The effect of gender on survival for hemodialysis patients: Why don't women live longer than men?

Abstract

Women in the general population have a survival advantage over men, but this advantage is not sustained in end-stage kidney disease (ESKD) patients treated by hemodialysis. To understand why gender may affect survival we need to understand confounders which may affect dialysis practices. The current paradigm is to prescribe hemodialysis to achieve a target dialyzer urea clearance adjusted to total body water volume (Kt/V urea ). Estimated glomerular filtration calculated from serum creatinine is How to cite this article: Vongsanim S, Davenport A. The effect of gender on survival for hemodialysis patients: Why don't women live longer than men? Semin Dial. 2019;32:438-443. https ://doi.

Prognosis and Long-Term Overall Survival in Hypertensive Patients Undergoing Chronic Hemodialysis: A Multicenter Parametric Mixture Split-Population Analysis

“…Age and sex have also been important determinants for the survival of HD patients in most previous studies which is in line with the results of the present research. 12,38,39 In the general population, women have a survival advantage over men which is in contrast with the findings in HD populations. 39 Some researchers demonstrated that sex played a significant role in determining OS in HD patients and that the mortality rate was lower in females than males.…”

“…12,38,39 In the general population, women have a survival advantage over men which is in contrast with the findings in HD populations. 39 Some researchers demonstrated that sex played a significant role in determining OS in HD patients and that the mortality rate was lower in females than males. These are inconsistent with the current study.…”

“…Previous papers have indirectly confirmed the positive effect of a highquality dialysis on the OS and long-term survival rate of patients undergoing maintenance HD. 20,39,41 The subgroup analysis based on the adequacy of dialysis (Figure 3) showed that the initial vascular access type and membrane flux were the most important prognostic determinants of long-term OS. Regardless of the patients' sex and dialysis adequacy groups, the results of the current study suggested that hypertensive patients with AVF and a high-flux membrane had the highest long-term OS rate compared to those who underwent dialysis with CVC and a low-flux membrane.…”

Kepatuhan Diet dengan Kualitas Hidup Pasien Hemodialisa di RSUP Dr. Soeradji Tirtonegoro: Korelasi Studi

“…Berdasarkan beberapa studi penyakit ginjal kronik lebih banyak terjadi pada perempuan dibandingkan dengan laki-laki dengan rerata prevalensi sebesar 14% pada perempuan dan 12% pada laki-laki. Penelitian ini sejalan dengan penelitian sebelumnya yang menunjukan bahwa perempuan lebih banyak yang menjalani terapi hemodialisa yaitu sebanyak 32 responden (51,6%) (Vongsanim & Davenport, 2019).…”

“…Responden yang mempuyai tingkat kepatuhan dan memiliki kualitas hidup baik dikarenakan dengan patuh dalam menjalani diet yang dianjurkan akan mengurangi beban kerja ginjal. Salah satu kepatuhan yang dilakukan responden adalah dengan membatasi asupan cairan sesuai dengan jumlah urine yang dikeluarkan, membatasi asupan kalium dengan mengurangi mengkonsumsi manga, daun singkong, daun papaya, bayam, kacang hijau dan durian, membatasi asupan natrium dengan tidak memakan makanan kalengan, membatasi asupan protein seperti mengkonsumsi 1 butir telur, 1 potong ayam, 1 potong daging dan 4 potong tempe dalam sehari, membatasi asupan sumber energy dengan makan nasi 3 piring sedang, tidak mengkonsumsi roti dan kentang dan mengurangi gula dan gagal nafas sehingga kualitas hidup pasien dapat meningkat (Vongsanim & Davenport, 2019).…”