Open AccessImpact of Dialysis Modality on Survival after Kidney Transplant Failure
Author(s) -
Jeffrey Perl,
Omar Hasan,
Joanne M. Bargman,
Depeng Jiang,
Yingbo Na,
John S. Gill,
Sarbjit V. Jassal
Publication year - 2011
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.06640810
Subject(s) - medicine , dialysis , hazard ratio , hemodialysis , peritoneal dialysis , home hemodialysis , proportional hazards model , renal replacement therapy , confidence interval , surgery , intensive care medicine
An increasing number of patients are returning to dialysis after allograft loss (DAGL). These patients are at a higher mortality risk compared with incident ESRD patients. Among transplant-naïve patients, those treated with peritoneal dialysis (PD) enjoy an early survival advantage compared with those treated with hemodialysis (HD), but this advantage is not sustained over time. Whether a similar time-dependent survival advantage exists for PD-treated patients after allograft loss is unclear and may impact dialysis modality selection in these patients.
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