liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Excellent long time survival for Swedish patients starting home-hemodialysis with and without subsequent renal transplantations
Skåne University Hospital, Sweden .
Skåne University Hospital, Sweden .
Skåne University Hospital, Sweden .
Skåne University Hospital, Sweden .
Show others and affiliations
2013 (English)In: Hemodialysis International, ISSN 1492-7535, E-ISSN 1542-4758, Vol. 17, no 4, 523-531 p.Article in journal (Refereed) Published
Abstract [en]

Survival for patients on dialysis is poor. Earlier reports have indicated that home-hemodialysis is associated with improved survival but most of the studies are old and report only short-time survival. The characteristics of patient populations are often incompletely described. In this study, we report long-term survival for patients starting home-hemodialysis as first treatment and estimate the impact on survival of age, comorbidity, decade of start of home-hemodialysis, sex, primary renal disease and subsequent renal transplantation. One hundred twenty-eight patients starting home-hemodialysis as first renal replacement therapy 1971-1998 in Lund were included. Data were collected from patient files, the Swedish Renal Registry and Swedish census. Survival analysis was made as intention-to-treat analysis (including survival after transplantation) and on-dialysis-treatment analysis with patients censored at the day of transplantation. Ten-, twenty- and thirty-year survival were 68%, 36% and 18%. Survival was significantly affected by comorbidity, age and what decade the patients started home-hemodialysis. For patients younger than 60 years and with no comorbidities, the corresponding figures were 75%, 47% and 23% and a subsequent renal transplantation did not significantly influence survival. Long-term survival for patients starting home-hemodialysis is good, and improves decade by decade. Survival is significantly affected by patient age and comorbidity, but the contribution of subsequent renal transplantation was not significant for younger patients without comorbidities.

Place, publisher, year, edition, pages
Wiley-Blackwell , 2013. Vol. 17, no 4, 523-531 p.
Keyword [en]
Comorbidity, home-hemodialysis, dialysis, renal transplantation, survival
National Category
Engineering and Technology
URN: urn:nbn:se:liu:diva-100307DOI: 10.1111/hdi.12046ISI: 000325137100009OAI: diva2:661502

Funding Agencies|Gambro AB||Paul Frankenius Foundation||Swedish Society of Nephrology||

Available from: 2013-11-04 Created: 2013-11-04 Last updated: 2014-02-28

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Segelmark, Marten
By organisation
Division of Drug ResearchFaculty of Health SciencesDepartment of Nephrology
In the same journal
Hemodialysis International
Engineering and Technology

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 40 hits
ReferencesLink to record
Permanent link

Direct link