Dialysis
Authors
Ryu, Jung-HwaKim, HyunwookKim, Kyoung HoonHann, Hoo JaeAhn, Hyeong SikLee, ShinaKim, Seung-JungKang, Duk-HeeChoi, Kyu BokRyu, Dong-Ryeol
Ewha Authors
한후재강덕희최규복김승정류동열
SCOPUS Author ID
한후재scopus; 강덕희scopus; 최규복scopus; 김승정scopus; 류동열scopus
Issue Date
2015
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
0513-5796JCR Link1976-2437JCR Link
Citation
vol. 56, no. 3, pp. 666 - 675
Keywords
Survivalperitoneal dialysishemodialysisKorea
Publisher
YONSEI UNIV COLL MEDICINE
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
Purpose: The aim of this study was to investigate whether the survival rate among Korean dialysis patients changed during the period between 2005 and 2008 in Korea. Materials and Methods: A total of 32357 patients who began dialysis between January 1, 2005 and December 31, 2008 were eligible for analysis. Baseline demographics, comorbidities, and mortality data were obtained from the database of the Health Insurance Review & Assessment Service. Results: Kaplan-Meier curves according to the year of dialysis initiation showed that the survival rate was significantly different (log-rank test, p=0.005), most notably among peritoneal dialysis (PD) patients (p<0.001), although not among hemodialysis (HD) patients (p=0.497). In multivariate analysis, however, patients initiating either HD or PD in 2008 also had a significantly lower risk of mortality compared to those who began dialysis in 2005. Subgroup survival analysis among patients initiating dialysis in 2008 revealed that the survival rate of PD patients was significantly higher than that of HD patients (p=0.001), and the survival benefit of PD over HD remained in nondiabetic patients aged less than 65 years after adjustment of covariates. Conclusion: Survival of Korean patients initiating dialysis from 2005 to 2008 has improved over time, particularly in PD patients. In addition, survival rates among patients initiating dialysis in 2008 were different according to patients' age and diabetes, thus we need to consider these factors when dialysis modality should be chosen.
DOI
10.3349/ymj.2015.56.3.666
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE