End-stage renal disease in Scotland: Outcomes and standards of care
| Autor: | Wendy Metcalfe, Izhar H. Khan, Gordon J. Prescott, Keith Simpson, Alison M. Macleod, null on Behalf of the Scottish Renal Registry |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Quality Assurance Health Care standards of care medicine.medical_treatment Population Comorbidity urologic and male genital diseases End stage renal disease Scottish Renal Registry Epidemiology Outcome Assessment Health Care medicine Humans Renal replacement therapy Prospective Studies Registries education Intensive care medicine Aged education.field_of_study business.industry Incidence (epidemiology) Middle Aged medicine.disease Survival Analysis female genital diseases and pregnancy complications Scotland Nephrology Kidney Failure Chronic Observational study Female business Kidney disease |
| Zdroj: | Kidney International. 64(5):1808-1816 |
| ISSN: | 0085-2538 |
| DOI: | 10.1046/j.1523-1755.2003.00271.x |
| Popis: | End-stage renal disease in Scotland: Outcomes and standards of care. Background The number of patients starting renal replacement therapy (RRT) for end-stage renal disease (ESRD) in the United Kingdom rises annually. Patients are increasingly elderly with a greater prevalence of comorbid illness. Unadjusted survival, from the time of starting RRT, is not improving. The United Kingdom Renal Association has published recommended standards of treatment, which all United Kingdom nephrologists strive to attain. This study was devised to define the impact of attaining recommended treatment standards, adjusting for patient age and comorbid illnesses, upon survival on RRT in the United Kingdom population. Methods A prospective, registry based, observational study of all patients starting RRT in Scotland over a 1-year period, followed for the first 2years of RRT. Results Of the 523 patients who were studied, 217 (41.5%) had died by 2years of follow-up, 32% excluding deaths within the first 90days. Age, comorbidity, weight when starting RRT, and attaining the recommended standards for albumin and hemoglobin had a significant impact upon survival. Conclusion This study has emphasized the very high mortality of patients starting RRT in Scotland. By paying close attention to the attainment of recommended standards of care for patients with ESRD, it may be possible to improve upon current mortality figures. The monitoring of such success is only possible if correction is made for age and comorbidity. |
| Databáze: | OpenAIRE |
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