ArticlePloS one2013
High cost and low survival rate in high comorbidity incident elderly hemodialysis patients.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Risk factors for mortality in elderly haemodialysis patients: a systematic review and meta-analysis.BMC nephrology · 2020Pooled it
- The Japanese clinical practice guideline for acute kidney injury 2016.Clinical and experimental nephrology · 2018Guideline
- Facility-level comorbidity burden and cardiovascular outcome in patients undergoing hemodialysis.Kidney research and clinical practice · 2026Article
- Echocardiographic Probability of Pulmonary Hypertension, Cardiac Structural Alterations and All-Cause Mortality in Maintenance Hemodialysis Patients: A Single-Center Retrospective Cohort Study With Competing Risk Analysis.Clinical cardiology · 2026Article
- The impact of malnutrition on the effectiveness of intradialytic exercise in hemodialysis patients: amulticenter cohort study.International urology and nephrology · 2024Article
- Decline in Walking Independence and Related Factors in Hospitalization for Dialysis Initiation: A Retrospective Cohort Study.Journal of clinical medicine · 2022Article
- Exploring the Impact of Different Types of Do-Not-Resuscitate Consent on End-of-Life Treatments among Patients with Advanced Kidney Disease: An Observational Study.International journal of environmental research and public health · 2021Observational
- Hematological Parameters and Clinical Features in Patients with Advanced Chronic Kidney Disease.Yonago acta medica · 2020Article
- Treatment with the herbal formulation Eefooton slows the progression of chronic kidney disease: A case report.Medicine · 2019Article
- Comparison of medical outcomes and health care costs at the end of life between dialysis patients with and without cancer: a national population-based study.BMC nephrology · 2019Article
- Validation of risk prediction tools in elderly patients who initiate dialysis.International urology and nephrology · 2019Article
- Staphylococcus aureus colonization in hemodialysis patients: a prospective 25 months observational study.BMC nephrology · 2019Observational
- The Japanese Clinical Practice Guideline for acute kidney injury 2016.Journal of intensive care · 2018Article
- The strange case of Mr. H. Starting dialysis at 90 years of age: clinical choices impact on ethical decisions.BMC medical ethics · 2017Article
- Care of the dialysis patient: Primary provider involvement and resource utilization patterns - a cohort study.BMC nephrology · 2017Article
- Palliative care for patients with end-stage renal disease: approach to treatment that aims to improve quality of life and relieve suffering for patients (and families) with chronic illnesses.Clinical kidney journal · 2017Article
- Effect of patient's age on the profitability of inpatient cardiac catheterization: a contribution margin analysis of frequently performed procedures over a 5-year period.BMC health services research · 2017Article
- Measuring health-related quality of life in patients with conservatively managed stage 5 chronic kidney disease: limitations of the Medical Outcomes Study Short Form 36: SF-36.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Article
- Comorbidity burden at dialysis initiation and mortality: A cohort study.Canadian journal of kidney health and disease · 2015Article
- The impact of dialysis therapy on older patients with advanced chronic kidney disease: a nationwide population-based study.BMC medicine · 2014Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe comorbidity index is a predictor of mortality in dialysis patients but there are few reports for predicting elderly dialysis mortality and national population-based cost studies on elderly dialysis. The aim of this study was to evaluate the long-term mortality of incident elderly dialysis patients using the Deyo-Charlson comorbidity index (CCI) and to assess the inpatient and outpatient visits along with non-dialysis costs.
methodsData were obtained from catastrophic illness registration of the Taiwan National Health Insurance Research Database. Incident elderly dialysis patients (age ≥75 years) receiving hemodialysis for more than 90 days between Jan 1, 1998, and Dec 31, 2007, were included. Baseline comorbidities were determined one year prior to the first dialysis day according to ICD-9 CM codes. Survival time, mortality rate, hospitalization time, outpatient visit frequency, and costs were calculated for different age and CCI groups.
resultsIn 10,759 incident elderly hemodialysis patients, hazard ratios for all-cause mortality were significantly increased in the different age groups (p < 0.001) and CCI patients (p < 0.001). Death rates increased with both increasing age and CCI score. High comorbidity incident hemodialysis and elderly patients were found to have increased length of hospital stay and total hospitalization costs.
conclusionsThis population-based cohort study indicated that both age and higher CCI values were predictors of survival in incident elderly hemodialysis. Increased costs and mortality rates were evident in the oldest patients and in those with high CCI scores. Conservative treatment might be considered in high comorbidity and low-survival rate end stage renal disease (ESRD) patients.
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