Influence of nutritional factors and hemodialysis adequacy on the survival of 1,610 French patients

Combe, Christian; Chauveau, Philippe; Laville, Maurice; Fouque, Denis; Azar, Raymond; Cano, Noël; Canaud, Bernard; Roth, Hubert; Leverve, Xavier; Aparicio, Michel

doi:10.1053/ajkd.2001.20756

Cited by 160 publications

(99 citation statements)

References 28 publications

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“…Our study confirmed the previous findings that, low serum albumin is related with severe survival (14,31,32). Combe et al showed that decreased serum albumin over time correlated with increased CVD death (33). In dialysis patients, low serum albumin level applied commonly as an surrogate of malnutrition and reflected visceral protein stores (34).…”

Section: Discussionsupporting

confidence: 90%

Predictors of long-term survival of hemodialysis patients in Hamadan province, west of Iran

Khazaei¹,

Yaseri²,

Sheikh³

et al. 2017

J Nephropathol

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Background: Hemodialysis (HD) represents the main way of renal replacement therapy (RRT) for end-stage renal disease (ESRD) patients in Iran. Few studies have investigated the survival of HD patients in Iran.Objectives: This study conducted to reach better understanding predictors of survival for HD patients. Patients and Methods: This is a retrospective cohort study conducted in 1142 HD patients in Hamadan province during 11 years from 2007 to 2017. The checklist used to gather information was comprised of patient's demographic and clinical information. The analysis was carried out using Laplace regression and Cox regression model. Results:The most prevalent causes of ESRD were reported to be high blood pressure (BP) (28.9%) and diabetes (24.34%). The probability of survival at the end of 1st, 5th, and 10th year was 0.81, 0.4 and 0.13, respectively. Results of multivariate Cox regression showed that being rural dweller, low albumin, ferritin and hemoglobin level and having positive CRP at diagnosis have a negative significant impact on survival of HD patients (P < 0.05). Conclusions: Being rural dweller, low albumin and hemoglobin level and having positive CRP at diagnosis amongst other factors were possible factors affecting the survival of HD patients in this study. Considering the low survival probability of these patients, efforts should be made to real-time diagnosis of the cause of renal diseases.

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Section: Discussionsupporting

confidence: 90%

Predictors of long-term survival of hemodialysis patients in Hamadan province, west of Iran

Khazaei¹,

Yaseri²,

Sheikh³

et al. 2017

J Nephropathol

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“…In addition, some researchers have reported worse outcomes in obese patients undergoing dialysis. 52,53 BMI is commonly used to diagnose obesity and does not provide information about body composition. As a result, its ability to help diagnose obesity can vary considerably by predictors of muscle mass, such as age, gender, and race.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Renal Function on Outcomes of Bariatric Surgery

Turgeon

Perez

Mondestin³

et al. 2012

Journal of the American Society of Nephrology

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The effect of CKD on the risks of bariatric surgery is not well understood. Using the American College of Surgeons National Surgical Quality Improvement Program Participant Use File, we analyzed 27,736 patients who underwent bariatric surgery from 2006 through 2008. Before surgery, 34 (0.12%) patients were undergoing long-term dialysis. Among those not undergoing dialysis, 20,806 patients (75.0%) had a normal estimated GFR or stage 1 CKD, 5011 (18.07%) had stage 2 CKD, 1734 (6.25%) had stage 3 CKD, 94 (0.34%) had stage 4 CKD, and 91 (0.33%) had stage 5 CKD. In an unadjusted analysis, CKD stage was directly associated with complication rate, ranging from 4.6% for those with stage 1 CKD or normal estimated GFR to 9.9% for those with stage 5 CKD (test for trend, P,0.001). Multivariable logistic regression demonstrated that CKD stage predicts higher complication rates (odds ratio for each higher CKD stage, 1.30) after adjustment for diabetes and hypertension. Although patients with higher CKD stage had higher complication rates, the absolute incidence of complications remained ,10%. In conclusion, these data demonstrate higher risks of bariatric surgery among patients with worse renal function, but whether the potential benefits outweigh the risks in this population requires further study.

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“…Advanced age and lower serum album have been associated with decreased survival in dialysis patients (4,10). Elderly patients might have more comorbid conditions, including diabetes and cardiovascular and cerebrovascular diseases, the development of which might also be potentiated by hypoalbuminemia.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes of Peritoneal Dialysis Patients Transferred from Hemodialysis: A Matched Case–Control Study

Zhang

Cao

et al. 2012

Perit Dial Int

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♦ Objective: Our study aimed to evaluate clinical outcomes of patients transferred to peritoneal dialysis (PD) because of complications related to hemodialysis (HD). ♦ Methods: In a 1:2 matched case-control study, we compared patient and technique sur vival between patients initially treated with HD for at least 3 months and then transferred to PD (transfer group) and patients started on and continuing with PD (notransfer group).

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Influence of nutritional factors and hemodialysis adequacy on the survival of 1,610 French patients

Cited by 160 publications

References 28 publications

Predictors of long-term survival of hemodialysis patients in Hamadan province, west of Iran

Predictors of long-term survival of hemodialysis patients in Hamadan province, west of Iran

The Impact of Renal Function on Outcomes of Bariatric Surgery

Clinical Outcomes of Peritoneal Dialysis Patients Transferred from Hemodialysis: A Matched Case–Control Study

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