Death or dialysis

Death or dialysis--a personal view.

Predicting the risk for dialysis or death in IgA nephropathy.

For the individual patient with primary IgA nephropathy (IgAN), it remains a challenge to predict long-term outcomes for patients receiving standard treatment. We studied a prospective cohort of 332 patients with biopsy-proven IgAN patients followed over an average of 13 years. We calculated an absolute renal risk (ARR) of dialysis or death by counting the number of risk factors present at diag...

Obesity and risk of death or dialysis in younger and older patients on specialized pre-dialysis care

BACKGROUND Obesity is associated with increased mortality and accelerated decline in kidney function in the general population. Little is known about the effect of obesity in younger and older pre-dialysis patients. The aim of this study was to assess the extent to which obesity is a risk factor for death or progression to dialysis in younger and older patients on specialized pre-dialysis care....

Dialysis: destination or journey.

The continued poor survival and diminished quality of life for patients treated with dialysis, particularly elderly individuals, is an important health care issue. In this issue of JASN, Vandecasteele and Kurella Tamura propose a change from a process-driven approach to dialysis care to one that incorporates a realistic assessment, in collaboration with the patient, of the relationship between ...

Sudden death in incident dialysis patients.

BACKGROUND Sudden death (SD) constitutes one of the principal causes of death and is an important problem in healthcare provision. Cardiovascular diseases have a high prevalence in dialysis patients and constitute the principal cause of death. We sought to analyze retrospectively the incidence of SD in patients commencing dialysis and the factors related to its presence. METHODS We evaluated ...