Why the study?
To compare patient and technique survival rates between peritoneal dialysis patients aged 65-74 years and those aged 75 years or older.
Does age (65-74 vs ≥75 years) affect patient and technique survival in elderly patients on maintenance peritoneal dialysis?
Does age (65-74 vs ≥75 years) affect patient and technique survival in elderly patients on maintenance peritoneal dialysis?
In elderly patients on peritoneal dialysis, those aged 65-74 have higher patient survival compared to those ≥75, though technique survival remains similar across these age groups.
OBJECTIVE: To analyze the clinical data of elderly patients with peritoneal dialysis (PD) and compare patient and technique survival rates between Group 1 (65-74 years old) and Group 2 (≥75 years old). METHODS: This retrospective study enrolled 296 elderly patients (≥65 years old) on maintenance PD who were admitted to the Peritoneal Dialysis Center of the Second Hospital of Soochow University. The patients were categorized by outcome into ongoing PD, changed to hemodialysis, renal recovery dialysis stopped, or death groups. The patients were divided into Group 1 (65-74 years old) and Group 2 (≥75 years old). Patient survival and technique survival rates were calculated by the Kaplan-Meier method. Factors associated with patient survival were analyzed using the Cox regression model. RESULTS: = 0.54). CONCLUSION: The elderly PD patients in this cohort mostly died from cardiovascular events, with a higher patient survival rate in Group 1 and similar technique survival in both groups. Older age, lower prealbumin, higher creatinine, not being on activated vitamin D, and high Charlson's comorbidity index (CCI) score were independent risk factors for death.
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Gao et al. (2023) studied this question.
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