Comparison of peritoneal dialysis and hemodialysis survival in ă Provence-Alpes-Cote d'Azur

Philippe Brunet, Jean-Christophe Delarozière, Benedicte Devictor, Roland Sambuc, Stéphanie Gentile, Aida Habib and Anne-Claire Durand
Additional contact information
Philippe Brunet: VRCM - Vascular research center of Marseille - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale
Jean-Christophe Delarozière: Service de Chirurgie et Radiologie Pédiatrique - Université de la Méditerranée - Aix-Marseille 2
Roland Sambuc: AMU MED - Aix-Marseille Université - Faculté de médecine - AMU - Aix Marseille Université
Stéphanie Gentile: ASL Salerno
Aida Habib: AMU MED - Aix-Marseille Université - Faculté de médecine - AMU - Aix Marseille Université
Anne-Claire Durand: Sciences historiques et philologiques - EPHE - École Pratique des Hautes Études - PSL - Université Paris Sciences et Lettres

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Abstract: Purpose. - To analyze and compare survival of patients initially treated ă with peritoneal dialysis (PD) or hemodialysis (HD). ă Methods. - We used data from the French REIN registry. We included all ă patients aged 18 years or more who started dialysis between 1st January ă 2004 and 12 December 2012 in Provence-Alpes-Cote d'Azur Region (PACA). ă These patients were followed up until 30 June 2014. Survival curves were ă generated using the Kaplan-Meier technique and tested using the log-rank ă test. Variables predictive of all-cause mortality were determined using ă Cox regression models. The propensity score was used. ă Main results. - Survival was similar between initial dialysis ă modalities: PD and HD, even after adjusting for the propensity score. ă But, when we exclude the patients who had switched from one technique of ă dialysis to another, survival was better in HD patients. According to ă the multivariate analysis, advanced age and the lack of walking autonomy ă appear to be associated with an increase in mortality in dialysis ă patients. But, the presence of hypertension improve the survival in this ă cohort. ă Conclusion. - The survival is similar between hemodialysis and ă peritoneal dialysis. (C) 2016 Association Societe de nephrologie. ă Published by Elsevier Masson SAS. All rights reserved.

Keywords: Quality; of; Life (search for similar items in EconPapers)
Date: 2016-07
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Published in Néphrologie & Thérapeutique, 2016, 12 (4), pp.221-228. ⟨10.1016/j.nephro.2016.01.015⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482624

DOI: 10.1016/j.nephro.2016.01.015

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