Why the study?
Does hemodialysis compared to peritoneal dialysis improve survival and life expectancy in adult maintenance dialysis patients?
Population
Adults who underwent maintenance dialysis at National Taiwan University Hospital from 1995 to 2006, n=733.
Comparison
Hemodialysis (HD) vs Peritoneal dialysis (PD)
Design
Cohort
Follow-up
Followed up until December 2007
Key result
Hemodialysis and peritoneal dialysis were associated with similar life expectancy after matching, but hemodialysis was associated with better survival in diabetic patients (AHR 0.24; 95% CI 0.11-0.53).
Authors
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Supports equivalent life expectancy with either modality overall but potential hemodialysis benefit in diabetics; hypothesis-generating and requires randomized confirmation.
Cohort (n=733)
No
Does hemodialysis compared to peritoneal dialysis improve survival and life expectancy in adult maintenance dialysis patients?
Hazard Ratio: 0.24 (95% CI 0.11–0.53)
Hemodialysis and peritoneal dialysis offer similar life expectancy and expected years of life lost in matched patients, though hemodialysis may provide better survival for diabetic patients.
Kao et al. (2010) conducted a cohort in Maintenance dialysis (n=733). Hemodialysis vs. Peritoneal dialysis was evaluated on Survival in diabetic patients (AHR 0.24, 95% CI 0.11-0.53). Hemodialysis and peritoneal dialysis were associated with similar life expectancy after matching, but hemodialysis was associated with better survival in diabetic patients (AHR 0.24; 95% CI 0.11-0.53).
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