Geovariation in Fracture Risk among Patients Receiving Hemodialysis.

ABSTRACT:

Background and objectives

Fractures are a major source of morbidity and mortality in patients receiving dialysis. We sought to determine whether rates of fractures and tendon ruptures vary geographically.

Design, setting, participants, & measurements

Data from the US Renal Data System were used to create four yearly cohorts, 2007-2010, including all eligible prevalent patients on hemodialysis in the United States on January 1 of each year. A secondary analysis comprising patients in a large dialysis organization conducted over the same period permitted inclusion of patient-level markers of mineral metabolism. Patients were grouped into 10 regions designated by the Centers for Medicare and Medicaid Services and divided by latitude into one of three bands: south, <35°; middle,

SUBMITTER: Wetmore JB 

PROVIDER: S-EPMC4974888 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature