Improving Survival Rate of Korean Patients Initiating Dialysis.
10.3349/ymj.2015.56.3.666
- Author:
Jung Hwa RYU
1
;
Hyunwook KIM
;
Kyoung Hoon KIM
;
Hoo Jae HANN
;
Hyeong Sik AHN
;
Shina LEE
;
Seung Jung KIM
;
Duk Hee KANG
;
Kyu Bok CHOI
;
Dong Ryeol RYU
Author Information
1. Department of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, Korea. drryu@ewha.ac.kr
- Publication Type:Original Article ; Comparative Study ; Research Support, Non-U.S. Gov't
- Keywords:
Survival;
peritoneal dialysis;
hemodialysis;
Korea
- MeSH:
Adult;
Aged;
Comorbidity;
Female;
Humans;
Kaplan-Meier Estimate;
Kidney Failure, Chronic/*mortality/therapy;
Male;
Middle Aged;
Multivariate Analysis;
Peritoneal Dialysis/*statistics & numerical data;
Registries;
Renal Dialysis/*statistics & numerical data;
Republic of Korea/epidemiology;
Risk;
Survival Analysis;
Survival Rate/*trends;
Treatment Outcome
- From:Yonsei Medical Journal
2015;56(3):666-675
- CountryRepublic of Korea
- Language:English
-
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 non-diabetic 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.
