+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Conservatively managed patients with stage 5 chronic kidney disease--outcomes from a single center experience



Conservatively managed patients with stage 5 chronic kidney disease--outcomes from a single center experience



Qjm 102(8): 547-554



Limited survival data are available on chronic kidney disease stage 5 (CKD 5) patients who opt for conservative management rather than dialysis. To measure survival in such patients and investigate potential factors predicting survival. Retrospective survival analysis of a cohort of conservatively managed CKD 5 patients from a single center. Survival was measured in 69 conservatively managed patients from the time they were first known to have CKD 5. Comorbidities, residual renal function and other laboratory parameters (calcium, phosphate, parathyroid hormone, albumin and hemoglobin) and blood pressure were recorded. Overall median patient survival from the time of first known CKD 5 was 21 months. Patients known to a nephrologist before reaching CKD 5 survived longer (median 32 months) than those presenting with CKD 5 (15 months, P = 0.025). Serum albumin >35 g/l was associated with greater survival, but other biochemical parameters, comorbidity grade and age did not predict survival. These survival data provide useful information for nephrologists counseling CKD 5 patients considering whether to pursue dialysis or conservative management. Risk factors that correlate with survival in the dialysis population may not predict survival in conservatively managed CKD 5 patients.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052306330

Download citation: RISBibTeXText

PMID: 19535617

DOI: 10.1093/qjmed/hcp068


Related references

Measuring health-related quality of life in patients with conservatively managed stage 5 chronic kidney disease: limitations of the Medical Outcomes Study Short Form 36: SF-36. Quality of Life Research 25(11): 2799-2809, 2016

Long-term outcomes of percutaneous nephrolithotomy in patients with chronic kidney disease: a single-center experience. Urology 79(5): 990-994, 2012

Long-term outcomes of percutaneous nephrolithotomy in 177 patients with chronic kidney disease: a single center experience. Journal of Urology 187(1): 173-177, 2012

Outcomes of stage 3-5 chronic kidney disease before end-stage renal disease at a single center in Taiwan. Nephron. Clinical Practice 109(3): C109-C118, 2008

Chronic kidney disease progression to end stage renal disease: a single center experience of the role of the underlying kidney disease. Therapeutic Apheresis and Dialysis 17(4): 363-367, 2014

Chronic Kidney Disease, But Not Diabetes, Can Predict 30-Day Outcomes in Patients with ST-Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention: A Single-Center Experience. Acta Cardiologica Sinica 29(5): 395-403, 2013

Invisible and intangible illness: a qualitative interview study of patients' experiences and understandings of conservatively managed end-stage kidney disease. Annals of Palliative Medicine 2019, 2019

Kidney Transplantation in Korean Patients With End-Stage Renal Disease Aged 65 and Older: A Single-Center Experience. Transplantation Proceedings 49(5): 987-991, 2018

Kidney transplantation alone in end-stage renal disease patients with hepatitis B liver cirrhosis: a single-center experience. Transplantation 99(1): 133-138, 2015

Thiamine status in end-stage chronic kidney disease patients: a single-center study. International Urology and Nephrology 50(10): 1913-1918, 2018

Sleep apnea in patients with chronic kidney disease: a single center experience. Renal Failure 37(1): 83-87, 2015

Efficacy and safety of gabapentin for uremic pruritus and restless legs syndrome in conservatively managed patients with chronic kidney disease. Journal of Pain and Symptom Management 49(4): 782-789, 2015

Characteristics and Clinical Outcomes of End-Stage Renal Disease Patients on Peritoneal Dialysis for Over 15 Years: A Single-Center Experience. Peritoneal Dialysis International 37(5): 535-541, 2017

Outcomes of end-stage renal disease patients on the waiting list for deceased donor kidney transplantation: A single-center study. Kidney Research and Clinical Practice 2019, 2019

Peritoneal dialysis for chronic kidney disease patients: a single-center experience in Saudi Arabia. Saudi Journal of Kidney Diseases and Transplantation 22(3): 581-586, 2011