Patients who die within 90 days of commencing renal replacement therapy (RRT) may be recorded by some centres and not others, and hence data on mortality and survival may not be comparable.
However, it is essential to compare like with like when analysing differences between modalities, centres and registries.
It was decided, therefore, to look at the incidence of deaths within 90 days in the ERA-EDTA Registry, and to try to define the characteristics of this group of patients.
Between 1 January 1990 and 31 December 1992,78 534 new patients started RRT in 28 countries affiliated to the ERA-EDTA Registry.
Their mean age was 54 years and 31% were over 65 years old.
Eighty-two per cent of the patients received haemodialysis (HD), 16% peritoneal dialysis (PD) and 2% had pre-emptive transplantation as first mode of treatment.
From January 1990 to March 1993 the overall incidence of deaths was 19% and 4% of all patients died within 90 days from the start of RRT.
Among those dying within 90 days 59% were over 65 years compared to 53% over 65 years in those dying beyond this time (P<0.0001).
The modality of RRT did not influence the distribution of deaths before and after 90 days.
Vascular causes and malignancy were more common in those dying after 90 days, while there were more cardiac and social causes among the early deaths. (...)
Mots-clés Pascal : Insuffisance rénale, Chronique, Hémodialyse, Dialyse péritonéale, Homotransplantation, Rein, Survie, Epidémiologie, Traitement, Homme, Europe, Appareil urinaire pathologie, Rein pathologie, Epuration extrarénale, Transplantation, Chirurgie
Mots-clés Pascal anglais : Renal failure, Chronic, Hemodialysis, Peritoneal dialysis, Homotransplantation, Kidney, Survival, Epidemiology, Treatment, Human, Europe, Urinary system disease, Kidney disease, Extrarenal dialysis, Transplantation, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0509044
Code Inist : 002B14A05. Création : 22/03/2000.