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| MORTALITY AND DURATION OF HEMODIALYSIS-TREATMENT |
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| Author(s): HELD PJ, LEVIN NW, BOVBJERG RR, PAULY MV, DIAMOND LH |
| Source: JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION Volume: 265 Issue: 7 Pages: 871-875 Published: FEB 20 1991 |
| Times Cited: 175 References: 20 |
| Abstract: Decrease in the average duration of hemodialysis treatment time is a continuing phenomenon. We investigated the relationship of 3-year mortality to duration of dialysis in a 1984-1985 national random sample of 600 hemodialysis patients from 36 dialysis units. Mortality was negatively associated with duration of dialysis treatments, as shown by the Cox model, adjusted for other patient and dialysis unit covariates. With adjustment for other covariates, patients receiving an average dialysis treatment duration of less than 3.5 hours had relative mortality risks of 1.17 to 2.18 compared with those with treatments longer than 3.5 hours (mortality risk of 1.0). Reverse causation (the possibility that more seriously ill patients received dialysis for a shorter time) appears unlikely. We conclude that duration of the dialysis procedure is an important element in determining patient mortality as one of the factors determining the adequacy of dialysis. |
| Document Type: Article |
| Language: English |
| Reprint Address: HELD, PJ (reprint author), URBAN INST, RENAL RES PROGRAM, 2100 M ST NW, WASHINGTON, DC 20037 USA |
Addresses:
1. BETH ISRAEL MED CTR, DEPT NEPHROL, NEW YORK, NY 10003 USA
2. UNIV PENN, WHARTON SCH, PHILADELPHIA, PA 19104 USA
3. GEORGETOWN UNIV, DEPT NEPHROL, WASHINGTON, DC 20057 USA
4. DIST COLUMBIA GEN HOSP, WASHINGTON, DC 20003 USA |
| Publisher: AMER MEDICAL ASSOC, 515 N STATE ST, CHICAGO, IL 60610 |
| Subject Category: Medicine, General & Internal |
| IDS Number: EX587 |
| ISSN: 0098-7484 |
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| | | | | | | | | Record from Web of Science® | | | | | | | | | |