Deaths within 90 days from starting renal replacement therapy in the ERA–EDTA Registry between 1990 and 1992

Background. Patients who die within 90 days of commencing renal replacement therapy (RRT) may be recorded by some centres and not others, and hence data on mortality and survival may not be comparable. However, it is essential to compare like with like when analysing differences between modalities,...

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Published in:Nephrology, dialysis, transplantation dialysis, transplantation, 1999-10, Vol.14 (10), p.2343-2350
Main Authors: Tsakiris, Dimitri, Jones, Elizabeth H. P., Briggs, J. Douglas, Elinder, Carl-Gusta, Mehls, Otto, Mendel, Shalom, Piccoli, Giovanni, Rigden, Sue P. A., dos Santos, Jose Pintos, Simpson, Keith, Vanrenterghem, Yves
Format: Article
Language:English
Subjects:
Adolescent
Adult
Africa, Northern
Age Distribution
Aged
Biological and medical sciences
Cause of Death
comorbidity
early deaths
elderly patients
Europe
Female
Humans
Israel
Kidney Failure, Chronic - mortality
Kidney Failure, Chronic - therapy
Male
Medical sciences
Middle Aged
mortality
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Registries
Renal failure
renal replacement therapy
Renal Replacement Therapy - mortality
survival
Survival Analysis
Time Factors
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Summary:Background. Patients who die within 90 days of commencing renal replacement therapy (RRT) may be recorded by some centres and not others, and hence data on mortality and survival may not be comparable. However, it is essential to compare like with like when analysing differences between modalities, centres and registries. It was decided, therefore, to look at the incidence of deaths within 90 days in the ERA–EDTA Registry, and to try to define the characteristics of this group of patients. Methods. Between 1 January 1990 and 31 December 1992, 78 534 new patients started RRT in 28 countries affiliated to the ERA–EDTA Registry. Their mean age was 54 years and 31% were over 65 years old. Eighty-two per cent of the patients received haemodialysis (HD), 16% peritoneal dialysis (PD) and 2% had pre-emptive transplantation as first mode of treatment. Results. From January 1990 to March 1993 the overall incidence of deaths was 19% and 4% of all patients died within 90 days from the start of RRT. Among those dying within 90 days 59% were over 65 years compared to 53% over 65 years in those dying beyond this time (P
ISSN:0931-0509
1460-2385
DOI:10.1093/ndt/14.10.2343