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Dialysis survivors: Clinical status of patients on treatment for more than 10 years

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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Abstract

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.

Type:Article
Title:Dialysis survivors: Clinical status of patients on treatment for more than 10 years
DOI:10.1159/000119094
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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