Importance of dialysis specialists in early mortality in elderly hemodialysis patients: a multicenter retrospective cohort study

被引：1

作者：

Park, Yohan ^{[1
,2
]}

Lee, Ji Won ^{[1
]}

Yoon, Se-Hee ^{[1
]}

Yun, Sung-Ro ^{[1
]}

Kim, Hyunsuk ^{[3
]}

Bae, Eunjin ^{[4
]}

Hyun, Young Youl ^{[5
]}

Chung, Sungjin ^{[6
]}

Kwon, Soon Hyo ^{[7
]}

Cho, Jang-Hee ^{[8
]}

Yoo, Kyung Don ^{[9
]}

Park, Woo Yeong ^{[10
]}

Sun, In O. ^{[11
]}

Yu, Byung Chul ^{[12
]}

Ko, Gang-Jee ^{[13
]}

Yang, Jae Won ^{[14
]}

Song, Sang Heon ^{[15
]}

Shin, Sung Joon ^{[16
]}

Hong, Yu Ah ^{[17
]}

Hwang, Won Min ^{[1
]}

机构：

[1] Konyang Univ Hosp, Dept Internal Med, Div Nephrol, Daejeon, South Korea

[2] Konyang Univ, Myunggok Med Res Inst, Daejeon, South Korea

[3] Hallym Univ, Chuncheon Sacred Heart Hosp, Med Ctr, Dept Internal Med,Div Nephrol, Chunchon, South Korea

[4] Gyeongsang Natl Univ Hosp, Dept Internal Med, Div Nephrol, Jinju, South Korea

[5] Kangbuk Samsung Hosp, Dept Internal Med, Div Nephrol, Seoul, South Korea

[6] Yeouido St Marys Hosp, Dept Internal Med, Div Nephrol, Seoul, South Korea

[7] Soonchunhyang Univ, Seoul Hosp, Dept Internal Med, Div Nephrol, Seoul, South Korea

[8] Kyungpook Natl Univ Hosp, Dept Internal Med, Div Nephrol, Daegu, South Korea

[9] Ulsan Univ Hosp, Dept Internal Med, Div Nephrol, Ulsan, South Korea

[10] Keimyung Univ, Dongsan Hosp, Dept Internal Med, Div Nephrol, Daegu, South Korea

[11] Presbyterian Med Ctr, Dept Internal Med, Div Nephrol, Jeonju, South Korea

[12] Soonchunhyang Univ, Bucheon Hosp, Dept Internal Med, Div Nephrol, Bucheon, South Korea

[13] Korea Univ, Guro Hosp, Dept Internal Med, Div Nephrol, Seoul, South Korea

[14] Yonsei Univ, Wonju Severance Christian Hosp, Dept Internal Med, Div Nephrol, Wonju, South Korea

[15] Pusan Natl Univ Hosp, Dept Internal Med, Div Nephrol, Busan, South Korea

[16] Dongguk Univ, Ilsan Hosp, Dept Internal Med, Div Nephrol, Goyang, South Korea

[17] Daejeon St Marys Hosp, Dept Internal Med, Div Nephrol, Daejeon, South Korea

来源：

SCIENTIFIC REPORTS | 2024年 / 14卷 / 01期

关键词：

6-MONTH MORTALITY; PRACTICE PATTERNS; DECISION-MAKING; INITIATION; ASSOCIATION; PREDICTORS; OUTCOMES; DISEASE; SCORE;

D O I：

10.1038/s41598-024-52170-9

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

The early mortality rate in elderly patients undergoing hemodialysis is more than twice that in young patients, requiring more specialized healthcare. We investigated whether the number of professional dialysis specialists affected early mortality in elderly patients undergoing hemodialysis. This multicenter retrospective cohort study analyzed data from 1860 patients aged >= 70 years who started hemodialysis between January 2010 and December 2017. Study regions included Seoul, Gyeonggi-do, Gangwon-do, Daejeon/Chungcheong-do, Daegu/Gyeongsangbuk-do, and Busan/Ulsan/Gyeongsangnam-do. The number of patients undergoing hemodialysis per dialysis specialist was calculated using registered data from each hemodialysis center. Early mortality was defined as death within 6 months of hemodialysis initiation. Gangwon-do (28.3%) and Seoul (14.5%) showed the highest and lowest early mortality rate, respectively. Similarly, Gangwon-do (64.6) and Seoul (43.9) had the highest and lowest number of patients per dialysis specialist, respectively. Relatively consistent results were observed for the regional rankings of early mortality rate and number of patients per dialysis specialist. Multivariate Cox regression analysis-adjusted for previously known significant risk factors-revealed that the number of patients per dialysis specialist was an independent risk factor for early mortality (hazard ratio: 1.031, p < 0.001). This study underscores the growing need for dialysis specialists for elderly hemodialysis patients in Korea.

引用

页数：11

共 33 条

[11] Development of a risk stratification algorithm to improve patient-centered care and decision making for incident elderly patients with end-stage renal disease [J].

Couchoud, Cecile G. ;

Beuscart, Jean-Baptiste R. ;

Aldigier, Jean-Claude ;

Brunet, Philippe J. ;

Moranne, Olivier P. .

KIDNEY INTERNATIONAL, 2015, 88 (05) :1178-1186

[12]

Daugirdas JT, 2015, AM J KIDNEY DIS, V66, P884, DOI 10.1053/j.ajkd.2015.07.015

[13] Impact of nutritional index on the association between phosphorus concentrations and mortality in haemodialysis patients: a cohort study from dialysis outcomes and practice pattern study in Japan [J].

Fukuma, Shingo ;

Ikenoue, Tatsuyoshi ;

Akizawa, Tadao ;

Fukuhara, Shunichi .

BMJ OPEN, 2017, 7 (08)

[14] The current and future landscape of dialysis [J].

Himmelfarb, Jonathan ;

Vanholder, Raymond ;

Mehrotra, Rajnish ;

Tonelli, Marcello .

NATURE REVIEWS NEPHROLOGY, 2020, 16 (10) :573-585

[15] Trends in epidemiologic characteristics of end-stage renal disease from 2019 Korean Renal Data System (KORDS) [J].

Hong, Yu Ah ;

Ban, Tae Hyun ;

Kang, Chae-Yeong ;

Hwang, Sun Deuk ;

Choi, Sun Ryoung ;

Lee, Hajeong ;

Jung, Hee-Yeon ;

Kim, Kyeongmin ;

Kwon, Young Eun ;

Kim, Su Hyun ;

Kim, Tae Hee ;

Koo, Ho-Seok ;

Yoon, Chang-Yun ;

Kim, Kiwon ;

Park, Jongha ;

Kim, Yong Kyun .

KIDNEY RESEARCH AND CLINICAL PRACTICE, 2021, 40 (01) :52-61

[16] Current characteristics of dialysis therapy in Korea: 2015 registry data focusing on elderly patients [J].

Jin, Dong-Chan ;

Yun, Sung-Ro ;

Lee, Seoung Woo ;

Han, Sang-Woong ;

Kim, Won ;

Park, Jongha .

KIDNEY RESEARCH AND CLINICAL PRACTICE, 2016, 35 (04) :204-211

[17] KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) Foreword [J].

Wheeler, David C. ;

Winkelmayer, Wolfgang C. .

KIDNEY INTERNATIONAL SUPPLEMENTS, 2017, 7 (01) :12-12

[18] Interactive Effectiveness of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers or Their Combination on Survival of Hemodialysis Patients [J].

Kido, Ryo ;

Akizawa, Tadao ;

Fukagawa, Masafumi ;

Onishi, Yoshihiro ;

Yamaguchi, Takuhiro ;

Fukuhara, Shunichi .

AMERICAN JOURNAL OF NEPHROLOGY, 2017, 46 (06) :439-447

[19] Super Aging in South Korea Unstoppable but Mitigatable: A Sub-National Scale Population Projection for Best Policy Planning [J].

Kim, Kee Whan ;

Kim, Oh Seok .

SPATIAL DEMOGRAPHY, 2020, 8 (02) :155-173

[20] Association of serum mineral parameters with mortality in hemodialysis patients: Data from the Korean endstage renal disease registry [J].

Kim, Yunmi ;

Yoo, Kyung Don ;

Kim, Hyo Jin ;

Koh, Junga ;

Yu, Yeonsil ;

Kwon, Young Joo ;

Kim, Gheun-Ho ;

Yoo, Tae-Hyun ;

Lee, Joongyub ;

Jin, Dong-Chan ;

Choi, Bum Soon ;

Kim, Yeong Hoon ;

Oh, Kook-Hwan .

KIDNEY RESEARCH AND CLINICAL PRACTICE, 2018, 37 (03) :266-276

← 1 2 3 4 →