Comparative Survival among Older Adults with Advanced Kidney Disease Managed Conservatively Versus with Dialysis.

ABSTRACT:

Background and objectives

Outcomes of older patients with ESRD undergoing RRT or conservative management (CM) are uncertain. Adequate survival data, specifically of older patients, are needed for proper counseling. We compared survival of older renal patients choosing either CM or RRT.

Design, setting, participants, & measurements

A retrospective survival analysis was performed of a single-center cohort in a nonacademic teaching hospital in The Netherlands from 2004 to 2014. Patients with ESRD ages ≥70 years old at the time that they opted for CM or RRT were included. Patients with acute on chronic renal failure needing immediate start of dialysis were excluded.

Results

In total, 107 patients chose CM, and 204 chose RRT. Patients choosing CM were older (mean±SD: 83±4.

SUBMITTER: Verberne WR 

PROVIDER: S-EPMC4822664 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature