Initiation of Dialysis: Current Trends and the Case for Timely Initiation
Journal
Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
ISSN
0896-8608
1718-4304
Date Issued
2000
Author(s)
Pereira, Brian J.G.
Type
text::journal::journal article
Abstract
The prevalence of end-stage renal disease (ESRD) in the United States has more than doubled in the last decade and is expected to continue to increase (1). Total Medicare payments for ESRD by patient– year at risk have increased by 2.5% – 5.3% each year between 1991 and 1997, and the total annual cost was estimated to be in excess of $15 billion dollars in 1997 (2,3).
Despite the significant resources committed to the ESRD program, survival among ESRD patients remains poor. Adjusted one-year, two-year, and five-year survival probabilities among dialysis patients are currently 80.7%, 65.4%, and 29.3% (2). Older age, male sex, Caucasian race, diabetes, and left ventricular hypertrophy have been shown to be associated with higher mortality among ESRD patients (4-7). In addition, the timing of initiation of dialysis has been incriminated as a possible factor that could affect ESRD outcomes. Copyright © 2000 International Society for Peritoneal Dialysis
Despite the significant resources committed to the ESRD program, survival among ESRD patients remains poor. Adjusted one-year, two-year, and five-year survival probabilities among dialysis patients are currently 80.7%, 65.4%, and 29.3% (2). Older age, male sex, Caucasian race, diabetes, and left ventricular hypertrophy have been shown to be associated with higher mortality among ESRD patients (4-7). In addition, the timing of initiation of dialysis has been incriminated as a possible factor that could affect ESRD outcomes. Copyright © 2000 International Society for Peritoneal Dialysis