ABSTRACT Background Diabetic nephropathy occurs in more than 20% of people with diabetes. Diabetic nephropathy has a high mortality rate and is one of the most common causes of end‐stage renal disease in hemodialysis (HD) units. Analysis of survival rates and risk factors of mortality of HD patients with diabetic nephropathy is needed to determine patient prognosis, modify risk factors, and provide evaluation for HD quality, especially in a limited resource setting. Methods This study is a retrospective cohort study using data from the Indonesian Renal Registry (IRR) in Central Java during 2018–2022, followed by 1 year of monitoring until the patient died or dropped out of HD. The variables assessed in this study were age, sex, hypertension status, HD vascular access, and hemoglobin. Results There were 1184 patients who met the study criteria. All of the patients had a twice‐weekly HD setting. The survival rate of HD patients with diabetic nephropathy was 90.7% for the first 90 days and 86.7% for 1‐year survival. Hypertension status and initial vascular access affected the survival rate of HD patients with diabetic nephropathy. Based on the Cox proportional hazard regression model, the risk factors of mortality in HD patients with diabetic nephropathy were hypertension (HR = 1.530, 95% CI: 1.104–2.119) and femoral vein puncture (HR = 2.663, 95% CI: 1.777–3.990). Conclusion The 1‐year survival rate of HD patients with diabetic nephropathy in Central Java, Indonesia, is 86.7%. Risk factors of mortality in HD patients with diabetic nephropathy are hypertension and the use of femoral vein puncture as initial vascular access.
Pratama et al. (Thu,) studied this question.