Ashby, D; Smith, C; Hurril, R; Maxwell, P; Brown, E; (2008) Dialysis survivors: Clinical status of patients on treatment for more than 10 years. NEPHRON CLIN PRACT , 108 (3) C207 - C212. 10.1159/000119094.
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Background: Although there are increasing numbers of long-term survivors on dialysis, there is remarkably little information about their medical and social wellbeing. Methods: A group of 46 current survivors of long-term dialysis at a single centre were identified and asked to complete a structured interview; selected routine blood tests were also reviewed. The group's background and renal replacement history are described, along with frequencies of various complications. Results: Younger age and non-diabetic renal disease are associated with longer survival. Substantial morbidity accumulated over the time on dialysis, particularly vascular disease ( 57%) which was strongly linked to smoking history, as well as musculoskeletal complications ( 78%) and nutritional decline ( 80%). Encapsulating peritoneal sclerosis developed in 4 patients, after between 9 and 13 years of peritoneal dialysis. Conclusions: Despite accumulating morbidity, a surprisingly stable and socially well- adjusted group is revealed, with low rates of hospital admission in the majority. The pattern of complications may be influenced by modality choices. Copyright (C) 2008 S. Karger AG, Basel.
|Title:||Dialysis survivors: Clinical status of patients on treatment for more than 10 years|
|Keywords:||chronic renal failure, complications dialysis patients, PERITONEAL-DIALYSIS, HEMODIALYSIS, EXPERIENCE, THERAPY|
|UCL classification:||UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Medicine (Division of)|
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