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

Author

Listed:
  • 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)

  • Benedicte Devictor
  • 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)

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.

Suggested Citation

  • Philippe Brunet & Jean-Christophe Delarozière & Benedicte Devictor & Roland Sambuc & Stéphanie Gentile & Aida Habib & Anne-Claire Durand, 2016. "Comparison of peritoneal dialysis and hemodialysis survival in ă Provence-Alpes-Cote d'Azur," Post-Print hal-01482624, HAL.
    • Handle: RePEc:hal:journl:hal-01482624
    DOI: 10.1016/j.nephro.2016.01.015
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    Keywords

    Quality of Life;

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