End-Stage Renal Failure in Diabetes

Scott, S.; McHugh, M. I.; Martin, AnthonyM.

doi:10.1016/s0140-6736(86)92784-4

Cited by 2 publications

(2 citation statements)

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“…[18] In addition, diabetics itself also have been proven to be an in dependent mortality. [19] Timing of referral might be expected to influence long-term survival of diabetic dialytic patients, although this is no data to prove this assumption. At present, several studies of non-diabetic patients have shown that late referral to the nephrologist is associated with increased mortality and that increased mortality was particularly evident during the first 6-12 months after initiation of dialysis.…”

Section: Discussionmentioning

confidence: 99%

Improvement of Clinical Outcome by Early Nephrology Referral in Type II Diabetics on Hemodialysis

Lin

Hsu

et al. 2003

Renal Failure

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We demonstrate that the time of referral before starting dialysis is a predictor of survival for type II diabetics on HD. Patients with early referral are associated with longer survival. The beneficial effect might be associated with the timely initiation of the chronic HD program. These results suggest that early referral before dialysis is important in determining the long-term prognosis in type II diabetics on HD.

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Section: Discussionmentioning

confidence: 99%

Improvement of Clinical Outcome by Early Nephrology Referral in Type II Diabetics on Hemodialysis

Lin

Hsu

et al. 2003

Renal Failure

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“…Epidemiological studies have shown that diabetic patients starting renal replacement therapy may have a more compromised cardiovascular status and more comorbid factors, both of which can increase morbidity and mortality rates (4,27). In addition, diabetes itself also has been proven to be an independent risk factor (28). At present, there are several studies of nondiabetic patients showing that late referral to a nephrologist is associated with increased mortality, and that increased mortality is particularly evident during the first 6 to 12 months after initiation of dialysis (29).…”

Section: Discussionmentioning

confidence: 99%

Improvement in Clinical Outcome by Early Nephrology Referral in Type Ii Diabetics on Maintenance Peritoneal Dialysis

Lin

Chang

et al. 2003

Perit Dial Int

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← Objectives To evaluate the influence of early nephrology referral on clinical outcome in type II diabetes mellitus patients on maintenance peritoneal dialysis (PD). ← Design This is a retrospective study in a single University Hospital in Taiwan. ← Patients This study analyzed the type II diabetic patients entering our PD program from February 1988 to June 2000. Patients that were presented to a nephrologist more than 6 months before starting dialysis were defined as early referrals (ER). Patients were considered late referrals (LR) if they were transferred to the nephrology department within 6 months before initial dialysis. ← Main Outcome Measures Patient survival and technique survival curves were derived from Kaplan–Meier analysis and were compared using the Cox–Mantel log rank test. Covariates were analyzed with Cox proportional hazards model. ← Results 52 type II diabetic patients were enrolled in this study: 16 in the ER group and 36 in the LR group. Patient survival was better in the ER group than in the LR group {relative risks [exp(coef)] 0.42; 95% confidence interval 0.152 – 0.666; p < 0.05}. The improved survival in the ER group was independent of age at dialysis, good glycemic control, and residual renal function, as indicated in the multivariate analysis with stepwise regression by Cox proportional hazards model. The ER group was also associated with better technique survival. ← Conclusions These results suggest that early nephrology referral before initiating dialysis is associated with improved long-term clinical outcome in type II diabetics on maintenance PD.

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End-Stage Renal Failure in Diabetes

Cited by 2 publications

References 0 publications

Improvement of Clinical Outcome by Early Nephrology Referral in Type II Diabetics on Hemodialysis

Improvement of Clinical Outcome by Early Nephrology Referral in Type II Diabetics on Hemodialysis

Improvement in Clinical Outcome by Early Nephrology Referral in Type Ii Diabetics on Maintenance Peritoneal Dialysis

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