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Improving Survival Rate of Korean Patients Initiating Dialysis
- Title
- Improving Survival Rate of Korean Patients Initiating Dialysis
- Authors
- Ryu, Jung-Hwa; Kim, Hyunwook; Kim, Kyoung Hoon; Hann, Hoo Jae; Ahn, Hyeong Sik; Lee, Shina; Kim, Seung-Jung; Kang, Duk-Hee; Choi, Kyu Bok; Ryu, Dong-Ryeol
- Ewha Authors
- 한후재; 강덕희; 최규복; 김승정; 류동열
- SCOPUS Author ID
- 한후재
; 강덕희
; 최규복
; 김승정
; 류동열



- Issue Date
- 2015
- Journal Title
- YONSEI MEDICAL JOURNAL
- ISSN
- 0513-5796
1976-2437
- Citation
- YONSEI MEDICAL JOURNAL vol. 56, no. 3, pp. 666 - 675
- Keywords
- Survival; peritoneal dialysis; hemodialysis; Korea
- Publisher
- YONSEI UNIV COLL MEDICINE
- Indexed
- SCI; SCIE; SCOPUS; KCI

- Document Type
- Article
- 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:
- 의과대학 > 의학과 > Journal papers
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