Long-term hemodialysis survivors: a case series of 8 patients on dialysis for over 30 years and literature review
10.3760/cma.j.cn114798-20250501-00377
- VernacularTitle:血液透析30年以上患者8例并文献复习
- Author:
Minyan HU
1
;
Jingyi CHEN
;
Feng ZHU
;
Nan WANG
;
Jinghui LIU
;
Aomei LI
;
Jiawen TIAN
;
Longkai LI
;
Hongli LIN
Author Information
1. 大连医科大学附属第一医院肾内科，大连116011
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
Dialysis vintage;
Clinical features;
Long-term survival rate
- From:
Chinese Journal of General Practitioners
2025;24(12):1541-1544
- CountryChina
- Language:Chinese
-
Abstract:
We retrospectively analyzed 8 patients who had been on hemodialysis for over 30 years from two dialysis centers in Dalian, China. A literature review was conducted by searching PubMed, CNKI, Wanfang databases,and Chinese Medical Journal Network for cases of patients on hemodialysis for over 30 years. The 8 patients had good baseline health, with chronic glomerulonephritis as the primary renal disease and no comorbidities before initiating dialysis. They started hemodialysis between 21 and 38 years of age, predominantly using arteriovenous fistulas for vascular access. Dialysis was regular and adequate (KT/V 1.23-1.88). Key laboratory parameters, including hemoglobin (88-118 g/L), albumin (27.7-39.7 g/L), calcium (1.88-2.55 mmol/L), and phosphate (0.76-1.99 mmol/L), were generally within target ranges. Body mass index ranged from 15.20 to 22.96 kg/m2. This literature review of the study included 12 case reports and 4 orginal articles. Factors influencing long-term survival included baseline health status, primary renal disease, absence of comorbidities before dialysis initiation, age at dialysis initiation, type of vascular access, dialysis adequacy, complication management, and medical support. Standardized management and timely correction of complications can significantly improve prognosis and enhance long-term survival in hemodialysis patients.
