Survival may be longer among older people with chronic kidney failure, but those patients commonly have less time at home compared with those choosing medical management.
who opt to start dialysis show a modest survival benefit over those choosing only medical management, an important trade-off is lengthier time spent in inpatient settings for those receiving dialysis, with the exception of patients older than 80 years and more severe kidney disease , new research shows.
With no previous studies directly comparing patients with kidney failure who commenced dialysis with those who continued medical management, first author Maria E. Montez-Rath, PhD, and colleagues conducted an observational cohort study emulating a randomized trial, utilizing data from the US Department of Veterans Affairs.
In stratifying by age, among those aged 80 years or older, starting dialysis within a month was associated with a mean of 60 days longer survival compared with medical management but 12.9 fewer days at home. "In age group, we find a statistically significant survival benefit of starting dialysis within a month when eGFR < 12 mL/min vs waiting," first author Manjula Kurella Tamura, MD, MPH, of the Veterans Affairs Palo Alto Health Care System, Palo Alto, California, toldWhile the specific causes of longer inpatient care in dialysis groups were not evaluated, Tamura speculated on key reasons.
Chronic Kidney Failure CKD - Chronic Kidney Disease Chronic Kidney Disease CKD Hemodialysis Vascular Access Kidney Dialysis Renal Dialysis Haemodialysis Renal Failure Renal Insufficiency Kidney Insufficiency Kidney Failure Renal Impairment Dialysis Kidneys Renal Disease Kidney Disease Kidney Disorder Renal Disorder Nephropathy Inpatient Care Inpatient
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