ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2010
Adverse outcomes among Aboriginal patients receiving peritoneal dialysis.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 31 citations in OpenAlex.
- Examining Inequities in Clinical Outcomes for Indigenous Patients Treated With Dialysis in Canada: A Scoping Review.Kidney medicine · 2025Review
- The effect of rural and urban life on peritonitis rates in chronic peritoneal patients.Renal failure · 2023Article
- Program Report:Canadian journal of kidney health and disease · 2022Article
- The Psychosocial and Somatic Effects of Relocation from Remote Canadian First Nation Communities to Urban Centres on Indigenous Peoples with Chronic Kidney Disease (CKD).International journal of environmental research and public health · 2021Review
- Community-Based Dialysis in Saskatchewan First Nations: A Grassroots Approach to Gaining Insight and Perspective From First Nations Patients With Chronic Kidney Disease.Canadian journal of kidney health and disease · 2020Article
- Validation of Self-Reported Race in a Canadian Provincial Renal Administrative Database.Canadian journal of kidney health and disease · 2019Article
- A Retrospective Study of Chronic Kidney Disease Burden in Saskatchewan's First Nations People.Canadian journal of kidney health and disease · 2018Article
- Patterns of emergency department utilization by patients on chronic dialysis: A population-based study.PloS one · 2018Article
- Validation of the Kidney Failure Risk Equation in Manitoba.Canadian journal of kidney health and disease · 2017Article
- Peritoneal dialysis outcomes of Indigenous Australian patients of remote Kimberley origin.The Australian journal of rural health · 2014Article
- Predicting risk of mortality in dialysis patients: a retrospective cohort study evaluating the prognostic value of a simple chest X-ray.BMC nephrology · 2013Article
- Article
- Association of modality with mortality among Canadian Aboriginals.Clinical journal of the American Society of Nephrology : CJASN · 2012Article
- The effects of living distantly from peritoneal dialysis units on peritonitis risk, microbiology, treatment and outcomes: a multi-centre registry study.BMC nephrology · 2012Article
- Peritonitis and exit site infections in First Nations patients on peritoneal dialysis.Clinical journal of the American Society of Nephrology : CJASN · 2010Article
- Article
- Article
- Lower education level is a major risk factor for peritonitis incidence in chronic peritoneal dialysis patients: a retrospective cohort study with 12-year follow-up.Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisArticle
- Frequency and microbiology of peritonitis and exit-site infection among obese peritoneal dialysis patients.Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisArticle
- High rates of mortality and technique failure in peritoneal dialysis patients after critical illness.Peritoneal dialysis international : journal of the International Society for Peritoneal DialysisArticle
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Aboriginal population in Canada experiences high rates of end-stage renal disease and need for dialytic therapies. Our objective was to examine rates of mortality, technique failure and peritonitis among adult aboriginal patients receiving peritoneal dialysis in the province of Manitoba. We also aimed to explore whether differences in these rates may be accounted for by location of residence (i.e., urban versus rural).
methodsWe included all adult patients residing in the province of Manitoba who received peritoneal dialysis during the period from 1997-2007 (n = 727). We extracted data from a local administrative database and from the Canadian Organ Replacement Registry and the Peritonitis Organism Exit-sites/Tunnel infections (POET) database. We used Cox and logistic regression models to determine the relationship between outcomes and Aboriginal ethnicity. We performed Kaplan-Meier analyses to examine the relationship between outcomes and urban (i.e., 50 km or less from the primary dialysis centre in Winnipeg) versus rural (i.e., more than 50 km from the centre) residency among patients who were aboriginal.
resultsOne hundred sixty-one Aboriginal and 566 non-Aboriginal patients were included in the analyses. Adjusted hazard ratios for mortality (HR 1.476, CI 1.073-2.030) and adjusted time to peritonitis (HR 1.785, CI 1.352-2.357) were significantly higher among Aboriginal patients than among non-Aboriginal patients. We found no significant differences in mortality, technique failure or peritonitis between urban- or rural-residing Aboriginal patients.
interpretationCompared with non-Aboriginal patients receiving peritoneal dialysis, Aboriginal patients receiving peritoneal dialysis had higher mortality and faster time to peritonitis independent of comorbidities and demographic characteristics. This effect was not influenced by place of residence, whether rural or urban.
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