March 23, 2010

Propensity-Matched Mortality Comparison of Incident Hemodialysis and Peritoneal Dialysis Patients

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Since an RCT comparing survival on hemodialysis vs peritoneal dialysis will likely never be done, this article warrants highlighting. This matched-pair cohort study compared survival of incident hemodialysis and peritoneal dialysis patients by intention-to-treat analysis. 6337 patient pairs from a retrospective cohort of 98,875 adults who initiated dialysis in 2003 in the United States were matched. The authors concluded that despite hazard ratio heterogeneity across patient subgroups and nonconstant hazard ratios during the follow-up period, the overall intention-to-treat mortality risk after dialysis initiation was 8% lower for peritoneal dialysis than for matched hemodialysis patients.

Related Articles:

Hemodialysis, Peritoneal Dialysis

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