Gender-specific discrepancy in subjective global assessment for mortality in hemodialysis patients
Autor: | Duk Hee Kang, Dong Ryeol Ryu, Taeyoung Yun, Seung Jung Kim, Hyung Jung Oh, Kyu Bok Choi, Ye Eun Ko, Hye Ah Lee, Yon Su Kim, Yong-Lim Kim |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology lcsh:Medicine Disease 030204 cardiovascular system & hematology Dialysis patients Article 03 medical and health sciences 0302 clinical medicine Sex Factors Renal Dialysis Internal medicine Female patient Medicine Humans lcsh:Science Survival analysis Aged Multidisciplinary Korea business.industry Incidence (epidemiology) Incidence Malnutrition lcsh:R Middle Aged Survival Analysis female genital diseases and pregnancy complications Clinical research Cohort Kidney Failure Chronic Female lcsh:Q Hemodialysis business |
Zdroj: | Scientific Reports, Vol 8, Iss 1, Pp 1-9 (2018) Scientific Reports |
ISSN: | 2045-2322 |
Popis: | Although subjective global assessment (SGA) is a widely used representative tool for nutritional investigations even among dialysis patients, no studies have examined gender-specific differences in the ability of SGA to predict mortality in hemodialysis (HD) patients. A total of 2,798 dialysis patients were enrolled from clinical research center for end-stage renal disease (CRC for ESRD) between 2009 and 2015. The cohort was divided into two groups based on nutritional status as evaluated by SGA: ‘good nutrition’ and ‘mild to severe malnutrition’. Multivariate Cox proportional regression analyses were performed to investigate gender-specific differences in SGA for mortality among incident and prevalent HD patients. ‘Mild to severe malnutrition’ was significantly correlated with increased mortality compared with ‘good nutrition’ for all HD, incident and prevalent HD patients. Compared with ‘good nutrition’, ‘mild to severe malnutrition’ was also more significantly associated with increased mortality in male patients in the incident and prevalent HD groups. However, no significant associations between nutritional status evaluated by SGA and mortality were observed for female patients. SGA of HD patients can be useful for predicting mortality, especially in male HD patients. However, SGA alone might not reflect adverse outcomes in female patients. |
Databáze: | OpenAIRE |
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