Association between Duration of Predialysis Care and Mortality after Dialysis Start.

ABSTRACT:

Background and objectives

Early nephrology referral is recommended for people with CKD on the basis of observational studies showing that longer nephrology care before dialysis start (predialysis care) is associated with lower mortality after dialysis start. This association may be observed because predialysis care truly reduces mortality or because healthier people with an uncomplicated course of disease will have both longer predialysis care and lower risk for death. We examined whether the survival benefit of longer predialysis care exists after accounting for the potential confounding effect of disease course that may also be affected by predialysis care.

Design, setting, participants, & measurements

We performed a retrospective cohort study and used data from 3152 adult

SUBMITTER: Liu P 

PROVIDER: S-EPMC5989670 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature