ArticlePloS one2012
Impact of individual and environmental socioeconomic status on peritoneal dialysis outcomes: a retrospective multicenter cohort study.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic status and mortality among dialysis patients: a systematic review and meta-analysis.International urology and nephrology · 2019Pooled it
- Impact of Educational Attainment on Health Outcomes in Moderate to Severe CKD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2016Trial
- Trial
- The associations between the family education and mortality of patients on peritoneal dialysis.PloS one · 2014Trial
- Long-term survival of older patients undergoing urgent-start peritoneal dialysis.BMC geriatrics · 2026Article
- Surgical risk factors for technical survival of peritoneal dialysis catheters.Langenbeck's archives of surgery · 2025Article
- Risk factors and outcomes in patients who switched from peritoneal dialysis to physician-oriented or patient-oriented kidney replacement therapy.Renal failure · 2024Article
- Knowledge, attitudes, and practices toward cardiovascular complications among end-stage renal disease patients undergoing maintenance hemodialysis.BMC public health · 2024Article
- Educational Attainment Is Associated With Kidney and Cardiovascular Outcomes in the German CKD (GCKD) Cohort.Kidney international reports · 2022Article
- Intestinal fatty acid-binding protein as a biomarker for the diagnosis of strangulated intestinal obstruction: A meta-analysis.Open medicine (Warsaw, Poland) · 2021Article
- Urgent-start peritoneal dialysis for patients with end stage renal disease: a 10-year retrospective study.BMC nephrology · 2019Article
- Psychosocial Mediators between Socioeconomic Status and Dietary Restrictions among Patients Receiving Hemodialysis in Japan.International journal of nephrology · 2019Article
- Changes in the worldwide epidemiology of peritoneal dialysis.Nature reviews. Nephrology · 2017Review
- An association of cognitive impairment with diabetes and retinopathy in end stage renal disease patients under peritoneal dialysis.PloS one · 2017Article
- Article
- Health care providers' support of patients' autonomy, phosphate medication adherence, race and gender in end stage renal disease.Journal of behavioral medicine · 2016Article
- Association Between Hemodiafiltration and Hypoalbuminemia in Middle-Age Hemodialysis Patients.Medicine · 2016Observational
- Article
- Novel Equations for Estimating Lean Body Mass in Peritoneal Dialysis Patients.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2015Article
- Hyponatremia and Cognitive Impairment in Patients Treated with Peritoneal Dialysis.Clinical journal of the American Society of Nephrology : CJASN · 2015Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to explore the impacts of individual and environmental socioeconomic status (SES) on the outcome of peritoneal dialysis (PD) in regions with significant SES disparity, through a retrospective multicenter cohort in China.
methodsOverall, 2,171 incident patients from seven PD centers were included. Individual SES was evaluated from yearly household income per person and education level. Environmental SES was represented by regional gross domestic product (GDP) per capita and medical resources. Undeveloped regions were defined as those with regional GDP lower than the median. All-cause and cardiovascular death and initial peritonitis were recorded as outcome events.
resultsPoorer PD patients or those who lived in undeveloped areas were younger and less-educated and bore a heavier burden of medical expenses. They had lower hemoglobin and serum albumin at baseline. Low income independently predicted the highest risks for all-cause or cardiovascular death and initial peritonitis compared with medium and high income. The interaction effect between individual education and regional GDP was determined. In undeveloped regions, patients with an elementary school education or lower were at significantly higher risk for all-cause death but not cardiovascular death or initial peritonitis compared with those who attended high school or had a higher diploma. Regional GDP was not associated with any outcome events.
conclusionLow personal income independently influenced all-cause and cardiovascular death, and initial peritonitis in PD patients. Education level predicted all-cause death only for patients in undeveloped regions. For PD patients in these high risk situations, integrated care before dialysis and well-constructed PD training programs might be helpful.
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