A comparison of cause of death between patients treated with hemodialysis and peritoneal dialysis.

摘要: Mortality rates associated with peritoneal dialysis (PD) have been found to be higher than those hemodialysis (HD) among prevalent U.S. patients over the age of 55 in preceding study. Given substantial technical differences between PD and HD, causes death might also expected differ these dialytic modalities. In order help elucidate relative contributions further understanding excess mortality observed PD-treated patients, this epidemiologic study compared cause HD- a large national sample, adjusting for demographic characteristics. Data on January 1 years 1987, 1988, 1989, each yr follow-up, were obtained from Renal System. Patients censored at transplantation. Death per 100 patient seven cause-of-death categories HD PD, age, race, gender, ESRD (diabetes versus nondiabetes), prior ESRD, by use Poisson regression. There 42,372 deaths occurring 170,700 risk. was significantly increased risk all categories, except malignancy, which there HD. The all-cause can accounted for, decreasing order, infection (35%), acute myocardial infarction (24%), other cardiac (16%), cerebrovascular disease (8%), withdrawal malignancy (-6%).(ABSTRACT TRUNCATED AT 250 WORDS)