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Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5
Nephrology Dialysis Transplantation · 2007 · Vol. 22(7) · pp. 1955–1962
Fliss EM Murtagh✉(St Thomas' Hospital)James E. Marsh(St George's Hospital)Paul Donohoe(St Thomas' Hospital)Nasirul Ekbal(King's College Hospital)Neil Sheerin(St Thomas' Hospital)Fiona Harris(St George's Hospital)
Abstract
In CKD stage 5 patients over 75 years, who receive specialist nephrological care early, and who follow a planned management pathway, the survival advantage of dialysis is substantially reduced by comorbidity and ischaemic heart disease in particular. Comorbidity should be a major consideration when advising elderly patients for or against dialysis.
Dialysis and Renal Disease ManagementChronic Kidney Disease and DiabetesRenal and Vascular PathologiesMedicineComorbidityDialysisKidney diseaseInternal medicineIntensive care medicineStage (stratigraphy)HemodialysisRetrospective cohort studySurvival analysis
MeSH terms
AgedAged, 80 and overChronic DiseaseFemaleGlomerular Filtration RateRenal DialysisHumansKidney DiseasesMaleRetrospective StudiesSeverity of Illness IndexMyocardial IschemiaKaplan-Meier Estimate
Citations
630
FWCI
16.04
field-weighted impact
References
32
Percentile
100%
vs. same field & year
Citations per year
Cited by
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A More Accurate Method To Estimate Glomerular Filtration Rate from Serum Creatinine: A New Prediction Equation
Annals of Internal Medicine · 1999 · 15,085 citations
Quantifying comorbidity in peritoneal dialysis patients and its relationship to other predictors of survival
Nephrology Dialysis Transplantation · 2002 · 389 citations
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