Seasonal variations in transition, mortality and kidney transplantation among patients with end-stage renal disease in the USA.

ABSTRACT:

Background

Seasonal variations may exist in transitioning to dialysis, kidney transplantation and related outcomes among end-stage renal disease (ESRD) patients. Elucidating these variations may have major clinical and healthcare policy implications for better resource allocation across seasons.

Methods

Using the United States Renal Data System database from 1 January 2000 to 31 December 2013, we calculated monthly counts of transitioning to dialysis or first transplantation and deaths. Crude monthly transition fraction was defined as the number of new ESRD patients divided by all ESRD patients on the first day of each month. Similar fractions were calculated for all-cause and cause-specific mortality and transplantation.

Results

The increasing trend of the annual tra

SUBMITTER: Obi Y 

PROVIDER: S-EPMC6557195 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature