Incident elderly patients on peritoneal dialysis : epidemiological characteristics and modality impact on survival time
المؤلفون المشاركون
Franco, Marcia R. G.
Bastos, Marcus G.
Qurayshi, Abd R.
Schreider, Alyne
Bastos, Kleyton de Andrade
Divino Filho, Jose C.
Fernandes, Natalia M. S.
المصدر
Saudi Journal of Kidney Diseases and Transplantation
العدد
المجلد 28، العدد 4 (31 أغسطس/آب 2017)، ص ص. 782-791، 10ص.
الناشر
تاريخ النشر
2017-08-31
دولة النشر
السعودية
عدد الصفحات
10
التخصصات الرئيسية
الموضوعات
الملخص EN
Aging of the population and the increased prevalence of diseases such as diabetes and arterial hypertension result in an increasing need of dialysis treatment.
Herein we describe a cohort of elderly patients on peritoneal dialysis (PD) and assess the influence of the modality on the long-term survival.
Out of a multicenter prospective cohort of 2,144 BRAZPD PD incident patients during a period from December 2004 to October 2007, 762 elderly adults, defined as patients ≥65-year-old, were eligible for the study, 413 started on automated PD (APD) and 349 on continuous ambulatory PD (CAPD).
Patients were followed until death, transfer to hemodialysis, recovery of renal function, loss to follow–up, or transplantation.
Demographics and clinical data were evaluated at baseline and described as mean ± standard deviation, median, or percentage.
Competing risk and time-dependent Cox analysis were performed, having dialysis modality APD] vs.
CAPD as a dependent variable, as hazard ratio (HR) is not proportional throughout the therapy time.
Mean age was 74.5 ± 6.8 years in APD, 74.6 ± 6.7 in CAPD, 50.8% females in APD, 54.4% in CAPD.
The frequently observed comorbidities were diabetes (52.3% in APD and 47% in CAPD) and left ventricular hypertrophy (36.3% in APD and 46.1% in CAPD) whereas 93.6% presented Davies score ≥2.
In Cox time-dependent analysis, HR did not show difference up to 18 months HR = 1.11, confidence interval (CI) = 0.85–1.46], but thereafter, APD modality revealed lower risk of mortality (HR = 0.25, CI = 0.0073–0.86), when compared with CAPD.
After adjustment for the confounding factors, CAPD presented a higher risk of mortality (HR = 4.50, CI = 1.29–15.64).
No differences in survival were observed up to 18 months of therapy; however, beyond 18 months, APD modality was a protection factor
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Franco, Marcia R. G.& Bastos, Marcus G.& Qurayshi, Abd R.& Schreider, Alyne& Bastos, Kleyton de Andrade& Divino Filho, Jose C.…[et al.]. 2017. Incident elderly patients on peritoneal dialysis : epidemiological characteristics and modality impact on survival time. Saudi Journal of Kidney Diseases and Transplantation،Vol. 28, no. 4, pp.782-791.
https://search.emarefa.net/detail/BIM-776134
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Franco, Marcia R. G.…[et al.]. Incident elderly patients on peritoneal dialysis : epidemiological characteristics and modality impact on survival time. Saudi Journal of Kidney Diseases and Transplantation Vol. 28, no. 4 (Jul. / Aug. 2017), pp.782-791.
https://search.emarefa.net/detail/BIM-776134
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Franco, Marcia R. G.& Bastos, Marcus G.& Qurayshi, Abd R.& Schreider, Alyne& Bastos, Kleyton de Andrade& Divino Filho, Jose C.…[et al.]. Incident elderly patients on peritoneal dialysis : epidemiological characteristics and modality impact on survival time. Saudi Journal of Kidney Diseases and Transplantation. 2017. Vol. 28, no. 4, pp.782-791.
https://search.emarefa.net/detail/BIM-776134
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 798-791
رقم السجل
BIM-776134
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر